[导读]连续滴定直到疼痛控制。书写疼痛病历,包括开药时间、爆发痛次数、NRS评分、剂量或调整剂量依据及副作用等。

胡少娟 孙渌 赵殿凤
(吉林省长春市一汽总医院血液肿瘤科 吉林 长春 130011)
【摘要】目的:分析非住院癌痛患者疼痛管理、药物使用及疼痛控制情况、存在问题及改进设想,使癌痛患者真正无痛生活。方法:回顾性分析280例我院门诊办理麻醉药品管理卡的居家癌痛患者,出现疼痛后服用非阿片类药物人数、办理麻醉药品管理卡时间及病人应用阿片类止疼药物控制疼痛后的维持剂量,使用《简明疼痛评估量表(BPI)》常规、量化、全面、动态评估病人疼痛控制情况。结果:口服阿片类止疼药物中以盐酸羟考酮缓释片维持止疼治疗217人,占77.5%;以盐酸羟考酮缓释片10毫克,12小时1次口服为维持止疼剂量133人,占47.5%;以20毫克,12小时1次口服为维持剂量的43人,占15.4%。结论:自创建疼痛病房后门诊癌痛患者止疼治疗取得了一定成效,但仍然存在不足,1/3以上在出现疼痛后未能规范止疼治疗,约1/3癌痛未能在急性期得到控制,发展为慢性疼痛,生存质量不高。
【关键词】居家癌痛;阿片类药物
In patients with pain clinic use of opioid pain management and usage analysis Hu Shaojuan, Sun Lu, Zhao Dianfeng, Jilin province, Changchun Yiqi general hospital,Changchun 130011, China
【Abstract】Objective Analysis of hospitalized patients with pain pain management, drug use and pain control situation, problems and improvement ideas, make real pain patients pain-free life. Methods 280 cases in our hospital were retrospectively analyzed narcotic card home patients pain, pain after taking the number of opioids, application of opioid pain control after the maintenance dose of pain. Results Oral opioid pain with oxycodone hydrochloride in zyban maintain stop ache treatment for 217 people, accounting for 77.5%; With oxycodone hydrochloride zyban 10 mg, 1 time 12 hours to maintain pain killer of the oral dose of 133 people, accounting for 47.5%; With 20 mg, 12 hours once in order to maintain oral dose of 43 people, accounting for 15.4%. Conclusions Over a third failed to regulate pain treatment, in the wake of a pain to pain around a third in the acute phase controlled, for the development of chronic pain, quality of life is not high.
【Key words】The pain that occupy the home; Opioids