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目的:通过对新疆肿瘤医院初诊的维吾尔族肺癌患者的临床基本特征及癌性疼痛(以下简称癌痛)进行统计分析,了解维吾尔族肺癌患者癌痛的发生率、疼痛情况及对疼痛的相关认知情况,为新疆地区维吾尔族肺癌患者的癌痛诊治提供可靠的临床资料。方法:收集并统计分析208例初次就诊的维吾尔族肺癌患者的年龄、性别、分期等基本信息,疼痛程度、部位、镇痛药物的使用情况以及对癌痛和镇痛药物认知情况等。结果:208例维吾尔族肺癌患者癌痛发生率为36.53%,晚期肺癌癌痛发生率合计41.32%,中重度癌痛合计占比54.65%,最主要的疼痛部位是胸部(27.63%)和肩背部(19.74%),服药率为57.89%,服用最多的药物为非甾体抗炎药,占癌痛患者27.63%,对疼痛及镇痛治疗及镇痛药物成瘾性认识存在诸多误区。结论:新疆地区维吾尔族肺癌患者就诊时伴发癌痛比率高,服药率低,疼痛控制情况差,对疼痛及止痛治疗认识不正确,对镇痛药物的成瘾性认识存在误区。应结合该民族文化心理特征对初诊患者进行癌痛相关知识的宣教,推进癌痛的规范化诊疗。
OBJECTIVE: To investigate the incidence of cancer pain, the prevalence of pain and its association with pain in Uygur lung cancer patients by statistical analysis of the basic clinical features and cancer pain of newly diagnosed Uighur lung cancer patients in Xinjiang Tumor Hospital (hereinafter referred to as cancer pain) Known situation, provide a reliable clinical data for the diagnosis and treatment of cancer pain in Uygur lung cancer patients in Xinjiang. Methods: The basic information such as the age, sex and staging of 208 primary Uighur lung cancer patients were collected and statistically analyzed. The degree of pain, location, the use of analgesic drugs and the cognition of cancer pain and analgesic drugs were collected. Results: The incidence of cancer pain was 36.53% in 208 Uighur lung cancer patients, 41.32% in advanced lung cancer pain cancers and 54.65% in moderate and severe cancers. The main pain sites were chest (27.63%) and shoulder and back (19.74%). The medication rate was 57.89%. The most used drugs were non-steroidal anti-inflammatory drugs, accounting for 27.63% of those with cancer pain. There were many misunderstandings about the understanding of pain and analgesic treatment and analgesic drug addiction. Conclusion: Uigur patients with lung cancer in Xinjiang have a high rate of cancer pain at the time of diagnosis, low medication rate and poor control of pain. Their understanding of pain and pain treatment is not correct, and there is a misunderstanding of the addiction of analgesics. Should be combined with the psychological characteristics of the national culture of newly diagnosed patients with cancer pain-related knowledge of the mission to promote the standardization of cancer pain diagnosis and treatment.