癌症末期病人的腸胃道症狀控制,需跳脫「治癒」的框架,轉向「症狀緩解」與「舒適照護」。臨床決策應依據病理生理機轉,例如:利用藥理作用(類固醇的抗發炎水腫效果)處理阻塞性嘔吐,或是針對鴉片類藥物引起的便秘給予預防性投藥。所有處置的最終衡量標準,皆在於是否能有效提升病人的生活品質(Quality of life, QOL)。
* 出處:[1][2][4]
參考文獻(論文來源)
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Gastro-Intestinal Symptoms in Palliative Care Patients.研究論文本文回顧安寧癌症病人常見腸胃症狀的評估與控制,幫助你了解如何減輕病人不適。Tradounsky GE. (2024) · DOI: 10.3390/curroncol31040174
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British Society of Gastroenterology practice guidance on the management of acute and chronic gastrointestinal symptoms and complications as a result of treatment for cancer.研究論文此指引說明癌症治療引發的腸胃副作用最常見且困擾,妥善處理能提升治療成效與生活品質。Andreyev J, Adams R, Bornschein J, Chapman M, Chuter D, Darnborough S, Davies A, Dignan F, Donnellan C, Fernandes D, Flavel R, Giebner G, Gilbert A, Huddy F, Khan MSS, Leonard P, Mehta S, Minton O, Norton C, Payton L, McGuire G, Pritchard DM, Taylor C, Vyoral S, Wilson A, Wedlake L. (2025) · DOI: 10.1136/gutjnl-2024-333812
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Opioid-Induced Nausea and Vomiting in Patients With Cancer: A Narrative Review.研究論文本文探討鴉片類藥物引發的噁心嘔吐,影響止痛與生活品質,需注意其多重成因與處置。Perilla Orozco DM, Pantoja Molina AD, Valencia Quivano JP, Cabrera Velasco CE, Ricaurte Gracia LN, Sánchez-Duque JA. (2026) · DOI: 10.7759/cureus.108798