医疗机构基于镇痛药物分线分级管理的疼痛管理模式初探  

Preliminary study on pain management model based on classification management of analgesic drugs in medical institutions

作　　者：蔡军[1] 曹力[1] 杨旭丽[2] 吕燕妮[1] 陈璿瑛[1] 章勇[3] 刘书豪 张达颖[3] 胡锦芳[1] CAI Jun;CAO Li;YANG Xuli;LV Yanni;CHEN Xuanying;ZHANG Yong;LIU Shuhao;ZHANG Daying;HU Jinfang(Department of Pharmacy,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Medical Department,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Pain Medicine,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院药学部,南昌330006 [2]南昌大学第一附属医院医务处,南昌330006 [3]南昌大学第一附属医院疼痛科,南昌330006

出　　处：《中国疼痛医学杂志》2023年第12期892-896,共5页Chinese Journal of Pain Medicine

基　　金：国家重点研发计划项目(2022YFC3602202);北京康盟慈善基金会项目(TB208017)。

摘　　要：镇痛药物品种多,以阿片类药物为代表的麻醉性镇痛药物因其特殊的两重性需要加强管理。我国存在阿片类药物不合理使用现象,而美国的阿片类药物滥用问题导致了一系列严重的社会危机,应以此为鉴,防患于未然。本文参考抗菌药物分级管理制度,结合临床疼痛管理实际情况,创新性提出医疗机构镇痛药物分线分级管理模式,探索临床疼痛规范化、个体化诊疗,规范医疗机构镇痛药物临床使用,为各类疼痛病人提供同质化、高效化、安全化的疼痛管理。There are many kinds of analgesic drugs.Management of narcotic analgesics need to be strengthened.There is a phenomenon of irrational use of opioid in China,while the problem of opioid abuse in the United States has led to a series of serious social crises,which should be prevented.With reference to the outstanding achievements of the grading management system of antibiotics and the actual situation of clinical pain management,this study creatively puts forward the hierarchical management model of analgesics in medical institutions.The study aims to explore the standardization and individualized diagnosis and treatment of clinical pain,to standardize the clinical use of analgesics in medical institutions,and to provide homogeneous,efficient and safe pain management for all kinds of pain patients.

关 键 词：医疗机构 镇痛药物 分线分级管理 疼痛评估 多学科诊疗 

分 类 号：R971[医药卫生—药品]