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目的探索成人癌痛门诊规范化诊疗体系的建立并分析其实际运行情况。方法以《NCCN成人癌痛临床实践指南》(中国版)为依据,结合我院临床工作实践。汇总55例恶性肿瘤伴癌痛患者,对该诊疗体系的运行情况,临床镇痛效果以及不良反应进行分析。结果该体系顺利建成且运行良好,55例癌痛患者中,9例患者仅就诊一次,效果不详;其余46例患者完全缓解20例(43.5%),部分缓解25例(54.4%),轻度缓解1例(2.1%),总有效率97.9%。46例患者中发生便秘17例(37.0%),恶心呕吐18例(39.1%),嗜睡8例(17.4%)。结论该体系能够有效控制癌痛,提高门诊癌痛诊疗服务质量。
Objective To explore the establishment of a standardized diagnosis and treatment system for adult cancer pain clinic and analyze its actual operation. Methods Based on the “NCCN Guidelines for Clinical Practice of Adult Cancer Pain” (China Edition), combined with clinical practice in our hospital. A total of 55 cases of malignant tumor with cancer pain were summarized, and the operation of the system, clinical analgesic effect and adverse reactions were analyzed. Results The system was successfully completed and operated well. Out of the 55 patients with cancer pain, 9 patients were treated only once and the effect was unknown. The remaining 46 patients achieved complete remission in 20 patients (43.5%), partial remission in 25 patients (54.4%), mild One case (2.1%) was relieved, the total effective rate was 97.9%. Among 46 patients, constipation occurred in 17 cases (37.0%), nausea and vomiting in 18 cases (39.1%) and drowsiness in 8 cases (17.4%). Conclusion The system can effectively control cancer pain and improve the service quality of diagnosis and treatment of outpatient cancer pain.