普通癌痛及“围放疗期”癌痛患者规范化治疗进展

癌痛是困扰恶性肿瘤患者的主要症状之一,如不及时治疗,将会形成难治性疼痛,增加个体和社会负担。虽然中国已经开展“癌痛规范化治疗示范病房”活动近7年,医务人员癌痛评估和治疗水平整体提高,但癌痛的治疗仍未达到满意的疗效。放疗是治疗恶性肿瘤的重要手段,更是治疗癌痛的主要方法之一。笔者首次提出“围放疗期”的概念,强调对癌痛患者放疗前、放疗中、放疗后的全程持续镇痛治疗。本文在阐述国内外癌痛治疗现状的基础上,对“围放疗期”癌痛的规范化评估和治疗进行综述。

Progress on standardized treatment for patients with general cancer pain and cancer pain during "peri-radiotherapeutic period"

Cancer pain is one of the main symptoms of patients suffering from malignant tumors. If it is not timely treated,it will lead to refractory pain and increase the burden on both the individuals and society. In China,the program titled"Good Pain Management" has been carried out for nearly 7 years,which increases the overall assessment and treatment levels for cancer pain among medical personnel. Nevertheless, the clinical efficacy for cancer pain treatment is not satisfactory. As an important treatment for malignant tumors,radiation therapy is also one of the main methods for treating cancer pain. For the first time,we proposed the concept of "peri-radiotherapeutic period",and emphasized the continuous analgesic treatment for patients with cancer pain before,during and after radiotherapy. In this article,current status of cancer pain treatment at home and abroad was illustrated,and standardized assessment and management of cancer pain during the "peri-radiotherapeutic period" were summarized.