社区居民晚期癌痛治疗现状的调查分析

使用自编问卷，利用家访、专科门诊、咨询服务等机会对社区的中晚期肿瘤患者236例进行问卷调查，同时采用《美国国家癌症综合治疗联盟成人癌性疼痛治疗临床指引》的数字等级评估法进行疼痛评估和分级。有疼痛者211例（占89．4％），其中轻度疼痛31例，中度83例，重度97例，接受镇痛治疗的117例（占55．5％），完全缓解78例（占66．7％），部分缓解26例（占22．2％），未缓解13例（占11．1％）。未接受治疗或疼痛未完全缓解的主要原因是患者害怕吗啡成瘾。说明仍有大量癌症患者的疼痛得不到有效缓解。

Present situation of pain management for advanced cancer patients in community

Data were collected from 236 patients with advanced ClllllCerB through questionnaire survey,home visit,oncology clinics and counseling service.The data were evaluated and classified according to VAS and NCCN aduh cancer pain practice guidelines.Two hundred and eleven in 236 advancad cancer patients(89.4%)Suffered from Cancer pain,with mild pain in 31,moderate in 83 and severe in 97.One hundred and seventeen patients(49.6%)received therapy for pain relief,among whom 78(66.7%)had complete remission(CR),26(22.2%)partial remission(PR)and 13 cages(11.1%)noremission.The main reason for declining pain relief wag being scared of morphine addiction.