门诊癌痛患者的镇痛治疗(附225例分析)

Cancer pain analgesia in outpatient service: analysis of 225 cases

目的探讨癌症患者的疼痛现状及在门诊实施镇痛治疗的可行性、有效性和安全性。方法对在门诊接受癌痛规范化诊疗的225例癌痛患者资料做回顾性分析。结果 83.6%的癌症患者的疼痛发生与肿瘤相关,且35.6%为重度疼痛,225例癌痛患者经门诊诊断、评估,并按照WHO三阶梯止痛治疗原则实施镇痛治疗后,疼痛程度明显缓解,有效率达89.3%。不良反应以恶心、呕吐、便秘发生率较高,提早预防、及时对症治疗可使绝大多数患者的症状得到缓解或消失,不影响镇痛治疗。结论癌痛患者在门诊通过正确诊断、全面评估、规范化治疗,在专科医师指导下与患者和家属相互配合,可获得很好的治疗效果,明显减轻患者的痛苦,提高生活质量。

Objective To discuss the current situation of cancer pain,the feasibility of analgesia and its efficiency and safety in outpatient service. Methods 225 patients with cancer pain treated by standard analgesia in the outpatient service were studied. Results 83.6% of the patients had their pain related with cancer,with 35.6% of them with severe pain. The pain of 225 patients, after their pain were diagnosed, assessed and treated with standard analgesia, was remarkably relieved, with effective rate being 89.3 %. Adverse reactions were mainly nausea, vomiting, and constipation. Early prevention and timely symptomatic treatment could help the alleviation and disappearance of most patients~ pain. Conclusion With correct diagno- sis, comprehensive pain evaluation, standardized treatment and good coordination between patients and their families under the guidance of specialists in the outpatient service, cancer patients can expect a good result, with their pain being alleviated and living quality improved.