ACHEON调查中国慢性非癌痛镇痛治疗及阿片类药物使用现状分析  

Analysis of current clinical survey of chronic non-cancer pain-relief and opioid： the Chinese subgroup report of ACHEON study

作　　者：王家双[1] 潘胜发[2] 

机构地区：[1]暨南大学医学院第四附属医院、广州市红十字会医院疼痛科,广州510220 [2]北京大学第三医院骨科,北京100191

出　　处：《中国医师杂志》2016年第4期492-496,共5页Journal of Chinese Physician

摘　　要：目的 调查中国人群慢性非癌痛（CNCP）的治疗现状以及阿片类药物使用状况.方法 2013年9月至2013年12月在中国大陆地区对100位医师和250位患者进行问卷调查.结果 在被调查的医师中,认为CNCP管理培训充足的仅40％,而对阿片类药物控制CNCP的相关培训充足程度方面,仅30％医师认为培训是充足的.67％的临床医师认为阿片类药物不是CNCP的最佳选择.中国患者CNCP主要发生部位是下肢（腿/足）和头颈部,分别为59.2％和39.2％;疼痛原因主要是关节炎（37.22％）,过度使用（26.91％）,不良姿势（35.56％）.81.6％的患者处于治疗状态,仅66.67％的患者对CNCP治疗满意,而CNCP控制效果方面,74.51％的患者认为CNCP管理是有效的.结论 中国医师对阿片类药物在CNCP管理中的认知需要加强,需要对医师与患者加强CNCP教育,提高CNCP的临床管理水平.Objective To survey the current clinical practice of chronic non-cancer pain （CNCP）management including opioid use in Chinese subgroup report of Current Practices of Cancer and Chronic Non-Cancer Pain Management：A Pan-Asian Study （ACHEON）.Methods This questionnaire-based survey included 100 pain physicians and 250 patients experiencing CNCP in the period of September to December in 2013.Results CNCP management training was believed by 40% of physicians,while 30% reported adequate pain-relief training on opioid use.Opioids were not considered as the best choice for CNCP management by 65% of physicians.The majority of location of pain with CNCP was legs/feet （59.2%） and neck （39.2%）,arthritis （37.22%）,overuse （26.91%）,and poor posture （35.56%） were reported as the primary causes of pain.A portion （81.6%） of patients was under treatment,while 66.67% of patients claimed to be satisfied with their current pain treatment.74.51% of patients reported that CNCP management was effective pain-relief.Conclusions The Chinese physicians were insufficient cognition of CNCP management on opioid use.The CNCP education and cognition strengthening,CNCP management practice and patient＆#39;s satisfaction are still necessary for Chinese physicians and patients.

关 键 词：疼痛/药物疗法 镇痛药 阿片类/治疗应用 

分 类 号：R971[医药卫生—药品]