成人癌痛门诊规范化治疗的组织与临床效果分析  

Effects and organization of standardized diagnosis and treatment system in adult outpatients with cancer pain

作　　者：陈建平[1] 高翔[1] 李航[1] 韩冲芳[1] 罗延清[4] 张智灵[3] 雷亚娟[1] 王晓鹏[1] 杨晓玲[2] 

机构地区：[1]山西医学科学院、山西大医院疼痛科,太原市030032 [2]山西医学科学院、山西大医院肿瘤科,太原市030032 [3]山西医学科学院、山西大医院药剂科,太原市030032 [4]山西医学科学院、山西大医院门诊办公室,太原市030032

出　　处：《实用疼痛学杂志》2016年第3期181-185,共5页Pain Clinic Journal

基　　金：山西省科技攻关项目,项目编号20130313021-2

摘　　要：目的介绍成人癌痛门诊规范化治疗的组织与临床效果。方法在门诊办公室、药剂科、肿瘤科及疼痛科多学科合作下，将《NCCN成人癌痛临床实践指南》应用于门诊癌痛患者的规范化治疗中，汇总门诊成人癌痛患者72例规范化治疗前后的疼痛程度变化和不良反应情况。结果门诊癌痛患者72例经过规范化治疗后，中、重度疼痛患者由67例（93．1％）减少至34例（47．2％），差异具有统计学意义（P〈0．05）；72例患者中共发生便秘32例（44．4％），恶心呕吐23例（31．9％），嗜睡9例（12．5％）。结论在门诊办公室、药剂科、肿瘤科的协助下，主要由疼痛科医生承担的成人癌痛门诊规范化治疗效果肯定，可显著缓解门诊成人癌痛患者的疼痛程度。Objective To analysis the clinical effects and introduce the organization of standardized diagnosis and treatment system in adult outpatients with cancer pain. Methods Under the cooperation of many departments including outpatient office, pharmacy, oncology and pain medicine, the NCCN in Oncology-Aduh Cancer Pain Guideline was applied to the standardized treatment in outpatient cancer patients, the degree of pain and adverse reactions in 72 patients were summarized after standardized treatment. Results The number of cases with moderate to severe pain was reduced from 67 （93.1%） to 34 （47.2%） after the standardizion, the difference was statistically significant （P〈 0.05）. Constipation occurred in 32 cases （44.4%） , nausea and vomiting occurred in 23 cases （31.9%）, somnolence occurred in 9 cases （ 12.5% ）. Conclusion Under the assistance of outpatient office, pharmacy and oncology, the pain medicine doctors are mainly responsible for the treatment. The effects of standardized treatment in adult outpatients with cancer pain is definite, and the propor- tion of patients with moderate to severe pain are significantly reduced.

关 键 词：成年人 癌痛 门诊 规范 治疗 

分 类 号：R730.5[医药卫生—肿瘤]