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癌症晚期/生命有限患者的姑息性镇静治疗(一) 被引量:3

Palliative sedation therapy for patients in advanced caner and in life limitation (1)
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摘要 姑息性镇静治疗是姑息关怀整体的一部分.镇静治疗是一种常规的临床治疗方法,包含深度持续和浅度间隙镇静,即在生命末期有意降低意识水平,目的是缓解不能忍受的痛苦.预期患者将会濒死,降低生命末期的意识以缓解痛苦是恰当的.姑息性镇静治疗就是应对顽固性症状和由此而引起的无法忍受的痛苦;深度持续镇静应具有适应证和预期死亡将在1~2周的条件. Palliative sedation therapy(PST) has been defined as part of an overall process of palliative care~ and that sedation therapy is considered to be a form of normal medical treatment. Pal- liative sedation refers not only to deep continuous sedation, but also to superficial intermittent forms of sedation, which is the intentional lowering of a patient's level of consciousness in the last stage of life. The aim of palliative sedation therapy is to relieve unbearable suffering. Lowering consciousness to relieve suffering is appropriate in the last stage of life, in which death is expected to ensue in the near future. PST is response to untreatable or 'refractory' symptoms which are causing the patient unbearable suffering. The use of continuous deep sedation has indications and condition which is the expectation that death will ensue in the reasonably near future, that is within one to two weeks.
出处 《实用疼痛学杂志》 2014年第2期132-135,共4页 Pain Clinic Journal
关键词 肿瘤 晚期 生命有限 姑息性治疗 清醒镇静 深度镇静 Neoplasms Advanced period Life limitation Palliative therapy Con- scious sedation Deep sedation
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同被引文献22

  • 1蒋建军,刘艳,李金祥,Mellar P.Davis.终末期姑息性镇静治疗[J].中国医刊,2005,40(4):39-40. 被引量:7
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  • 3Alonso-Babarro A, Varela-Cerdeira M, Torres-Vigil I, et aL At- home palliative sedation for end-of-life cancer patients [ J ]. Pal- liat Med, 2010,24(5): 486-492.
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  • 5Donker GA, Slotman FG, Spreeuwenber P, et al. Palliative seda- tion in Dutch general practice from 2005 to 2011: a dynamic co- hort study of trends and reasons [J]. Br J Gen Pract, 2013,63 (615) :e 669-675.
  • 6Abarshi E, Rietjens J, Caraceni A, et al. Towards a standardised approach for evaluating guidelines and guidance documents on palliative sedation: study protocol[J]. BMC Palliat Care, 2014, 13:34.
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  • 9顾筱莉,成文武.晚期癌症患者姑息性镇静治疗现状[J].中国癌症杂志,2010,20(9):695-698. 被引量:8
  • 10李金祥,陈慧平,张川,罗月,龚琴琴.癌症晚期/生命有限患者的姑息性镇静治疗(三)[J].实用疼痛学杂志,2014,10(3):214-218. 被引量:3

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