缓和镇静应用于老年生命末期患者的国内外现状和研究进展

The current status of palliative sedation for end-of-life care of elderly patients and research progress in China and the world

随着我国老龄化的迅速加快,老年患者对改善生命末期生存质量存在巨大需求。缓和镇静是缓和医疗的核心技术之一,能够缓解生命末期患者的顽固性痛苦症状,全球范围内缓和镇静应用于不同疾病终末期患者的研究正在不断探索中,缓和镇静的适应证和实践过程受到关注,我国的缓和镇静临床实践处于初步探索阶段,尚未建立相关标准和指南,总结缓和镇静应用于老年生命末期患者的国内外现状和研究进展,可为我国缓和镇静的初步探索及后续快速发展提供参考和策略。

With the rapid acceleration of aging in China,there is a huge need for elderly patients to have improved quality of life in the terminal stage.Palliative sedation is an integral part of palliative care and can alleviate painful refractory symptoms,and its use in patients in various terminal illnesses is being explored across the world.Attention is focused on its indications and implementation.In China,palliative sedation in clinical practice is in an early exploratory stage and relevant criteria and guidelines have yet to be established.A review of the current practice and research progress concerning palliative sedation for patients'end-of-life care in China and the rest of the world will offer insight and strategic considerations in the initial pursuit and accelerated acceptance in the future in China.