CAJ | 학술논문

目的：分析非住院癌痛患者疼痛管理、药物使用及疼痛控制情况、存在问题及改进设想，使癌痛患者真正无痛生活。方法：回顾性分析280例我院门诊办理麻醉药品管理卡的居家癌痛患者，出现疼痛后服用非阿片类药物人数、办理麻醉药品管理卡时间及病人应用阿片类止疼药物控制疼痛后的维持剂量，使用《简明疼痛评估量表(BPI)》常规、量化、全面、动态评估病人疼痛控制情况。结果：口服阿片类止疼药物中以盐酸羟考酮缓释片维持止疼治疗217人，占77.5%；以盐酸羟考酮缓释片10毫克，12小时1次口服为维持止疼剂量133人，占47.5%；以20毫克，12小时1次口服为维持剂量的43人，占15.4%。结论：自创建疼痛病房后门诊癌痛患者止疼治疗取得了一定成效，但仍然存在不足，1/3以上在出现疼痛后未能规范止疼治疗，约1/3癌痛未能在急性期得到控制，发展为慢性疼痛，生存质量不高。
목적：분석비주원암통환자동통관리、약물사용급동통공제정황、존재문제급개진설상，사암통환자진정무통생활。방법：회고성분석280례아원문진판리마취약품관리잡적거가암통환자，출현동통후복용비아편류약물인수、판리마취약품관리잡시간급병인응용아편류지동약물공제동통후적유지제량，사용《간명동통평고량표(BPI)》상규、양화、전면、동태평고병인동통공제정황。결과：구복아편류지동약물중이염산간고동완석편유지지동치료217인，점77.5%；이염산간고동완석편10호극，12소시1차구복위유지지동제량133인，점47.5%；이20호극，12소시1차구복위유지제량적43인，점15.4%。결론：자창건동통병방후문진암통환자지동치료취득료일정성효，단잉연존재불족，1/3이상재출현동통후미능규범지동치료，약1/3암통미능재급성기득도공제，발전위만성동통，생존질량불고。
Objective Analysis of hospitalized patients with pain pain management, drug use and pain control situation, problems and improvement ideas, make real pain patients pain-free life.Methods 280 cases in our hospital were retrospectively analyzed narcotic card home patients pain, pain after taking the number of opioids, application of opioid pain control after the maintenance dose of pain.Results Oral opioid pain with oxycodone hydrochloride in zyban maintain stop ache treatment for 217 people, accounting for 77.5%; With oxycodone hydrochloride zyban 10 mg, 1 time 12 hours to maintain pain killer of the oral dose of 133 people, accounting for 47.5%; With 20 mg, 12 hours once in order to maintain oral dose of 43 people, accounting for 15.4%.Conclusions Over a third failed to regulate pain treatment, in the wake of a pain to pain around a third in the acute phase controlled, for the development of chronic pain, quality of life is not high.