Transcription of 痛みの治療の種類 - okayama-kanwa.jp
1 NSAIDs ADL .. World Health Organization (WHO) analgesic ladder .. NSAIDs PG . NSAIDs NSAIDs .. NSAIDs NSAIDs NSAIDs .. NSAIDs .. YES NO .. NSAIDs . COX-2 Wolfe MM et al : N Engl J Med 340 : 1888-1899, 1999.. NSAIDs 4 . NSAIDs 10 .. NSAIDs . NSAIDs .. NSAIDs .. 1g/ 4g/ .. NSAIDs . 2011 4g/ 3g/ .. 1g/ 6 .. 5 .. 1 . -6- .. Vol 13 No 1 13 2003 . 1 3 .. 3 .. 1 .. 1 3 5 .. 3 5 . 1 2 . 2 .. 2 .. 1 2 1 . 1 1 12 6 24 . 20 30 . 1 .. 4 1 . 6 . 12 . 6 . 6 12 . 2011 3 2011 3 .. 3 .. 1 .. 10 15 12 . 30 60 100 120 . 2 3 6 . 3 5 4 6 .. OK . OK . NG . NG D . C .. 100% . 20 60% 1 2 . 20 30% 5 . 50% . 30%.
2 3% . 3% .. Q&A Q&A .. 1.. or .. 2. 3.. B12 .. 1 . 3 4 1 30 1 1 .. QOL .. NSAIDs .. 1 .. 8 12mg/ .. 4 8mg/ 3 5 .. 1 5 . 2mg/ .. CTZ 4 . D2 5-HT3 GABA.. Ca . Na .. D2 . 5-HT3 5-HT2 .. GABA . or NK-1 H1 .. or NK-1 .. 5-HT2 H1 . NK-1. 5-HT3 D2 .. NK-1. H1 .. 5-HT3 .. D2 .. H1 . NK-1 .. D2 5-HT2 5-HT3 H1 M.. CTZ/ CTZ . ++ .. +++. + . Ca Na + . ++++ . ++++ .. +++ .. QOL .. NSAIDs .. 25 1T / .. 1T / 30 3 .. H2 .. 100mg .. 100mg .. P Tmax 1hr T1/2 5-9hr .. Ccr 30 .. BZ .. [ ].. / .. 2010 .. 15 45mg .. Q&A.. 2mg .. 25 50mg .. 18 -7 2007.
