癌症患者疼痛量表的应用  

Application of pain assessment tools in cancer pain patients

作　　者：李小梅[1] 李虹义[2] 肖文华[1] 刘端祺[3] 

机构地区：[1]解放军总医院第一附属医院肿瘤科,北京市100048 [2]北京军区总医院干二科 [3]北京军区总医院专家组

出　　处：《中国肿瘤临床》2013年第24期1482-1486,共5页Chinese Journal of Clinical Oncology

摘　　要：癌痛本质上是患者的主观感受,因此患者的疼痛表述是评估的依据,患者自评量表也由此在临床实践和研究中被广泛采用。一维量表常用于评估癌痛的强度,其中的数字评估量表(Numerical Rating Scale,NRS)被欧洲姑息治疗研究协作组所推荐;多维量表,如简式疼痛问卷(Brief Pain Inventory,BPI)或修订后的简式麦吉尔疼痛问卷(Short-Form McGill Pain Questionnaire,SF-MPQ-2)可更全面的评估癌痛;评估肿瘤患者的爆发痛、神经病理性疼痛时可选择有针对性的量表;对认知功能受损的患者,脸谱法评估有助于癌痛筛查,要评估癌痛还需采用多维量表。无论选择何种评估工具,均强调对癌痛进行动态评估。简便易行的电子评估量表是目前癌痛新量表研制的趋势。Cancer pain is an inherently subjective feeling. As such, a patient＇s report of pain is the basis of assessment. Self-re-ported questionnaires are extensively used in clinical practice and research. Single-item unidimensional rating scales are often used to assess pain intensity. Numerical rating scale is recommended by the European Palliative Care Research Collaborative. Multidimension-al measurements, such as brief pain inventory and short-form McGill pain questionnaire （revised version）, can also be used for more comprehensive pain assessments than other questionnaires. Furthermore, specific tools can be applied when cancer-related break-through pain or neuropathic pain is assessed. For patients with cognitive function impairments, face rating scale is a useful tool to screen pain. Multidimensional measurements should also be used for further evaluation. In cancer pain evaluation, the development of simple and practical computer-administered questionnaires is a new trend. Repeated cancer pain assessment is strongly recommended regardless of the applied scale.

关 键 词：癌痛 疼痛评估 自评量表 

分 类 号：R730.5[医药卫生—肿瘤]