我国部分地区癌症患者疼痛现况调查

目的:了解我国部分地区癌痛治疗现况,进一步推动“癌症镇痛三阶梯”治疗工作。方法:采用“癌症患者疼痛情况调查表”,由主管医生逐一询问并记录填写,在北京、上海、天津、江西四地区共9家三级甲等肿瘤医院或综合性医院肿瘤中心(科)的住院及门诊病人进行癌症疼痛及相关情况调查。结果:共完成568例癌痛患者的调查。93.38%(有效应答544例)的癌症患者接受过止痛治疗。在接受止痛治疗的各种方法中,选用药物镇痛的占94.19%。镇痛药的使用率由高至低排列依次为弱阿片类镇痛药(52.99%)、强阿片类镇痛药(45.60%)和非激素类消炎止痛药(26.58%)。患者不接受使用镇痛药的原因主要有:害怕使用镇痛药成瘾;镇痛药的副作用;经济原因。结论:WHO提倡的“三阶梯止痛”临床治疗原则已在临床上得到了广泛实施,并被癌症患者所接受。

EPIDEMIOLOGICAL SURVEY ON THE PREVALENCE OF CANCER RELATED PAIN

Objective: To estimate the prevalence and severity of cancer related pain,and promote the WHO project on Three-step Analgesic Ladder for cancer patients.Methods: Inpatients and outpatients at nine cancer centers or comprehensive hospitals were surveyed by using Brief Cancer Pain Inventory-Chinese in Beijing,Shanghai,Tianjin and Jiangxi.Results: Totally 568 cancer patients were investigated.The results showed that 544 effective respondents,93.38% cancer pain patients had had analgesic therapy and among which 94.19% took analgesics for pain.The rate of utilization of weak opioid analgesics,strong opioid analgesics and NSAIDs was 52.99%,45.60%,26.58%,respectively.The reason for refusing analgesics was: fear of getting drug addicted,drug adverse effects,and economic problem.Conclusion: The strategy of WHO's three-step analgesic approach is implementing in China,and accepted by cancer patients.