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了解基层医院晚期癌症疼痛的治疗情况,对进一步推行“癌症病人三阶梯止痛疗法”提高患者生存质量,有积极意义。143例患者中,癌症疼痛1级29例;Ⅰ级46例,Ⅱ级68例。Ⅰ级疼痛者口服消炎痛、去痛片、安定等,Ⅱ级、Ⅲ级疼痛者需求时肌注强痛定或杜冷丁,每天最多肌注2~3次。Ⅰ级疼痛者有效率72%,Ⅱ级疼痛者有效率60.8%;Ⅲ级疼痛者有效率48.5%。总有效率57.3%。治疗效果较差的原因是:医务人员对癌症止痛三阶梯用药缺乏认识,止痛剂应用不规范,基层医院麻醉止痛剂供应方式不合理,限制了患者的需求。对解决上述问题提出了粗浅的看法。
Understanding the treatment of advanced cancer pain in primary hospitals is of positive significance to the further implementation of “Three-step analgesia for cancer patients” to improve the quality of life of patients. Among the 143 patients, there were 29 cases of cancer pain in grade 1, 46 in grade I and 68 in grade II. I-level pain was indiscriminated with indomethacin, pain relief tablets, and stability, and grade II and III pain patients required intramuscular injection of strong parenchyma or pethidine. The maximum daily intramuscular injection was 2-3 times. I-level pain was 72% effective, II-level pain was 60.8%, and III was 48.5%. The total efficiency is 57.3%. The reasons for the poor therapeutic effect are: medical staff lack awareness of three-step medication for cancer analgesia, non-standard analgesic application, and unreasonable supply of anesthetic analgesics in primary hospitals, which limits the needs of patients. Solved the above issues put forward a superficial view.