癌痛治疗应进入"四阶梯治疗"新模式  

Cancer pain therapy should be entered into the new model of "four-ladder analgesic treatment"

作　　者：张金华[1] 林磊 邓硕曾[1] Zhang Jinhua;Lin Lei;Deng Shuozeng(Department of Anesthesiology,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院麻醉科,100078

出　　处：《实用疼痛学杂志》2019年第4期250-252,共3页Pain Clinic Journal

摘　　要：晚期癌痛非常剧烈,上世纪80年代WHO制定的癌痛三阶梯治疗已经不能满足患者的镇痛需求,为此,我们建议在三阶梯治疗的基础上开设第四阶梯治疗,主要包括区域阻滞技术、患者硬膜外自控镇痛、神经毁损阻断技术和鞘内药物输注系统镇痛。本文介绍第四阶梯治疗的方法并进行评价,让更多癌痛患者从第四阶梯治疗中获益。Terminal cancer pain is very severe. The three-ladder analgesic treatment of cancer pain formulated by WHO in 1980s can't satisfy the analgesic requirements for cancer patients. Therefore, we suggest to offer "four-ladder analgesic treatment" based on the three-ladder analgesic treatment, mainly including regional block technique, patient-controlled epidural analgesia (PCEA), nerve ablation block and implantable drug delivery systems analgesia. This paper introduces and evaluates the methods of "the fourth ladder analgesic treatment", so as to benefit more and more cancer patients from the fourth ladder analgesic treatment.

关 键 词：疼痛 肿瘤 三阶梯治疗 四阶梯治疗 镇痛 病人控制 

分 类 号：R730.5[医药卫生—肿瘤]