晚期癌痛患者在社区应用**经皮自控镇痛的探讨|

　　[摘要] 目的 探讨晚期癌痛患者在社区应用**经皮自控镇痛的效果。 方法 选择本社区2010年6月～2011年6月利用**经皮自控镇痛的晚期癌痛患者27例，设为观察组，与同期采用肌注**和地西泮镇痛的26例患者就镇痛效果与患者满意度进行比较。 结果 观察组在给予镇痛治疗1、3、7、10 d后VAS评分明显低于对照组，两组比较差异具有统计学意义，P < 0.05。观察组满意23例，占85.19%；基本满意3例；占11.11%；总体满意率为96.30%；对照组总体满意率为57.69%；两组满意率比较差异具有统计学意义，P < 0.05。 结论 晚期癌痛患者在社区应用**经皮自控镇痛效果更好，可明显改善患者的生存质量和提高患者的满意度。
　　[关键词] 晚期癌痛；**；经皮自控镇痛；疗效
　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721（2012）07（c）-0120-02
　　The explore of morphine percutaneous controlled analgesia for patients with advanced cancer pain in communities
　　ZHANG Xiaoqun1 DONG Ailin1 WANG Guomin1 XU Xiaofeng1 MA Binbin1 XU Kaizhi2
　　1.Department of Anesthesiology, Fengnan District Hospital of Tangshan City, Hebei Province, Tangshan 063300, China; 2.Department of Anesthesiology, Workers Hospital of Tangshan City, Hebei Province, Tangshan 063000, China
　　[Abstract] Objective To investigate the effect of of morphine percutaneous controlled analgesia for patients with advanced cancer pian in communities. Methods Twenty-seven cases of patients with advanced cancer pian with morphine percutaneous controlled analgesia in our community from June 2010 to June 2011 were selected and setted into observation group, the analgesic effects and patient satisfaction of them were compared with 26 patients with the system of intramuscular morphine and stability and analgesia in the same period. Results VAS score of the observation group after giving analgesic treatment for 1, 3, 7, 10 d was significantly lower than that of the control group, the difference was statistically significant (P < 0.05). There were 23 cases in the observation group with satisfaction, accounting for 85.19%; 3 cases with basically satisfaction, accounted for 11.11%, the overall satisfaction rate was 96.30%. The overall satisfaction rate of control group was 57.69%; the differences of satisfaction rate in two groups were statistically significant significance (P < 0.05). Conclusion The curative effect of morphine percutaneous controlled analgesia for patients with advanced cancer pain in communities is better. It can significantly improve the life quality and satisfaction of patients.
　　[Key words] Advanced cancer pain; Morphine; Percutaneous controlled analgesia; Curative effect
　　进入21世纪，癌症已成为我国城市居民死亡的首要原因，据2003年的统计资料显示，我国目前的癌症患者已超过七百万[1]，众多的癌症患者在疾病的各个时期都可能发生疼痛，其中，轻度疼痛的约占40%，中度疼痛的约占30%，重度疼痛的约占30%，特别是晚期癌痛是患者面临的最大痛苦，我国的癌痛患者中仅有不到半数的人疼痛得到有效的缓解，因此，对于晚期癌痛的治疗已不是单纯的医疗问题，同时也是关乎患者生存质量与家庭幸福的社会问题。如何有效缓解晚期癌症疼痛，同时不增加不良反应发生率是最大难题。本研究对本社区2010年6月～2011年6月27例晚期癌痛患者采用**经皮自控镇痛取得了满意的效果，现报道如下：