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目的调查我院门诊癌痛患者就诊基本情况,为麻醉性镇痛药合理使用及恶性肿瘤的防治提供参考。方法对我院2009～2011年门诊癌症患者麻醉药品处方信息进行统计分析,包括患者年龄、性别、诊断、就诊科室、就诊次数、药品名称、剂型、规格、剂量、金额等。结果 2009～2011年门诊癌痛就诊患者年龄分别为(63.0±12.8)岁、(61.6±12.4)岁、(59.4±12.1)岁;就诊科室主要为肿瘤科、放疗科、普外科、消化科及胸外科;3年总和癌痛就诊例数前10位依次为肺癌、肝癌、食管癌、胃癌、胰腺癌、贲门癌、直肠癌、胆管癌、结肠癌、宫颈癌。结论门诊癌痛就诊患者年龄降低,男性多于女性,癌痛患者就诊科室分散,癌痛治疗不规范,应按照癌痛规范化治疗原则促进麻醉性镇痛药物的合理应用。
Objective To investigate the basic situation of outpatients with cancer pain in our hospital and provide references for rational use of narcotic analgesics and prevention and treatment of malignant tumors. Methods The statistical data of prescriptions for narcotic drugs in outpatients with cancer from 2009 to 2011 were collected, including patient age, gender, diagnosis, visiting department, number of visits, drug name, dosage form, specifications, dosage and amount. Results The age of the patients with outpatients with cancer pain from 2009 to 2011 were (63.0 ± 12.8) years old (61.6 ± 12.4) and (59.4 ± 12.1) years old, respectively. The treatment departments were mainly oncology, radiotherapy, general surgery, Thoracic Surgery; The top 10 cases of cancer pain in the three years followed by lung cancer, liver cancer, esophageal cancer, gastric cancer, pancreatic cancer, cardia cancer, rectal cancer, cholangiocarcinoma, colon cancer and cervical cancer. Conclusion The age of outpatients with cancer pain is lower than that of men. There are more males and females than those with females. The departments of cancer patients are scattered and the treatment of cancer pain is not standardized. The rational application of narcotic analgesics should be promoted in accordance with the principle of standardized treatment of cancer pain.