癌痛的规范化治疗201108试题.ppt

Standardized treatment of cancer pain 癌症疼痛的规范化治疗 医学目的 Medical purposes 1.治愈(Cure) 2.延长生命 (Prolong life) 3.提高生活质量 (Improve the quality of life) 重新定医疗方向 Re-scheduled medical direction 治愈--控制疾病( Cure-- Controlling the disease )?照顾--末期照顾 症狀控制( Care--Terminal CareSymptom Control ) 治愈性治疗 Curative Treatment 支持性治疗 Supportive Treatment 缓和性治疗 Palliative Treatment WHO palliative care principles WHO姑息治疗的原则 Palliative care as soon as possible for early tumor, chemotherapy combined with radiotherapy; 姑息治疗应尽早地用于肿瘤的早期,与放疗、化疗相结合; The basis and prerequisite of palliative care: to ease the pain and suffering caused symptoms 姑息治疗的基础和前提：缓解疼痛及其造成的痛苦症状; Correct attitude toward death affirmation of life and death as a normal process; the death neither extend nor promote 正确对待死亡肯定生命,并把死亡看成一个正常的过程;对死亡既不延长也不促进; Care of patients with heart and soul, the patients as active life as possible; 对患者全身心照顾,使患者尽可能主动生活; Medical services are extended to the families, to provide a support system to the families, to take care of patients properly, correctly handle the funeral smooth through the mourning period. 医疗服务延伸至家属，给家属提供一个支持系统,妥善地照顾患者,正确处理后事，平稳度过居丧期。 What is pain？什么是疼痛？ Pain is a subjective feeling 疼痛是一种主观感觉 PainIs an unpleasant feeling and emotional feelings associated with substantial or potential tissue damage 是一种令人不快的感觉和情绪上的感受，伴有实质上的或潜在的组织损伤 Animal protection organizations动物保护组织 Food industry, standardized treatment食品行业，规范处理 Calling for legislation to protect animals呼吁立法，保护动物 Human enough attention to their own pain人类对自身疼痛的足够重视 The previous world analgesic Day theme 历届世界镇痛日主题 2004: removal of pain, it is the basic right of patients 2004年：免除疼痛，是患者的基本权利 2005: Exempt from pain-The basic rights of patients The sacred duty of the doctor 2005年：免除疼痛－患者的基本权利 医生的神圣职责 2006: Concerned about the elderly pain 2006年：关注老年疼痛 2007: attention to womens pain 2007年：关注女性疼痛 2008: The fight against cancer pain 2008年：对抗癌痛 一、癌症疼痛（