The standardization of pain control standards

Posted by cheung on October 11, 2008 in Cancer

Clinical Tumor Institute of Beijing University Professor Liu Shujun A: standardized pain treatment principles include: the effective elimination of pain; limit the adverse drug reaction occurred and the pain of the psychological burden to a minimum, and comprehensively improve the quality of life. Pain control should be stressed that the standards will be the first pain control following the score three minutes to reach the quality of life for the purpose of small interference. The pain to control the number of seizures a day not more than three times a day to rescue the number of drugs also best not to over three times. To achieve the above objectives, through timely and accurate assessment of pain, a reasonable increase in dose to achieve. To achieve the above goal, it can be considered effective in controlling pain.

In the course of treatment of pain, the morphine-type drugs cause adverse reactions is one of the major obstacles to treatment. The adverse reactions should be regarded as the treatment of pain in the conventional treatment, like chemotherapy antiemetic agent at the same time to reduce the incidence of gastrointestinal, morphine can be given drugs for symptomatic treatment at the same time, to prevent and reduce the occurrence of adverse reactions . Do not wait until there adverse reactions, patients resistant to consider only symptomatic treatment can not stand, it will affect the patient’s compliance. Generally speaking, in accordance with the standard method of pain treatment, can make more than 90 percent of patients achieve the desired pain control. About 10 percent of those who can not control the pain in patients with vision can take other measures such as the use of PCA pump, but do not advocate intramuscular injection. We should minimize invasive method of pain, a strong proponent of the oral administration of non-invasive way.

Chinese Academy of Medical Sciences Cancer Hospital Sun Yan added academicians answer: We believe that medical records should be Home for the establishment of patients with cancer pain assessment forms, such as body temperature of the same, the subjective feeling of pain to become a semi-quantitative indicators, so that physicians understand The patient’s pain, to help determine a reasonable treatment programme. Foreign scholars believe that sleep in patients with pain, pain in the break, when painless, and this is satisfied with the treatment goal.