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世界卫生组织(WHO)将癌症疼痛及其它症状的控制,列为世界卫生癌症控制规划四项重点之一,并提出了癌症病人三阶梯止痛方案,下面通过对我中心晚期癌症病人止痛治疗的调查分析,给临床提供参考。1 资料与方法 统计本中心1998～2000年门诊及住院(30张床)麻醉性镇痛药及一类精神药品消耗量,晚期癌症患者应用镇痛药品的数量及比例。调查三年中所有住院的晚期癌症病人病例共16份,统计他们使用镇痛药的情况,分析用药合理性。2 讨论2.1 三阶梯用药原则:在调查的16例患者病例中,基本按阶梯给药的有12例,占75％,从第二阶梯开始用药有4例,占25％,从第三阶梯用药的为零。说明本中心临床医生,经过培训后,基本执行了三阶梯原则。2.2 按时给药:本中心医生对这一原则执行的较好。首都医药2001,8(5),32
The World Health Organization (WHO) listed cancer pain and other symptoms as one of the four priorities of the World Health Cancer Control Plan, and proposed a three-step analgesic plan for cancer patients. The following investigation of analgesic treatment for patients with advanced cancer in our center was conducted below. Analysis, to provide a reference for the clinical. 1 Data and Methods The number and proportion of narcotic analgesics and class I psychotropic drugs consumed in the outpatient and inpatient (30 beds) of the Center from 1998 to 2000 were calculated. A total of 16 cases of late-stage cancer patients who were hospitalized in the past three years were investigated. The use of analgesics was analyzed and the rationality of medication was analyzed. 2 Discussion 2.1 Three-step medication principle: Of the 16 patient cases investigated, 12 were basically stepped, accounting for 75%, and 4 were taken from the second step, accounting for 25%. The medication was taken from the third step. Zero. Explain that the center’s clinical doctors basically carried out the three-step principle after training. 2.2 Dosing on time: The doctors in this center performed better on this principle. Capital Pharmaceuticals 2001, 8(5), 32