中国一半癌症病人病痛未得到有效掌控，怎么样最大程度减轻这种生死熬煎？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">和合共生 健康生命 </strong><span style="color: black;">点击蓝字 关注<span style="color: black;">咱们</span></span></p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2023年4月15日-4月21日是第29个全国肿瘤防治宣传周，<strong style="color: blue;">今年宣传周的主题为：“癌症防治 全面行动——全人群 全周期 全社会”</strong>。本届全国肿瘤宣传周旨在积极倡导<span style="color: black;">每一个</span>人做自己健康的<span style="color: black;">第1</span>责任人，正确认识癌症、积极防控癌症，贯彻癌症三级预防原则，践行健康文明的生活方式。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">如今，癌症日益高发，已<span style="color: black;">作为</span>严重<span style="color: black;">害处</span>人类健康的慢性<span style="color: black;">疾患</span>。<span style="color: black;">得</span>了癌症有多可怕？相信<span style="color: black;">无</span>人不清楚，除了惧怕死亡，<span style="color: black;">非常多</span><span style="color: black;">病人</span><span style="color: black;">暗示</span>：癌症最可怕的是癌痛，发病的那种<span style="color: black;">病痛</span>难忍和<span style="color: black;">没</span>法根治，简直是太<span style="color: black;">熬煎</span>人，不夸张的说，痛得让人生不如死……</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">癌痛的治疗不仅关系着<span style="color: black;">病人</span>“带癌生活”的质量，更关系到癌症治疗<span style="color: black;">可否</span>能够顺利进行。</span></strong><span style="color: black;"><span style="color: black;">良好的止痛能<span style="color: black;">显著</span>改善生活质量，<span style="color: black;">明显</span><span style="color: black;">加强</span><span style="color: black;">病人</span>的抵抗力和自<span style="color: black;">自信心</span>，延长<span style="color: black;">病人</span>的<span style="color: black;">存活</span>时间，在抗癌之路上走得更好更远。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">1</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">什么是“癌痛”？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">数据<span style="color: black;">表示</span>，初诊的癌症<span style="color: black;">病人</span>中，<span style="color: black;">病痛</span><span style="color: black;">出现</span>率为25%，晚期的癌症<span style="color: black;">病人</span>中，<span style="color: black;">病痛</span><span style="color: black;">出现</span>率则升至60%-80%，其中1/3为重度<span style="color: black;">病痛</span><span style="color: black;">病人</span>。<strong style="color: blue;">在中国，估计</strong><strong style="color: blue;">有一半的癌症<span style="color: black;">病人</span><span style="color: black;">病痛</span>未得到有效<span style="color: black;">掌控</span></strong>，有30%的<span style="color: black;">病人</span>临终前的严重<span style="color: black;">病痛</span><span style="color: black;">无</span>得到有效缓解。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌痛会随着肿瘤的<span style="color: black;">发展</span>加重、多变，并<span style="color: black;">显现</span>多部位的<span style="color: black;">病痛</span>。值得一提的是，<span style="color: black;">按照</span>2007年的一项国外临床<span style="color: black;">科研</span>，在治愈后肿瘤<span style="color: black;">病人</span>癌痛<span style="color: black;">出现</span>率<span style="color: black;">亦</span>达到了33%。有80%的<span style="color: black;">病痛</span>是<span style="color: black;">由于</span>肿瘤直接浸润、侵犯、压迫其他器官的神经<span style="color: black;">导致</span>，<span style="color: black;">病人</span>会感觉有刺痛、钝痛、压痛或刀割痛。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">2</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">癌痛<span style="color: black;">为何</span>可怕？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">举个例子：假设<span style="color: black;">病人</span>得了恶性程度很高的癌症，<span style="color: black;">例如</span>食管癌、胰腺癌、胰头癌等，<span style="color: black;">最少</span>有半年<span style="color: black;">或</span>一年以上的时间要与<span style="color: black;">疾患</span>做斗争。但此时<span style="color: black;">倘若</span><span style="color: black;">显现</span>恶性的、极度严重、让<span style="color: black;">病人</span>彻夜难眠的<span style="color: black;">病痛</span>，对<span style="color: black;">膳食</span>、<span style="color: black;">睡觉</span>、精神等方面造<span style="color: black;">成为了</span>巨大的影响，以至于<span style="color: black;">没</span>法积极<span style="color: black;">协同</span>其他的治疗，可能很<span style="color: black;">短期</span>，就<span style="color: black;">能够</span>把人从精神到躯体完全摧垮，<span style="color: black;">乃至</span>死亡。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdibUCRwpPU25W8IYcw97t37aaUpTb7d38HxH5PTIWpTA7YxSgI3jySNA/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">3</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">癌痛<span style="color: black;">出现</span>的<span style="color: black;">平常</span><span style="color: black;">原由</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1.肿瘤直接压迫侵犯<span style="color: black;">周边</span>组织，如肺部肿瘤牵拉胸膜<span style="color: black;">导致</span>胸痛，结肠肿块<span style="color: black;">导致</span>的腹痛，胰腺肿物压迫神经<span style="color: black;">导致</span>的腰背部<span style="color: black;">病痛</span>，颅内病灶压迫神经<span style="color: black;">导致</span>头痛、<span style="color: black;">头昏</span>等。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2.肿瘤转移，如骨转移<span style="color: black;">导致</span>转移部位的骨痛。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3.肿瘤治疗<span style="color: black;">关联</span>性<span style="color: black;">病痛</span>，如打升白针后骨头的<span style="color: black;">病痛</span>，骨穿或其他手术操作后局部的<span style="color: black;">病痛</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4.合并症或并发症<span style="color: black;">关联</span>性<span style="color: black;">病痛</span>，肿瘤<span style="color: black;">导致</span>的梗阻或穿孔等<span style="color: black;">导致</span>的<span style="color: black;">病痛</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">4</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">什么时候<span style="color: black;">必须</span>进行癌痛治疗？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">非常多</span><span style="color: black;">病人</span>认为，癌痛是正常的，肿瘤治好了自然就不痛了。<span style="color: black;">因此</span>，<span style="color: black;">她们</span>认为<span style="color: black;">掌控</span>肿瘤比<span style="color: black;">掌控</span><span style="color: black;">病痛</span><span style="color: black;">要紧</span>，<span style="color: black;">仅有</span>当<span style="color: black;">病痛</span>剧烈时才用<span style="color: black;">止疼</span>药，<span style="color: black;">乃至</span>还有不少<span style="color: black;">病人</span>不愿意接受规范的<span style="color: black;">病痛</span>治疗。受这些错误观念的影响，不少<span style="color: black;">病人</span>拒绝承认<span style="color: black;">自己</span><span style="color: black;">病痛</span>的存在，并拒绝接受<span style="color: black;">病痛</span>治疗。中国人鼓励“忍”的文化，<span style="color: black;">包含</span>“忍<span style="color: black;">病痛</span>”，<span style="color: black;">病痛</span>不是病，<span style="color: black;">能够</span>忍着，对身体影响不大，<span style="color: black;">始终</span>到忍<span style="color: black;">没</span>可忍，才去治疗，其实这是非常错误的观念，越是拖延的病情，<span style="color: black;">错失</span>最佳的治疗时间，越容易<span style="color: black;">引起</span>病情的反复<span style="color: black;">乃至</span>恶化。<span style="color: black;">况且</span>治疗的<span style="color: black;">花费</span>反而会变得更加高。越早科学的治疗，越好的<span style="color: black;">掌控</span>病情<span style="color: black;">才可</span>越快的恢复身体健康。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdX69zXMS0icSYaMLGnJH8saUvB6q1eiaM3xkSFaPVWc6nWSslfnZfVXdg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">5</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">怎样</span>科学治疗癌痛？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">咱们</span>先来<span style="color: black;">认识</span>癌痛的分级：<span style="color: black;">病痛</span>是一种主观的感觉，<span style="color: black;">每一个</span>人对<span style="color: black;">病痛</span>的阈值不尽相同。<span style="color: black;">日前</span>癌痛的量化<span style="color: black;">评定</span>原则是以<span style="color: black;">病人</span>的主观感觉为准，不要去比较<span style="color: black;">为何</span>相同分期的<span style="color: black;">疾患</span>，别人一点都不疼，我却痛得死去活来。<span style="color: black;">每一个</span>人对<span style="color: black;">病痛</span>的阈值不尽相同，<span style="color: black;">无</span>可比性。当然<span style="color: black;">亦</span>不要<span style="color: black;">由于</span><span style="color: black;">病痛</span>加重就对治疗失去<span style="color: black;">自信心</span>，只要规范治疗，癌痛是<span style="color: black;">能够</span><span style="color: black;">掌控</span>的。<span style="color: black;">日前</span>癌痛量化<span style="color: black;">评定</span><span style="color: black;">一般</span><span style="color: black;">运用</span>数字分级法，面部表情<span style="color: black;">评定</span>量表法和主诉<span style="color: black;">病痛</span>程度分级法三种。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdck2P2O0g86ylQxkxWe8IRXSBqDoib3eUlStQ1JUSD0oPUQyQ05FjLoA/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">1.</span><strong style="color: blue;">数字分级法</strong><span style="color: black;">：<span style="color: black;">运用</span><span style="color: black;">病痛</span>程度数字<span style="color: black;">评定</span>量表对<span style="color: black;">病人</span><span style="color: black;">病痛</span>程度进行<span style="color: black;">评定</span>，将<span style="color: black;">病痛</span>程度用0-10个数字来<span style="color: black;">暗示</span>，0<span style="color: black;">暗示</span>不痛，10<span style="color: black;">暗示</span>你所能想到的最剧烈的<span style="color: black;">病痛</span>，由<span style="color: black;">病人</span><span style="color: black;">选取</span>相应的数字来描述对应的<span style="color: black;">病痛</span>。<span style="color: black;">按照</span>数字可分为：轻度<span style="color: black;">病痛</span>（1-3分），中度<span style="color: black;">病痛</span>（4-6分）和重度<span style="color: black;">病痛</span>（7-10分）。</span></span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdck2P2O0g86ylQxkxWe8IRXSBqDoib3eUlStQ1JUSD0oPUQyQ05FjLoA/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2.<strong style="color: blue;">面部表情<span style="color: black;">病痛</span>评分量表法</strong>：由医护人员<span style="color: black;">按照</span><span style="color: black;">病人</span>的面部表情状态，<span style="color: black;">根据</span>《面部表情<span style="color: black;">病痛</span>评分量表》进行<span style="color: black;">评定</span>，<span style="color: black;">重点</span>适用于表达困难或有交流<span style="color: black;">阻碍</span>的<span style="color: black;">病人</span>。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdck2P2O0g86ylQxkxWe8IRXSBqDoib3eUlStQ1JUSD0oPUQyQ05FjLoA/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3.<strong style="color: blue;">主诉<span style="color: black;">病痛</span>程度分级法(VRS)</strong>：<span style="color: black;">按照</span><span style="color: black;">病人</span>对<span style="color: black;">病痛</span>的主诉，将<span style="color: black;">病痛</span>程度分为轻度、中度、重度三类。 </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（1）<strong style="color: blue;">轻度疼痛</strong>：有<span style="color: black;">病痛</span>但可忍受，生活正常，<span style="color: black;">睡觉</span><span style="color: black;">没</span>干扰。 </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（2）<strong style="color: blue;">中度<span style="color: black;">病痛</span></strong>：<span style="color: black;">病痛</span><span style="color: black;">显著</span>，<span style="color: black;">不可</span>忍受，<span style="color: black;">需求</span><span style="color: black;">吃下</span><span style="color: black;">止疼</span><span style="color: black;">药品</span>，<span style="color: black;">睡觉</span>受干扰。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（3）<strong style="color: blue;">重度<span style="color: black;">病痛</span></strong>：<span style="color: black;">病痛</span>剧烈，<span style="color: black;">不可</span>忍受，需用<span style="color: black;">止疼</span><span style="color: black;">药品</span>，<span style="color: black;">睡觉</span>受严重干扰，可伴自主神经<span style="color: black;">错乱</span>或被动体位。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">6</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">病痛</span>的治疗</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">轻度<span style="color: black;">病痛</span></strong>：可<span style="color: black;">选择</span>非阿片<span style="color: black;">药品</span>(NSAID)。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">中度<span style="color: black;">病痛</span></strong>：可<span style="color: black;">选择</span>弱阿片类<span style="color: black;">药品</span>或低剂量的强阿片类<span style="color: black;">药品</span>，并可联合应用非甾体类抗炎<span style="color: black;">药品</span>以及辅助<span style="color: black;">止疼</span><span style="color: black;">药品</span>（镇静剂、抗惊厥类<span style="color: black;">药品</span>和抗抑郁类<span style="color: black;">药品</span>等）。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">重度<span style="color: black;">病痛</span></strong>：首选强阿片类药，并可合用非甾体类抗炎<span style="color: black;">药品</span>以及辅助<span style="color: black;">止疼</span><span style="color: black;">药品</span>(镇静剂、抗惊厥类<span style="color: black;">药品</span>和抗抑郁类<span style="color: black;">药品</span>等，<span style="color: black;">举荐</span><span style="color: black;">运用</span>PCA<span style="color: black;">止疼</span>）。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">7</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">平常</span>误区</strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCat6XlF49VQ4KJzJ3yZfVlOtjicfLtYp4aQplYJsPnBPicbkRmkt0Dtg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">误区一</strong></span><strong style="color: blue;">：得了癌症肯定会疼，能忍就忍，实在忍不住再吃药</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">病痛</span>会影响<span style="color: black;">睡觉</span>、身体代谢和机体免疫力，不<span style="color: black;">即时</span>治疗容易耽误病情，影响肿瘤的治疗。超过3个月的<span style="color: black;">病痛</span>属于慢性<span style="color: black;">病痛</span>，慢性<span style="color: black;">病痛</span>本身<span style="color: black;">便是</span>一种<span style="color: black;">疾患</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">没</span>痛是人的基本权利，<span style="color: black;">选取</span>理想的止痛药并<span style="color: black;">恰当</span><span style="color: black;">运用</span>，90%以上<span style="color: black;">病痛</span><span style="color: black;">病人</span>都<span style="color: black;">能够</span>达到<span style="color: black;">没</span>痛。<span style="color: black;">长时间</span>得不到有效止痛治疗的病人，容易<span style="color: black;">显现</span>因<span style="color: black;">病痛</span><span style="color: black;">引起</span>的与神经病理性<span style="color: black;">病痛</span><span style="color: black;">关联</span>的交感神经功能<span style="color: black;">错乱</span>，发展为难治性<span style="color: black;">病痛</span>。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCEsibYg7qdtNkghRQTvBovHKymY2Vt0KobjLxOIoWle8Tick6o9EBLTQ/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCat6XlF49VQ4KJzJ3yZfVlOtjicfLtYp4aQplYJsPnBPicbkRmkt0Dtg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">误区二</strong></span><strong style="color: blue;">：<span style="color: black;">仅有</span>癌症到了晚期才会<span style="color: black;">病痛</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">不是。癌痛<span style="color: black;">是由于</span>癌症、癌症<span style="color: black;">关联</span>性病变及抗癌治疗<span style="color: black;">导致</span>的<span style="color: black;">病痛</span>，癌痛<span style="color: black;">能够</span>贯穿于癌症的始终，早起癌症<span style="color: black;">亦</span>可能<span style="color: black;">显现</span><span style="color: black;">病痛</span>。<span style="color: black;">因此呢</span>，有<span style="color: black;">病痛</span>并不是癌症发展到晚期的标志，<span style="color: black;">显现</span><span style="color: black;">病痛</span>不必过于担心，应<span style="color: black;">即时</span>治疗。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCEsibYg7qdtNkghRQTvBovHKymY2Vt0KobjLxOIoWle8Tick6o9EBLTQ/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCat6XlF49VQ4KJzJ3yZfVlOtjicfLtYp4aQplYJsPnBPicbkRmkt0Dtg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">误区三</strong></span><strong style="color: blue;">：止痛治疗只要能使<span style="color: black;">病痛</span>部分缓解<span style="color: black;">就可</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">缓解<span style="color: black;">病痛</span>是<span style="color: black;">加强</span>晚期癌痛<span style="color: black;">病人</span>生命质量的<span style="color: black;">重要</span>，止痛治疗的最低<span style="color: black;">需求</span>是达到<span style="color: black;">没</span>痛<span style="color: black;">睡觉</span>，而真正<span style="color: black;">道理</span>上<span style="color: black;">加强</span>癌痛病人生活质量的<span style="color: black;">需求</span>应<span style="color: black;">包含</span>：<span style="color: black;">没</span>痛<span style="color: black;">睡觉</span>、<span style="color: black;">没</span>痛<span style="color: black;">休憩</span>、<span style="color: black;">没</span>痛活动。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCEsibYg7qdtNkghRQTvBovHKymY2Vt0KobjLxOIoWle8Tick6o9EBLTQ/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCat6XlF49VQ4KJzJ3yZfVlOtjicfLtYp4aQplYJsPnBPicbkRmkt0Dtg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">误区四</strong></span><strong style="color: blue;">：<span style="color: black;">病痛</span>时再服药，不疼时不吃药</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">应<span style="color: black;">根据</span>规定的间隔时间服药，服药时间即使<span style="color: black;">无</span><span style="color: black;">病痛</span>，<span style="color: black;">亦</span>应该按时<span style="color: black;">吃下</span>，<span style="color: black;">这般</span>可<span style="color: black;">保准</span><span style="color: black;">病痛</span>连续缓解。如盐酸羟考酮缓释片（奥施康定）和硫酸吗啡缓释片（美施康定）应每12小时口服一次，芬太尼贴剂（多瑞吉）应每72小时<span style="color: black;">运用</span>一次。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCEsibYg7qdtNkghRQTvBovHKymY2Vt0KobjLxOIoWle8Tick6o9EBLTQ/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCat6XlF49VQ4KJzJ3yZfVlOtjicfLtYp4aQplYJsPnBPicbkRmkt0Dtg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">误区五</strong></span><strong style="color: blue;">：<span style="color: black;">吃下</span>止痛药会成瘾，会有依赖性？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大<span style="color: black;">大概</span>75%~90%的晚期肿瘤<span style="color: black;">病人</span>因慢性<span style="color: black;">病痛</span><span style="color: black;">必须</span>用到阿片类<span style="color: black;">药品</span>。但<span style="color: black;">倘若</span>你还将阿片类<span style="color: black;">药品</span>与鸦片、毒品画上等号的话，那的确是误解了它们。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌痛的治疗首要原则<span style="color: black;">便是</span>按阶梯给药，阿片类止痛剂的缓释剂型采用现代科技手段，使<span style="color: black;">药品</span>在胃肠道缓慢释放后吸收，<span style="color: black;">药品</span>在血液中的浓度能在很<span style="color: black;">长期</span>内保持稳定水平，起到止痛<span style="color: black;">功效</span>，而不会形成血药浓度的峰值，<span style="color: black;">没</span>法达到成瘾的浓度。<span style="color: black;">因此呢</span>，<span style="color: black;">病人</span>在慢性癌痛<span style="color: black;">病人</span>中采用口服阿片类控释、缓释剂型时，血药浓度维持稳定状态，<span style="color: black;">很难</span>成瘾。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">权威资料<span style="color: black;">表示</span>：阿片类<span style="color: black;">药品</span>正确应用，可延长癌症<span style="color: black;">病人</span>的生命，这是<span style="color: black;">由于</span><span style="color: black;">病痛</span>的消失，改善了<span style="color: black;">病人</span>的<span style="color: black;">睡觉</span>，并<span style="color: black;">加强</span>了食欲和体质。另一方面，阿片类<span style="color: black;">药品</span>用于癌痛治疗时，只要<span style="color: black;">初期</span>进行治疗，并进行规范治疗，几乎<span style="color: black;">无</span>成瘾性。<span style="color: black;">另一</span>，随着肿瘤向晚期<span style="color: black;">发展</span>，病人<span style="color: black;">病痛</span>加重，止痛药的剂量<span style="color: black;">必须</span><span style="color: black;">增多</span>，<span style="color: black;">同期</span>阿片类<span style="color: black;">药品</span>有<span style="color: black;">必定</span>耐受性，<span style="color: black;">因此呢</span>有些<span style="color: black;">病人</span>用药量<span style="color: black;">逐步</span>加大，这是很正常的，并不属于“成瘾”。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌痛的治疗是抗肿瘤综合治疗的<span style="color: black;">要紧</span><span style="color: black;">构成</span>部分，有效的止痛<span style="color: black;">能够</span><span style="color: black;">加强</span><span style="color: black;">病人</span>的生活质量，<span style="color: black;">增多</span>抗肿瘤治疗的<span style="color: black;">自信心</span>。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCEsibYg7qdtNkghRQTvBovHKymY2Vt0KobjLxOIoWle8Tick6o9EBLTQ/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/eHSPVtF8rnhVm0s2VOOeJzHTGXKNB5tdCat6XlF49VQ4KJzJ3yZfVlOtjicfLtYp4aQplYJsPnBPicbkRmkt0Dtg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">误区六</strong></span><strong style="color: blue;">：<span style="color: black;">平常</span>的止痛药<span style="color: black;">必定</span>比阿片类<span style="color: black;">药品</span>安全吗？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">哪些</span>耳熟能详的止痛<span style="color: black;">药品</span>并非绝对安全。<span style="color: black;">长时间</span><span style="color: black;">海量</span><span style="color: black;">吃下</span>非甾体抗炎药对消化道、心脏、肾脏有<span style="color: black;">损害</span>，尤其<span style="color: black;">身患</span>消化道溃疡的<span style="color: black;">病人</span>更应<span style="color: black;">小心</span><span style="color: black;">运用</span>。<span style="color: black;">况且</span>这些<span style="color: black;">药品</span>存在“天花板效应”，即用药存在最大剂量限制，用量超过剂量限制后，止痛效果不会<span style="color: black;">加强</span>，但不良反应会<span style="color: black;">增多</span>。</span><span style="color: black;"><span style="color: black;">因此呢</span>，癌痛治疗过程中应严格按阶梯止痛原则分，<span style="color: black;">病痛</span>评分为轻度的<span style="color: black;">状况</span><span style="color: black;">能够</span><span style="color: black;">运用</span>这类<span style="color: black;">平常</span>止痛药，而中、重度<span style="color: black;">病痛</span>，则首选阿片类<span style="color: black;">药品</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">另外</span>，癌痛<span style="color: black;">不仅</span>是“痛”。</span></strong><span style="color: black;">癌症带来心理上的恐惧、抑郁、焦虑、愤怒<span style="color: black;">乃至</span>孤独感会合并植物神经功能失调<span style="color: black;">导致</span>失眠、疲乏，<span style="color: black;">从而</span>加重癌痛；癌症，还有精神上的痛苦的心理状态反过来使得<span style="color: black;">病痛</span><span style="color: black;">亦</span>很难缓解，<span style="color: black;">因此呢</span>这是一个很难打破恶性循环反复<span style="color: black;">出现</span>、<span style="color: black;">连续</span>存在。癌症<span style="color: black;">病人</span>要学会自己转移<span style="color: black;">重视</span>力，<span style="color: black;">同期</span>家人和医护人员<span style="color: black;">亦</span>要给予理解、鼓励和支持。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">首要</span>，要做好对<span style="color: black;">病人</span>的健康教育，让其<span style="color: black;">认识</span>到癌症并不等同于痛苦和死亡，多予以关心、理解、开导；</span><span style="color: black;">其次，采用多种心理治疗<span style="color: black;">办法</span>，如松弛疗法、暗示疗法，缓解<span style="color: black;">各样</span>心理不适症状，从而使他克服恐惧和绝望心理，保持<span style="color: black;">阳光</span>的<span style="color: black;">心理</span>，坚定治疗的<span style="color: black;">自信心</span></span><span style="color: black;">；</span><span style="color: black;">再次，<span style="color: black;">选取</span>健康的<span style="color: black;">膳食</span>搭配，为<span style="color: black;">病人</span><span style="color: black;">供给</span>良好的营养，鼓励他进行适度的功能训练。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">必要时，可结合精神科<span style="color: black;">大夫</span>的意见，联合<span style="color: black;">运用</span>抗精神病性<span style="color: black;">药品</span>，以改善<span style="color: black;">病人</span>的心理状态，缓解<span style="color: black;">心情</span>上的痛苦状态，<span style="color: black;">帮忙</span>他减轻思想压力，<span style="color: black;">加强</span>疗效，延长带癌<span style="color: black;">存活</span>期，改善生活质量。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">解决</span>癌症之路是坎坷的，征服癌痛之路<span style="color: black;">更加是</span>艰辛。最大程度减轻癌症<span style="color: black;">病人</span><span style="color: black;">病痛</span><span style="color: black;">亦</span>是为每一个生命带去尊严。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌痛<span style="color: black;">能够</span><span style="color: black;">掌控</span>，要尽早</span></p><span style="color: black;"><span style="color: black;">源自</span>：重庆大学<span style="color: black;">附庸</span>肿瘤医院 豹耳健康 </span><span style="color: black;">文/胖熊 </span><span style="color: black;">中国医疗自<span style="color: black;">媒介</span>联盟成员 </span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">声明：本文仅供参考学习，<span style="color: black;">病人</span>诊治用药请遵医嘱。本文版权属于原作者，如有问题请留言联系<span style="color: black;">博主</span>。</span></p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">关于<span style="color: black;">咱们</span></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/VDFgTraSs2wpI4ApLpPSkc4gG7U0gXPaa5yNAE7ibPFIB6oDJ6BibXeMMEoyhOH1V5L3Uicz6HTzEMeAcKOicKiaV0g/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">北京博润阳光科技有限<span style="color: black;">机构</span>成立于2011年，<span style="color: black;">机构</span>总部<span style="color: black;">位置于</span>北京，在上海、成都、武汉、石家庄、沈阳、西安等核心城市设有分支<span style="color: black;">公司</span>。人员总数300+，覆盖城市50+，合作医院300+，合作科室500+。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">十余年来，博润阳光深耕精神、神经、罕见病、医美、儿科、肿瘤、免疫与代谢、<span style="color: black;">呼气</span>与感染、眼科等<span style="color: black;">行业</span>，<span style="color: black;">供给</span>从<span style="color: black;">制品</span>策划、<span style="color: black;">开发</span>策略组合、临床<span style="color: black;">研发</span>、 新药及医疗器械申报咨询到上市后<span style="color: black;">研究</span>推广等一站式临床<span style="color: black;">科研</span>专业服务。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">日前</span>，博润阳光共承接400多项临床<span style="color: black;">科研</span>项目，覆盖<span style="color: black;">药物</span>及医疗器械<span style="color: black;">科研</span>的各个<span style="color: black;">周期</span>和多个类型， 在项目实践中<span style="color: black;">累积</span>了丰富的经验，能够结合客户需求<span style="color: black;">供给</span><span style="color: black;">制品</span><span style="color: black;">研发</span>全生命周期战略及运营<span style="color: black;">处理</span><span style="color: black;">方法</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">合作咨询：</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">010-84218180；13718067044</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">官 网：http://www.borrun.com</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/VDFgTraSs2yDzHVNNibmzOCl4qcx0cto0S4WCr8kGvzzhU5d5u9tRqyvVuEDkictaFJKOlrYvJQ6ia3DC6jaF6G6w/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></p>
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