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摘要: 现代缓和医疗理念起源于20世纪60年代, 该理念受到世界卫生组织的重视并以"癌症三阶梯止痛原则"为切入点在全球加以推广。我国于1990年引入"癌症三阶梯止痛原则", 发展至今已有30余年, 这使得临床肿瘤学与缓和医疗的关系更加紧密, 推动了缓和医疗在中国的进程。缓和医疗在中国的进一步发展有望显著改善癌症患者的生存时间和生活质量。Abstract: The concept of modern palliative care originated in the 1960s. It has been highly valued by the World Health Organization, and promoted globally with the "three-step analgesic ladder" as the starting point. China introduced the "three-step analgesic ladder" in 1990, which has been in practice for more than 30 years. This has brought clinical oncology closer to palliative care, thus promoting the progress of palliative care in China. Further development of palliative care in China is expected to significantly improve the survival time and quality of life of cancer patients.
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Key words:
- palliative care /
- clinical oncology /
- cancer /
- supporting treatment
利益冲突：作者声明不存在利益冲突 -
图 1 与世界卫生组织代表讨论将“癌症三阶梯止痛原则”引入中国事宜(1987年，右二为孙燕院士)
Figure 1. Discussion with representatives from WHO on the introduction of the "three-step analgesic ladder" into China (1987, the second one from the right is SUN Yan)
图 2 我国首届“癌症三阶梯止痛培训班”在广州召开(1990年)
Figure 2. The first training course of "three-step analgesic ladder" in China was held in Guangzhou(1990)
图 3 参加我国首届“癌症三阶梯止痛培训班”授课的专家(1990年，右五为孙燕院士)
Figure 3. Experts attending China's first training course of "three-step analgesic ladder" (1990, the fifth one from the right is SUN Yan)
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[1] MacDonald N, Sun Y, Teoh N. Initiatives in China[J]. Palliat Med, 1992, 6(1): 6-8. [2] 孙燕, 顾慰萍. 癌症三阶梯止痛指导原则[M]. 北京: 北京医科大学出版社, 1999. Sun Y, Gu W P. Guideline for who cancer pain relief[M]. Beijing: Peking University Medical Press, 1999. [3] 孙燕, 顾慰萍. 癌症三阶梯止痛指导原则[M]. 第2版. 北京: 北京医科大学出版社, 2002. Sun Y, Gu W P. Guideline for who cancer pain relief[M]. 2nd ed. Beijing: Peking University Medical Press, 2002. [4] 潘勤, 潘宏铭, 秦叔逵. 肿瘤恶病质诊疗指南解读[M]. 北京: 北京大学医学出版社, 2023. Pan Q, Pan H M, Qin S K. Interpretation of guidelines for cancer cachexia[M]. Beijing: Peking University Medical Press, 2023. [5] Macek C. East meets west to balance immunologic yin and yang[J]. JAMA, 1984, 251(4): 433-435. https://pubmed.ncbi.nlm.nih.gov/6690802/ -
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