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王臣安 / 温惠心

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翁敏家

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學術研究主題 | 台灣癌症安寧緩和醫學會

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或為驚濤駭浪，或為涓涓細流；形影不離，糾纏不休…… 這是為疼痛所苦的癌症病人之真切心聲，而最新研究也顯示超過半數的癌症病人有疼痛問題，甚至有超過三分之二的晚期癌症病人表示疼痛嚴重影響其睡眠、情緒，和日常生活。事實上，在良好疼痛管理下，80-90%的癌症疼痛是可以獲得有效控制。而隨著本次《癌症疼痛之藥物治療指引》的翻修以及第七版的出版，期盼能有助於推廣以最新實證為基礎之癌症疼痛治療觀念和原則，進而提升癌症疼痛的照護與癌症病人和家屬的生活品質。 癌症疼痛的表現相當多元，成因也非常多，可能是癌症本身所致，亦可能是癌症治療的過程所引起。本次《癌症疼痛之藥物治療指引》針對癌症疼痛的分類和評估增添許多新的內容，同時也納入2018年美國國家綜合癌症網絡 (National Comprehensive Cancer Network，NCCN) 所發表之「成人癌症疼痛指引」的重要見解。此外，目前於台灣核准上市之類鴉片止痛藥物，以及常運用於癌症疼痛治療之非類鴉片藥物的相關用藥資訊，也經過完整翻修和更新。最後對於癌症疼痛治療之護理和衛教資訊，以期能提供更簡明、清楚、易懂之資訊予醫護人員、病人，和家屬/照顧者。 本指引有幸與台灣疼痛醫學會合作進行編修，指引的編修是非常辛苦的工作，敝人在此特別感謝所有參與這次編輯工作之專家委員、編輯人員，及學會人員。基於各位的犧牲及貢獻，本次《癌症疼痛之藥物治療指引》第七版方能順利付梓，並為癌症疼痛的管理和治療引入許多重要新知與實務建議。 台灣癌症安寧緩和醫學會理事長 吳 錦 榕

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江如芬

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涂岑俞

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武淑寬

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李家萱

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