关于改善我国癌痛控制的思考  

Cancer pain:where we are,what the problem is and how is the future

作　　者：王湘[1,2] 宁晓红[1,2] 

机构地区：[1]中国医学科学院北京协和医学院 [2]北京协和医院,北京100730

出　　处：《中国新药杂志》2014年第17期2057-2060,2065,共5页Chinese Journal of New Drugs

摘　　要：癌痛是癌症患者中广泛存在的症状。正在接受治疗以及完成治疗的患者中有相当比例遭受着癌痛的困扰,癌痛还会引起焦虑、抑郁等异常情绪。癌痛控制在中国经历了二十几年的发展,无论从吗啡消耗量还是从医务人员接受专业培训的范围都有了很大的进步。但近期的调查显示,患者的癌痛控制仍然不满意,而医务人员仍然存在针对阿片类不良反应和成瘾性的担忧。导致癌痛控制不佳的原因是多方面的:来自医患双方的都不容忽视。世界性癌痛控制指南除了告知我们如何使用止痛药物,更强调了患者舒适度和安全性以及家属、患者宣教的重要性。控制癌痛同时是现代姑息治疗的重要组成部分,其地位不容忽视。Cancer pain is the most commonly seen but not well controlled symptom in cancer patients. There are quite a big percentage of patients suffer from pain in cancer patients under treatment or finishing treat- ment. Cancer pain can also cause anxiety and depression in this group of patients. Cancer pain treatment has been developed for over 20 years in main land China, and there is a big improvement in morphine consumption as well as education about cancer pain to medical staff. However, data revealed that cancer pain control is not good enough reported by cancer pain patients, and medical staff still has a lot of concerns about side effects and addiction of opi- oids. There are multiple reasons associated with the undertreatment of cancer pain： all the factors associated with patients and doctors played important role. Cancer pain guidelines showed us not only the steps about how to use analgesics, but also emphasized on the importance of comfort, function and safety. Finally, education of patients and care givers is the most widely neglected thing. Cancer pain is only a partial work of palliative medicine, so cancer pain management can be easily improved by grasping the idea and details of palliative medicine.

关 键 词：癌痛 障碍 影响因素 姑息治疗 

分 类 号：R971[医药卫生—药品]