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央广网天津9月23日消息(记者陈庆滨 通讯员朱芸)9月23日,全国首家“难治性癌痛规范化诊疗示范基地”在天津市肿瘤医院正式成立。在成立仪式上,天津市肿瘤医院与包括来自江苏、浙江、河北、河南、云南、吉林、新疆、广东、黑龙江等16个省市医院签订基地共建合作意向书,今后将发挥示范基地引领作用,进一步开展资质审核及技术支持,逐步建立起各地的难治性癌痛规范化诊疗示范分基地,不断完善癌痛规范化诊疗网络建设。
据中国抗癌协会癌症康复与姑息治疗专业委员会难治性癌痛学组组长、天津市肿瘤医院疼痛科科主任王昆介绍,我国约有60%以上的肿瘤患者合并中重度疼痛,由于疼痛诊疗缺乏统一标准、医护双方认识不足等原因,能够接受规范化镇痛治疗的患者仅为30%左右,治疗现状不容乐观,给患者及其家庭造成沉重的经济和心理负担。
作为全国首家示范基地,天津市肿瘤医院现已联合天津市第五中心医院、天津市宁河区医院、天津市滨海新区滨海人民医院、天津市武清区中医医院、天津市宝坻区人民医院等全市首批5家基层医院,成立难治性癌痛规范化诊疗示范联合体,今后将开设远程MDT会诊系统,建立双向转诊渠道,让基层癌痛患者得以在家门口就能得到规范化的镇痛治疗。通过在学科共建、人才培养、示范教学、学术研究等方面的全面协作,为联合体医院提供同质化服务和标准诊疗规范,带动区域难治性癌痛规范化诊疗事业的发展,建设多学科合作的全国平台,不断提升医疗服务质量。
“长期以来,国内外对难治性癌痛的定义和诊断标准始终未能达成统一,诊断面临诸多困难,治疗不规范的情况时有发生。难治性癌痛规范化诊疗示范基地和联合体成立后,也将通过组建指导与评审专家组,制定并及时更新专家共识和诊疗指南,进一步在行业内推动癌痛规范化建设。”王昆主任介绍,由于定义不清、诊断标准模糊,难治性癌痛一直是癌痛治疗的“软肋”,已成为医生、患者共同面临的棘手问题,诊疗难度超过其他疼痛的总和。为规范国内难治性癌痛的诊疗过程,提高癌痛治疗领域医疗服务质量,促进难治性癌痛事业的长足发展,中国抗癌协会癌症康复与姑息治疗专业委员会难治性癌痛学组集合肿瘤、姑息、疼痛等多领域专家,在特邀顾问王杰军教授、秦叔逵教授、于世英教授、樊碧发教授的指导下,经过多次讨论、修订,最终撰写完成《难治性癌痛专家共识(2017年版)》,首次明确了难治性癌痛的定义和诊疗标准,同时提出了多学科治疗难治性癌痛的基本原则,统一了镇痛泵技术、神经毁损术、经皮椎体成形术、放射性粒子植入术等治疗技术的规范化诊疗意见,为各学科提供临床实践的依据。
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