基层医院社区癌症患者疼痛治疗分析  

Analysis of Treatment on Patients with Cancer Pain in Community Hospital

作　　者：吴伟文[1] 黄凯文[1] 梁锦诗[1] 黄杰敏[1] 

机构地区：[1]佛山市顺德区第一人民医院,广东佛山528300

出　　处：《今日药学》2011年第10期642-644,共3页Pharmacy Today

基　　金：佛山市卫生局医学科研项目(编号:2009416)

摘　　要：目的评价社区癌症患者疼痛的治疗用药。方法 对84例门诊癌痛患者的疼痛治疗方案和不良反应预防的情况进行回顾性分析。结果按指南标准进行首次治疗处理的共41例(占48.81%),按指南标准进行后续治疗处理的共28例(占33.33%),按指南标准进行阿片类药物的处方、滴定和维持,并阿片类药物间剂量换算正确的共16例(占19.05%);按指南标准正确给予治疗方案后治疗有效率为100%;未按指南标准正确给予治疗方案的治疗有效率为72.06%。同时给予缓泻剂通便治疗的占15.48%。结论社区癌症患者疼痛治疗存在差距,治疗水平有待提高。Objective To evaluate the medication treatment of patients with cancer pain in the community. Methods The treatment of 84 cases of patients with cancer pain in the outpatients and prevention of adverse reactions were analyzed retrospectively. Results There were 41 cases （48.81% ） were treated according to standards in guideline at the first treatment; and 28 cases （33. 33% ） were treated according to standards in guideline in the follow-up treatment; 16 cases （19.05%） were right in Opium prescription, titration, maintenance, and dose conversion. In cases that treated according to standards in guideline, the effective rate was 100%. Without guideline standards, the effective rate was 72.06%. Patients given laxatives treatment at the same time accounted for 15.48%. Conclusion The treatment level for patients with cancer pain in the community is different, and the treatment needs to be improved.

关 键 词：合理用药 调查分析 癌症患者 疼痛治疗 

分 类 号：R96[医药卫生—药理学]