新时期癌痛诊疗的进展与挑战  

The progresses and challenges of cancer pain in modern era

作　　者：杨光[1] 商消 王楠娅[1] YANG Guang;SHANG Xiao;WANG Nan-ya(Cancer Center,the First Hospital of Jilin University,Changchun 130021,Jilin,China)

机构地区：[1]吉林大学第一医院肿瘤中心

出　　处：《肿瘤代谢与营养电子杂志》2019年第1期99-103,共5页Electronic Journal of Metabolism and Nutrition of Cancer

基　　金：吉林大学优秀青年教师培养计划(419080500356)

摘　　要：疼痛是癌症患者最常见也是最恐惧的症状,约60%~80%的晚期癌症患者受到疼痛的困扰,癌痛可产生或加重许多躯体症状,还可导致心理上的负担,直接影响到患者的生活质量。癌痛是全球性的公共卫生问题。世界卫生组织(WHO)将减轻疼痛及其痛苦症状作为攻克肿瘤的战略任务,1986年世界卫生组织提出三阶梯药物治疗癌痛,使癌痛控制取得了巨大进步,但是仍有20%左右的患者疼痛控制不佳,这也给临床有效治疗癌痛提出了新的挑战,尤其是针对晚期肿瘤患者。美国国家癌症综合网将癌痛管理列为肿瘤管理的重要内容,世界多国指南也一致认为癌痛管理应该整合到癌症综合治疗中。了解癌痛的普遍性和影响,熟知如何有效地管理癌痛,是广大肿瘤医务工作者必备的技能。随着医学不断进步、理念不断更新、癌痛相关研究不断深入;癌痛诊疗也出现了一些新进展与新挑战,本文将对近年来癌痛诊疗目前面临的挑战和最新的进展做一综述。Pain is one of the most common symptoms among cancer patients.About 60%-80%of patients with advanced cancer suffer from pain.Cancer pain can cause or aggravate physical symptoms,and can also cause psychological burden,which directly affects patients'quality of life.Cancer pain is a global public health problem.The World Health Organization(WHO)has set a strategic task to relief pain and its painful symptoms to overcome cancer.In 1986,the WHO proposed a three-step treatment regime for cancer pain,which made great progress in cancer pain control,but still about 20%of cancer patients suffer from pain.Poor pain management,which also poses new challenges for clinically effective treatment of cancer pain,especially for patients with advanced cancer.The United States National Cancer Network(NCCN)lists the cancer pain management as an important part of cancer control.Furthermore,cancer pain management is integrated into the comprehensive treatment of cancer in almost all countries worldwide.Paying attention to the influence of pain on cancer patients is important to oncologists.Knowing how to manage cancer pain effectively are essential skills for clinical stuff.In modern era,new progresses and new challenges have emerged in the diagnosis and treatment of cancer pain.This article will give a summary of the challenges and recent advances of cancer pain in recent years.

关 键 词：癌痛 治疗 疼痛管理 

分 类 号：R730.5[医药卫生—肿瘤]