胃癌患者的姑息治疗和疼痛管理

Martha Lucia Guallichico Maura, Nora Alexandra Santos Marcillo, Hortensia Senaida Ortiz Suarez, Verónica Graciela Jiménez Ayala, Tatiana Elizabeth Rivera Aguilar
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摘要

导读:姑息治疗和疼痛管理是越来越重要的积极和全面的治疗谁不响应治愈性治疗的患者。目的:探讨胃癌患者的姑息治疗和疼痛管理。方法:采用定性和描述性的方法,回顾国内外文献、出版物和科学文章,探讨胃癌患者的姑息治疗和疼痛管理。结果:文章确定了五种姑息治疗方法,定义为姑息性胃切除术,旁路治疗,姑息性放疗和支架置入术。对胃癌患者的疼痛管理也进行了筛选研究。结论:对胃癌患者控制症状、维持或改善生活质量的研究进行了分析。收集的研究报告生存是主要的结局变量。一致的证据表明,与单独接受支持治疗(将与阿片类镇痛药联合使用)相比,化疗加支持治疗的联合治疗对晚期胃癌患者的生存和生活质量都有好处。
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Palliative care and pain management in patients with stomach cancer
Introduction: Palliative care and pain management are increasingly important for the active and comprehensive treatment of patients who do not respond to curative treatment. Objective: To identify palliative care and pain management in patients with stomach cancer. Methods: Using a qualitative and descriptive approach, national and international literature, publications and scientific articles were reviewed to investigate palliative care and pain management in patients with stomach cancer. Results: The articles identified five treatments focused on palliative care, defined as palliative gastrectomy, bypass, palliative radiotherapy, and stenting. Pain management in patients with gastric cancer was also examined using selected studies. Conclusion: Studies focused on controlling symptoms and maintaining or improving quality of life in patients with gastric cancer were analyzed. The collected studies reported survival as the primary outcome variable. Consistent evidence was identified that patients with advanced gastric cancer benefit in both survival and quality of life with a combination of chemotherapy plus supportive care compared to receiving supportive care alone, which will be in combination with the use of opioid analgesics.
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