111例癌性疼痛患者社区治疗临床分析

Clinical Analysis of Community-based Care for 111 Cases of Cancer Pain XingLIU Ju-hong

目的分析北京市德胜社区卫生服务中心收治的癌性疼痛患者治疗情况,为社区医疗机构开展癌性疼痛治疗提供参考。方法收集2012—2016年北京市西城区德胜社区卫生服务中心病房收治的111例癌性疼痛患者的信息,依据《癌症疼痛诊疗规范(2011版)》进行规范化治疗,采用描述性分析方法对收集的信息进行分析。结果 111例癌性疼痛患者中无痛0例,轻度疼痛11例,中度疼痛25例,重度疼痛75例;男52例,女59例;平均年龄(71.2±12.6)岁;经规范化治疗后48 h疼痛缓解度(PAR)有效缓解达77.5%(86/111),72 h PAR有效缓解达99.1%(110/111)。结论经过规范系统的培训,社区医疗机构有能力为癌性疼痛患者减轻痛苦,提高其生活质量。

Objective To analyze the treatment delivered by Beijing Xicheng Desheng Community Health Service Center for patients with cancer pain,providing a reference for community healthcare settings delivering care for such patients.Methods We collected and conducted a descriptive analysis of the medical records of 111 consecutive inpatients with cancerous pain receiving standardized treatment in Beijing Xicheng Desheng Community Health Service Center from 2012 to 2016 based on the guidelines on cancer pain management(2011 edition).Results All the patients〔52 males and 59 females with an average age of(71.2±12.6)〕demonstrated different degrees of cancer pain:11 with mild pain,25 with moderate pain,and 75 with severe pain.Pain relief was achieved in 77.5%(86/111)of the patients within 48 h after the treatment,and in 99.1%(110/111)of them within 72 h after the treatment.Conclusion Community hospitals with standardized systematic training can offer care for improving the quality of life of patients with cancer pain via reducing the suffering.