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成人慢性癌症相关性疼痛治疗与管理

余佳文,  王瑾,  刘红菊,  许力,  宁晓红,  黄宇光

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余佳文, 王瑾, 刘红菊, 许力, 宁晓红, 黄宇光. 成人慢性癌症相关性疼痛治疗与管理[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2024-0003
引用本文: 余佳文, 王瑾, 刘红菊, 许力, 宁晓红, 黄宇光. 成人慢性癌症相关性疼痛治疗与管理[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2024-0003
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YU Jiawen, WANG Jin, LIU Hongju, XU Li, NING Xiaohong, HUANG Yuguang. Treatment and Management of Chronic Cancer-related Pain in Adults[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2024-0003
Citation: YU Jiawen, WANG Jin, LIU Hongju, XU Li, NING Xiaohong, HUANG Yuguang. Treatment and Management of Chronic Cancer-related Pain in Adults[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2024-0003
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成人慢性癌症相关性疼痛治疗与管理

doi: 10.12290/xhyxzz.2024-0003

  • 1 北京协和医院 麻醉科, 北京, 100730

  • 2 北京协和医院 缓和医学中心, 北京, 100730

  • 3 北京协和医院 老年医学科, 北京, 100730

详细信息
    通讯作者:

    刘红菊，E-mail:liuhongju@pumch.cn

  • 中图分类号: R614； R73

Treatment and Management of Chronic Cancer-related Pain in Adults

  • 1 Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, 100730, China

  • 2 Palliative Medicine Center, Peking Union Medical College Hospital, Beijing, 100730, China

  • 3 Department of Geriatrics, Peking Union Medical College Hospital, Beijing, 100730, China

    摘要
  • 摘要: 疼痛是癌症患者最常见的症状之一, 其除可引起患者不愉快的感觉和情绪体验外, 还可能影响患者的整体功能及生活质量、与不良预后相关。慢性癌症相关性疼痛控制不佳可能与其复杂的疼痛机制、现有临床治疗手段的局限性以及医患认知不足有关。本文总结慢性癌症相关性疼痛的定义、分类、评估要点、治疗原则、药物及非药物治疗手段及相关临床更新, 同时强调多学科综合管理、患者及家属宣教在癌痛管理中的重要性, 以期为临床医生提供成人癌症患者疼痛管理的整体思路。
    Abstract: Pain is one of the most common symptoms in cancer patients. Apart from causing patients to suffer from unpleasant feelings and emotional experiences, uncontrolled pain may also influence patients' function and quality of life, and may be associated with poorer prognosis. Difficulties in management of chronic cancer-related pain may be related to its complicated mechanisms, limitations of current clinical treatment and insufficient cognition of clinicians and patients. This review summarizes the definitions, classifications, evaluation and treatment principles of chronic cancer-related pain,, aiming to provide clinicians with the overall idea of pain management in adult cancer patients, emphasizing the importance of multidisciplinary management and patient education in cancer pain management.
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    • 参考文献(50)
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