書誌事項
- タイトル別名
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- <b>“Patient-control" relief of severe rheumatic pain with oral morphine</b>
- — A Case Report —
- ──くり返す骨折の痛みをコントロールした慢性関節リウマチ患者の1症例──
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抄録
We reported good progress of pain control with oral morphine in a 64 year-old rheumatic female patient. She developed rheumatic arthritis twenty-two years ago (42 yrs.) and received corticosteroid therapy. Four years ago (60 yrs.), she had a sudden attack of severe pain due to vertebral fracture at 11th thoracic spine caused by long-term steroid-induced osteoporosis. Although she was obtained little improvement of pain by orthopedic management with stabilization-corset and non-steroidal anti-inflamatory drugs, she could secure effective pain relief with oral morphine therapy in our clinic based on “Yamagata (University) Method". It is out-patient supporting system consisted of patient-controlled oral morphine regimen and frequent telephone counseling about pain and adverse side effects of morphine (or other opioid analgesics), and aims to control pain by patients themselves. Thereafter she controlled pain well with the “Yamagata method" at six times whenever severe rheumatic fracture pain attacked to her. She is free from tolerance and mental dependence on morphine until now.<br> This case report shows that morphine is most reliable analgesics in the treatment of non-cancer severe pain at the present, and that patient-control pain relief with Yamagata method is suitable to gain full efficacy of oral morphine.
収録刊行物
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- PAIN RESEARCH
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PAIN RESEARCH 22 (1), 43-48, 2007
日本疼痛学会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390001204368090496
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- NII論文ID
- 10018864358
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- NII書誌ID
- AN10195934
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- ISSN
- 21874697
- 09158588
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可