老年住院癌症患者疼痛控制情况调查  

A survey of cancer pain management among hospitalized elderly patients

作　　者：邵月娟[1] 郝建磊[1] 成宪江[1] 姬凯[1] 管冰清[1] 王昆[1] 

机构地区：[1]天津医科大学肿瘤医院疼痛科 国家肿瘤临床医学研究中心 天津市肿瘤防治重点实验室,300060

出　　处：《中华全科医师杂志》2015年第5期384-387,共4页Chinese Journal of General Practitioners

基　　金：国家自然基金（81201065）

摘　　要：对2012年6月至2013年6月在我院疼痛科住院的620例癌症患者,进行癌痛调查.轻、中、重度疼痛在218例老年（≥65岁）患者中,分别占29.8％ （65/218）、36.2％ （79/218）和34.0％（74/218）,在402例中青年患者（＜65岁）中,分别占28.4％（114/402）、34.8％（140/402）和36.8％（148/402）,差异无统计学意义（均P＞0.05）.老年癌痛患者有28.0％（61/218）未使用止痛药物,重度疼痛者只有71.6％ （53/74）应用强阿片药物,5.4％（4/74）仅应用非甾体类抗炎药;中青年组分别为26.1％（105/402）、73.0％（108/148）和4.7％（7/148）（均P＞0.05）.老年患者便秘、排尿困难及谵妄的发生率高（P＜0.05）.应加强老年患者镇痛药物合理应用及预防不良反应管理.To explore the status of cancer pain management among hospitalized elderly patients.Pain intensity,use of analgesic drugs and incidence of adverse reactions were surveyed for 620 cancer pain patients.And 218 of them were aged over 65 years.The proportions of mild,moderate and severe pain were 29.8%,36.2% and 34.0% respectively.And the corresponding rates in young and middle-aged patients were 28.4%,34.8% and 36.8% respectively （P 〉 0.05）.In elders with cancer pain,28% used no analgesic.For severe pain patients,only 71.6% received potent opioids and 5.4% nonsteroidal antiinflammatory drugs.And the corresponding rates in young and middle-aged patients were 26.1%,73.0% and 4.7% respectively （P 〉 0.05）.The rates of constipation,dysuria and delirium in elderly patient group were higher than young and middle-aged patient group （P 〈 0.05）.Pain management is unsatisfactory and rational uses of analgesic drugs should be strengthened for preventing the relevant adverse reactions.

关 键 词：癌 镇痛药 阿片类 横断面调查 

分 类 号：R73-31[医药卫生—肿瘤]