处理疼痛的理念.pdfVIP

医学与哲学(临床决策论坛版)2007年l2月第28卷第l2期总第347期 · 圆桌会议：疼痛的理念及处理· (栏目主编：刘端祺) 笔谈提示：帮助病人解除疼痛，是医学的根本目的之一，也是医学人文精神的基本要求。本栏特就此发表五篇 文章，特别是“处理疼痛的理念”、“姑息止痛治疗在悉尼”两文，提出要转变对待疼痛的传统观念，突破“害怕成瘾”、 “使用止痛药可能掩盖病情”、“疼痛就该挺住”等医疗禁区；同时积极探索各种不同类型疾病的专业、高效和安全的 止痛疗法，形成止痛治疗团队和健全的医学姑息疗法系统，寓止痛治疗于改善生命质量的全过程中。我们期待更多 的医师关注我国止痛疗法的理念与实践的探索。 处 理 疼 痛 的 理 念 钱宗呜 朱 宁② 摘要：处理疼痛的理念各有不同。有人认为手术后疼痛很正常，挺着吧。人老了，腰腿痛就该 扛着。而有的人会积极给予止痛治疗，以患者舒适为目标。2007年7月我国卫生部签发了关 于《医疗机构诊疗科目名录》中增加“疼痛科”的文件，说明我国进入了一个止痛治疗的新时 代。得到疼痛治疗是患者的基本权利，也是医师的崇高职责。有疼有痛忍着不治的时代即将 过去，及早、及时为患者止痛是人道主义的体现。 关键词：处理疼痛，患者权利，医生职责 中图分类号：R441．1 文献标识码：A 文章编号：1002—0772(2007)12—0007—03 New Concept for Pain Treatment QlAN Zong-ming，ZHU Ning．Department of Urology Surgery ofTk SecondAffiliation Hospital ofDalian Medical UniversityIDalian 116027I China Abstract：There are different understandings in coping with pain．Some people consider post—operational pain as normal incidence． and nothing much could be done．It is a common view to think that there’S no need to treat hack or leg pains as people become old．However others might pOsseSs a very positive attitude in coping with pains，in order to diminish the suffering of the patients． In July，2007，Chinese Ministry of Public Health has published a document about the organization of the department of pain．This event indicated that China has now come to a new era of pain contro1．It is the rights of the patients to receive pain—relief treat— ments，and this is also the responsibility of the physicians．The stage when pain neglected has already passed。to rdieve pa— tients’pain at the earliest possibility