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癌痛治疗不足的现状与原因

武林鑫, 孙 莉

武林鑫, 孙 莉. 癌痛治疗不足的现状与原因[J]. 肿瘤防治研究, 2014, 41(04): 421-424. DOI: 10.3971/j.issn.1000-8578.2014.04.031
引用本文: 武林鑫, 孙 莉. 癌痛治疗不足的现状与原因[J]. 肿瘤防治研究, 2014, 41(04): 421-424. DOI: 10.3971/j.issn.1000-8578.2014.04.031
WU Linxin, SUN Li. Status and Relevant Causes of Cancer Pain Undertreatment[J]. Cancer Research on Prevention and Treatment, 2014, 41(04): 421-424. DOI: 10.3971/j.issn.1000-8578.2014.04.031
Citation: WU Linxin, SUN Li. Status and Relevant Causes of Cancer Pain Undertreatment[J]. Cancer Research on Prevention and Treatment, 2014, 41(04): 421-424. DOI: 10.3971/j.issn.1000-8578.2014.04.031

癌痛治疗不足的现状与原因

详细信息
    作者简介:

    武林鑫(1987-),女,博士在读,主要从事疼痛的基础与临床研究

    通信作者:

    孙莉,E-mail:lilysun0008@yahoo.com.cn

  • 中图分类号: R730.58

Status and Relevant Causes of Cancer Pain Undertreatment

  • 摘要: 本文旨在以综述的方式对于癌痛治疗不足的现状、原因以及应对措施进行汇总,进而为改善临床癌痛治疗提供参考。对于癌痛治疗以及治疗不足的现状进行了汇总和总结,对于癌痛治疗不足的原因和应对措施进行了归纳和分析。今后癌痛治疗的规范化、癌痛的正确评估以及加强癌痛治疗的宣教仍然是癌痛治疗研究的重点方向。

     

    Abstract: To review the current situations, causes and solutions of cancer pain undertreatment, which could provide some reference for future study and clinical therapy. The current conditions of cancer pain therapy and inadequate pain control in patients with cancer are collected and summarized. The factors and causes for inadequate cancer pain control are concluded and analyzed. Proper and normalized pain treatment and management, correct pain assessment and documentation and extensive education of cancer pain control in patients and doctors will be the key direction in future study.

     

  • [1] Shaheen PE,Legrand SB,Walsh D,et al. Errors in opioid prescribing: a prospective survey in cancer pain[J]. J Pain Symptom Manage,2010,39(4):702-11.
    [2] Body JJ,Diel IJ,Bell R,et al. Oral ibandronate improves bone pain and preserves quality of life in patients with skeletal metastases due to breast cancer[J].Pain,2004,111(3):306-12.
    [3] Apolone G,Corli O,Caraceni A,et al. Pattern and quality of care of cancer pain management. Results from the Cancer Pain Outcome Research Study Group[J]. Br J Cancer,2009,100(10):1566-74.
    [4] Ripamonti C,Dickerson ED. Strategies for the treatment of cancer pain in the new millennium[J]. Drugs, 2001,61(7):955-77.
    [5] Antón A, Montalar J, Carulla J, et al. Pain in clinical oncology: patient satisfaction with management of cancer pain[J]. Eur J Pain,2012,16(3):381-9.
    [6] Deandrea S, Montanari M, Moja L, et al. Prevalence of undertreatment in cancer pain. A review of published literature[J]. Ann Oncol,2008,19(12):1985-91.
    [7] Wang YJ.Change in concepts of cancer pain management[J].Yao Xue Fu Wu Yan Jiu,2009,9(2):81-3.[王雅杰.癌痛治疗需转变观 念[J] 药学服务研究,2009,9(2):81-3.]
    [8] Stephenson N, Dalton JA, Carlson J, et al. Racial and ethnic disparities in cancer pain management[J]. J Natl Black Nurses Assoc,2009,20(1):11-8.
    [9] Beck SL. An ethnographic study of factors influencing cancer pain management in South Africa[J]. Cancer Nurs,2000,23(2):91- 9; quiz 99-100.
    [10] Mercadante S, Fulfaro F. World Health Organization guidelines for cancer pain: a reappraisal[J]. Ann Oncol,2005,16 Suppl 4:iv132-5.
    [11] Caraceni A, Brunelli C, Martini C, et al. Cancer pain assessment in clinical trials. A review of the literature (1999-2002)[J]. J Pain Symptom Manage,2005,29(5):507-19.
    [12] Starck PL, Sherwood GD, Adams-McNeill J, et al. Identifying and addressing medical errors in pain mismanagement[J]. Jt Comm J Qual Improv,2001,27(4):191-9.
    [13] Zheng Y,Li DL,Li XJ,et al. A survey of the physician attitude to cancer pain relief in Shanghai[J]. Zhongguo Zhong Liu,2001,10(7):393-5.[郑 莹,李德录,李新建,等. 上海市医生对癌症疼痛治疗认识的调查 [J] 中国肿瘤,2001,10(7):393-5.]
    [14] Nunes BC, Garcia JB, Sakata RK. Morphine as the fi rst drug for the treatment of cancer pain[J]. J Palliat Med,2012,15(9):963-4.
    [15] Luo GY.Investigation on lack of standardized analgesia treatment of patients with cancerous pain[J]. Hu Li Yan Jiu,2011,25(3):204-5.[罗帼英.癌痛病人缺乏规范止痛治疗状况 的调查研究[J].护理研究,2011,25(3):204-5.]
    [16] McNicol E, Horowicz-Mehler N, Fisk RA, et al. Management of opioid side effects in cancer-related and chronic noncancer pain: a systematic review[J]. J Pain,2003,4(5):231-56.
    [17] Kim HS, Shin SJ, Kim SC, et al. Randomized controlled trial of standardized education and telemonitoring for pain in outpatients with advanced solid tumors[J]. Support Care Cancer,2013,21(6): 17 51-9.
    [18] Kircher S, Zacny J, Apfelbaum SM, et al. Understanding and treating opioid addiction in a patient with cancer pain[J]. J Pain, 20 11,12(10):1025-31.
    [19] Katz NP, Birnbaum HG, Castor A. Volume of prescription opioids used nonmedically in the United States[J]. J Pain Palliat Care Pharmacother,2010,24(2):141-4.
    [20] Gourlay DL, Heit HA. Pain and addiction: managing risk through comprehensive care[J]. J Addict Dis,2008,27(3):23-30.
    [21] Yates PM, Edwards HE, Nash RE, et al. Barriers to effective cancer pain management: a survey of hospitalized cancer patients in Australia[J]. J Pain Symptom Manage,2002,23(5):393-405.
    [22] Cherny NI, Baselga J, de Conno F, et al. Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Europe: a report from the ESMO/EAPC opioid policy initiative[J]. Ann Oncol,2010,21(3):615-26.
    [23] Bai B, Zhou Y. Adverse impact factors and treatments in the good pain management[J]. Yi Yao Lun Tan Za Zhi,2012,33(5):93-4.[白 冰周云癌痛规范化治疗中的不良影响因素及处理[J]. 医药论坛 杂志,2012,33(5):93-4.]
    [24] Kroenke K, Theobald D, Wu J, et al. Comparative responsiveness of pain measures in cancer patients[J]. J Pain,2012,13(8):764-72.
    [25] Thomas ML, Elliott JE, Rao SM, et al. A randomized, clinical trial of education or motivational-interviewing-based coaching compared to usual care to improve cancer pain management[J]. Oncol Nurs Forum,2012,39(1):39-49.
    [26] Yao WR,Meng XH,Wan HP,et al. Role of education in alleviating worries about pain in cancer patients[J]. Jun Yi Jin Xiu Xue Yuan Xue Bao,2011,32(11):1132-3,1149.[姚伟荣,孟晓晖,万会平,等.癌 痛宣教对减轻患者疼痛治疗顾虑的作用[J].军医进修学院学 报,2011,32(11):1132-3,1149.]
    [27] Smith HS. Variations in opioid responsiveness[J]. Pain Physician, 20 08,11(2):237-48.
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出版历程
  • 收稿日期:  2013-02-20
  • 修回日期:  2013-06-20
  • 刊出日期:  2014-04-24

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