山西平鲁县域地区癌症患者分布情况及应用三阶梯止痛的调查报告

A REPORT ON CANCER PATIENTS' DISTRIBUTION IN COUNTY AREA of shanxi province AND THE APPLICATION OF THREE-STEP ANALGESIC LADDER

目的:探讨基层癌症患者有效的止痛治疗,为患者提高生存质量的治疗方法提供依据。方法:调查平鲁区2010年1月～2010年12月的癌症患者分布、疼痛、应用三阶梯止痛情况。结果:239例癌症患者中,农村居民150例(61.9%)。239例癌症患者中,55例(23.0%)有轻中重度疼痛。而55例中7例(12.7%)按照三阶梯治疗,48例(87.3%)没有按三阶梯治疗。7例按三阶梯治疗疼痛得到部分缓解或完全缓解。22例口服其他药物止痛治疗,12例疼痛没有缓解,10例轻度缓解或部分缓解。26例肌注哌替啶止痛治疗,疼痛轻度缓解或部分缓解。结论:我区癌症患者以农村居民占多数,癌痛患者止痛效果欠佳,需进一步加大三阶梯止痛治疗宣教。

Objective： To investigate the cancer patients＇ distribution in country area and the application of three-step analgesic ladder,for improving patients＇ quality of life.Methods： Cancer patients in the Pinglu city of Shanxi province from January 2010 to December 2010 were surveyed.The cancer distribution,pain suffering,the application of three-step analgesic ladder were analyzed.Result： 150 out of 239 cancer patients（61.9%） came from rural area.55 out of 239 patients（23.0%） showed different levels of cancer pain.In the 55 cancer pain patients,7 patients（12.7%） were treated with the three-step analgesic ladder,48 patients（87.3%） were not.In the 7 patients who received the three-step analgesic ladder,the cancer pain was partially or completely relieved.In the 22 patients who received oral other analgesia,cancer pain was not relieved in 12 patients,and was partially or completely relieved in 10 patients.In the 26 patients who received muscular injection of properidine,the cancer pain was partially relieved.Conclusion： Rural residents account for the majority of the cancer patients in our district.The effects of analgesic on cancer pain patients were not satisfied.education and promotion of three-steps analgesic ladder are need.