105例疼痛门诊癌痛患者镇痛效果观察  

Analgesic effect observation in 105 patients with cancerous pain at pain clinic

作　　者：王信春[1] 张海彬[2] 

机构地区：[1]四川省内江市第一人民医院,四川内江641000 [2]四川省内江市中医医院,四川内江641000

出　　处：《实用医院临床杂志》2016年第4期182-184,共3页Practical Journal of Clinical Medicine

摘　　要：目的观察"三阶梯"治疗方案对初诊癌痛患者镇痛效果及不良反应。方法选取符合条件的105例初次至疼痛门就诊癌痛患者,观察当前治疗方案的镇痛效果及不良反应,按照癌痛的"三阶梯"治疗方案,评估治疗方案调整前后患者数字分级评估法(Numeral rating scale,NRS)评分、生活质量评分、药物不良反应。结果治疗方案调整后,患者疼痛症状得到明显改善,治疗前后NRS评分比较,差异有统计学意义(P<0.01);患者生活质量得到极大改善,多项指标显著提高(均P<0.01);用药后恶心、呕吐、便秘、头晕、嗜睡也得到了显著缓解(均P<0.005)。结论规范"三阶梯"治疗方案对癌痛患者能切实提高生活质量,是值得推荐的治疗方案。Objective To observe the analgesic effects and adverse reactions of “three steps” therapeutic schedule for the first clinic patients with cancerous pain .Methods Collected the first clinic 105 patients with cancerous pain who were eligible for screen-ing.The analgesic effects and adverse reactions of current therapeutic schedule were observed .Then,the patients received the “three steps” therapeutic schedule treatment .NRS scores,quality of life score and adverse reactions were evaluated before and after treatment . Results After the adjustment of treatment ,analgesic effects and the quality of life of patients with cancerous pain were effectively im-proved.NRS scores before and after treatment were significantly different （P〈0.01）.Many indexes were obviously increased and qual-ity of life was significantly improved （all P〈0.01）.Adverse reactions of treatment such as nausea ,vomiting,constipation and dizziness drowsiness were also significantly reduced （ all P〈0.005 ） .Conclusion The＂three steps＂treatment is the best way of improving an-algesic effects and the quality of life of patients with cancerous pain .It is a treatment schedule worth for promotion .

关 键 词：癌痛 “三阶梯”治疗 生活质量 

分 类 号：R441.1[医药卫生—诊断学]