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我国七成癌痛患者忍痛生活未接受规范化治疗

2017-08-20 22:56:27   央广网

央广网天津8月20日消息(记者陈庆滨 通讯员朱芸)记者从日前举行的 “中国生命关怀协会疼痛诊疗专业委员会年会”上获悉,2017年中国癌症统计年报数据显示,中国癌症患者的数量不断攀升,癌症新发人数增加到368万,占世界的1/4。疼痛是肿瘤患者最恐惧的疾病之一,发生率较高,近60%在接受抗肿瘤治疗的患者会出现疼痛,然而70%的疼痛患者未接受规范化的镇痛治疗。

本次年会由中国生命关怀协会疼痛诊疗专业委员会、天津市抗癌协会肿瘤麻醉与镇痛专业委员会共同主办。据天津市抗癌协会肿瘤麻醉与镇痛专业委员会副主委、天津市肿瘤医院疼痛科科主任王昆介绍,癌痛是所有疼痛中种类最多、类型最全、机制最复杂的一种,会随着肿瘤进展而不断变化。约有69%患者的疼痛症状会影响机体的正常功能,如果得不到及时缓解,可能连日常最简单的翻身、坐起、进食、睡眠都无法进行,严重影响其身体机能和抗病能力,并使手术、放疗、化疗等抗肿瘤治疗的耐受能力和效果降到最低,最终使患者生存期大大缩短。更危险的是,疼痛还会给病人造成“病情复发”或“病情加重”的不良暗示,使患者悲观、绝望,丧失治疗信心,轻则可以使患者焦虑、烦躁、抑郁,重则甚至产生恐惧和自杀的意念。

“在中国,癌痛治疗不足仍是普遍存在的现象,约有70%患者的疼痛并未得到有效控制。”王昆主任指出,肿瘤患者大多伴有不同程度的疼痛,尤其是晚期患者,疼痛发生率达70%—90%。然而,由于患者和家属对于癌痛认知度不高,再加上部分医务工作者忽视了疼痛管理,导致能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。如果能尽早接受规范化治疗,70%以上的癌症疼痛都可以达到有效缓解,大大改善生活质量。

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