痛みの表現に基づく痛みの評価 - jpps.umin.jp

1 Jpn. J. Pharm. Palliat. Care Sci. 2 : 65_73 2009 65.. *1 *1 *1 *1. *2 *3 *1, *4 *1. *1.. *2.. *3.. *4. I. 2009 8 4 .. 66 . NSAIDs . 21 .. NSAIDs . APQ .. 2007 4 . 1-7 .. QOL .. Saunders .. 4 8 .. 468_8503 150 . I.. E-mail QOL Quality of Life NSAIDs . Nonsteroidal anti-inflammatory drugs . MPQ McGill Pain Questionnaire .. APQ Aichi Prefectural Society of Hospital Pharmacists Pain Questionnaire RCT Randomized . Controlled Trial . 66 .. 9, 10 .. 9 . APQ . NSAIDs . 2 .. 1 . NSAIDs .. 2 .. 3 .. 1 . 2004 1 2006 12 .. 66 1 . 1.

2 66 . 51 15 34 81 . 4 36 15 3 2 1 1 2 . 1 . 1 . 5 . 38 14 12 10 7 4 3 2 1 62 . 28 . NSAIDs 4 NSAIDs 61 23 14 .. 66 23 .. 62 . 67. 0 5 6 0 10 2 APQ 78 . 11 1 APQ 3 APQ .. 2 APQ 4 . 2 .. 66 52 2 . 14 .. APQ 78 3 APQ 5 .. 2 .. APQ . 4 APQ 7 .. 11 .. 3 . 4 78 19 4 . 1 3 8 APQ . 2 4 11 78 . APQ 3 . 5 4 . 5 .. 4 .. NSAIDs .. 4 . 4-1 . 9 . APQ .. 9 .. 4-2 . APQ 78 4-3 7. 11 .. 4-3 . 3 5 .. 4-4 5 .. 7 .. 1 . 66 . 34 26 . 21 17 . 68 . 15 5 4 6 . 3 2 2 . 64 50 70 .. 2 5 1 . 89 1 . 3 3 0 40 . 21 3 1 . APQ 1 3 1 . APQ 16 1 . APQ 4 3.

3 5 . 35 . 52 80 . 22 31 . 4 5/8 3/4 . 7 3 3 100 3/3 .. 8 . 11 .. 3 . 3 21 80 3 . 17 3 . 4 .. 4 . 17 75 6/8 . 0 0/6 . 111 . 65 . 31 .. 26 . 13 17 . 10 .. 3 . 15 8 89 . 4 21 . 3 1 . 21 . 5 . 1 . 3 5 . 80 APQ .. 9 . 69. 3 66 .. 78 11 n 66 n 126 78 11 n 66 n 126 .. 1( ) . 6( ) 9( ) 3( ) . 0(0) 0(0) 0(0) . 1( ) 1( ) 0(0) . 12( ) 20( ) . 0(0) 0(0) 1 2( ) 2( ). 2( ) 5( ) 0(0) 0(0). 1( ) 4( ) 0(0) 0(0). 2( ) 2( ) 1( ) 3( ). 12( ) 17( ) 2 0(0) 0(0). 11( ) 15( ) 14( ) 18( ). 0(0) 0(0) 1( ) 1( ). 1( ) 4( ) 1( ) 4( ). 0(0) 0(0) 1( ) 1( ).

4 1( ) 4( ) 3 0(0) 0(0). 2( ) 2( ) 2( ) 2( ). 0(0) 0(0) 0(0) 0(0). 0(0) 0(0) 4 1( ) . 0(0) 0(0) 0(0) . 22( ) 31( ) 1( ) . 0(0) 0(0) 0(0) . 0(0) 0(0) 1( ) . 0(0) 0(0) APQ . 5( ) 6( ) 4( ) 7( ). 2( ) 2( ) 2( ) 2( ). 0(0) 0(0) 1( ) 1( ). 2( ) 3( ) 2( ) 2( ). 0(0) 0(0) 3( ) 3( ). 0(0) 0(0) 2( ) 3( ). 0(0) 0(0) 1( ) 2( ). 9( ) 13( ) 1( ) 1( ). 0(0) 0(0) 2( ) 2( ). 5( ) 6( ) 1( ) 1( ). 1( ) 1( ) 1( ) 1( ). 35( ) 52( ) 3 21 . 1( ) 1( ). 0(0) 0(0). 9( ) 11( ). 13( ) 22( ).. 9( ) 9( ). 14( ) 16( ) . 0(0) 0(0) . 1( ) 4( ).. 4( ).

5 0(0) . 2( ) . 8( ) 11( ) RCT . 2( ) . American Society of 0(0) . 0(0) Clinical Oncology ASCO . 0(0) 12 . 3( ) . 0(0) . 0(0) 9 . 2( ) . 2( ) . 2 . 0(0) 100 .. 3 . 4( ) . 1 . 70 . 4 . 3 . 17 n 126 . 9 4 0 3 0 1 1 0 0 0. 20 5 3 4 4 1 0 1 2 0. 17 7 2 5 0 3 0 0 0 0. 15 6 3 3 0 2 0 0 1 0. 31 14 6 2 2 5 1 0 1 0. 6 2 1 1 1 0 1 0 0 0. 13 5 1 4 0 3 0 0 0 0. 6 0 2 3 1 0 0 0 0 0. 52 15 9 7 10 5 3 1 1 1. 11 3 0 4 0 0 2 0 1 1. 22 5 6 0 5 2 1 1 2 0. 9 5 0 1 1 1 1 0 0 0. 16 3 3 4 2 2 2 0 0 0. 11 7 2 0 1 1 0 0 0 0. 18 3 1 11 2 1 0 0 0 0.

6 7 2 2 2 0 0 1 0 0 0. 3 0 0 0 3 0 0 0 0 0. 1 . 3 . p vs.. 1 9 . 2 10 . 3 11 . 4 12 . 5 13 . 6 14 . 7 15 . 8 16 . 71.. 14 .. 16 .. 13 .. 14 . 15 . 80 . 50 70 . 0 40 3 APQ Melzack McGill 17 . Pain Questionnaire MPQ MPQ. MPQ. The . short-form McGill Pain Question- 18 . naire SF-MPQ APQ . MPQ SF-MPQ .. 72 . pain quality descriptors in cancer patients with nociceptive and neuropathic pain. In Vivo 2007; 21: 93-97.. 8 . 2006 p. 168-169 . 9 . 1 . 2006 32 776-787 . 10 . 2 . 1 .. Boureau F, Doubrere JF, and Luu M. Study of verbal de- APQ.

7 Scription in neuropathic pain. Pain 1990; 42: 145-152. 2006 32 788-804 . 2 Wilkie DJ, Huang H-Y, Reilly N, et al. Nociceptive and 11 . neuropathic pain in patients with lung cancer: A compari- 2002 30 114-115 . son of pain quality descriptors. J. Pain Symptom Manag. 12 . 2001; 22: 899-910. 2005 p. 1-12 . 3 Bennett M. The LANSS Pain Scale: The Leeds assess . 13 1978 . ment of neuropathic symptoms and signs. Pain 2001; 92: 14 . 147-157. 2000 p. 251-266 . 4 Krause SJ and Backonja M-M. Development of a Neu . 15 NEW . ropathic Pain Questionnaire.

8 Clin. J. Pain 2003; 19: 306- 4 2002 p. 354-365 . 314. 16 . 5 .. Backonja M-M and Krause SJ. Neuropathic Pain Ques- 2005 7 351-358 . tionnaire Short Form. Clin. J. Pain 2003; 19: 315-316. 17 .. Melzack R. The Mcgill Pain Questionnaire . : Major . proper- 6 Bouhassira D, Attal N, Alchaar H, et al. Comparison of ties and scoring methods. Pain 1975; 1: 277-299. pain syndromes associated with nervous or somatic lesions 18 Melzack R. The short-form McGill Pain Questionnaire. and development of a new neuropathic pain diagnostic Pain 1987; 30: 191-197.

9 Questionnaire DN4 . Pain 2005; 114: 29-36. 7 Mystakidou K, Parpa E, Tsilika E, et al. Comparison of 73. Pain Assessment for Lung Cancer Patients Research on the Relationship between Words Describing Pain and Pain Pathogenesis . Satomi INAGAKI*1, Masayuki MIYAZAKI*1, Katsuyoshi KATO*1, Tomoko TEZUKA*1, Yoshinori HASEGAWA*2, Toshitaka NABESHIMA*3, Yukihiro NODA*1, *4, and Kiyofumi YAMADA*1. *1 . Department of Neuropsychopharmacology and Hospital Pharmacy, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466-8560, Japan *2.

10 Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466-8560, Japan *3 . Department of Chemical Pharmacology, Meijo University Graduate School of Pharmaceutical Sciences, 150 Yagotoyama, Tenpaku-ku, Nagoya 468-8503, Japan *4 . Division of Clinical Sciences and Neuropsychopharmacology, Meijo University Graduate School of Pharmaceutical Sciences, 150 Yagotoyama, Tenpaku-ku, Nagoya 468-8503, Japan Abstract: Cancer pain is complicated due to the existence of many types of pain, such as nociceptive pain and neuropathic pain.