2022年医学专题—癌性疼痛的处理.pptVIP免费

EEPPEECCEEPPEECC癌性疼痛的处理WHO3-阶梯(jiētī)镇痛疗法ManagementofCancerPainWHO3–StepAnalgesicLadder癌性疼痛的处理WHO3-阶梯(jiētī)镇痛疗法ManagementofCancerPainWHO3–StepAnalgesicLadderTerenceL.Gutgsell,MDTerenceL.Gutgsell,MDHospiceoftheBluegrassHospiceoftheBluegrassLexington,KYLexington,KYTerenceL.Gutgsell,MDTerenceL.Gutgsell,MDHospiceoftheBluegrassHospiceoftheBluegrassLexington,KYLexington,KY第一页，共三十二页。目标比较，对比感受伤害性的和神经病性的疼痛了解癌痛镇痛处理的阶梯了解阿片类镇痛剂给药的其他途径(tújìng)讲解维持镇痛时阿片类药物间互相转换的技巧ObjectivesCompare,contrastnociceptive,neuropathicpainKnowstepsofanalgesicmanagementofcancerpainKnowalternativeroutesfordeliveryofopioidanalgesicsDemonstrateabilitytoconvertbetweenopioidswhilemaintaininganalgesia目标比较，对比感受伤害性的和神经病性的疼痛了解癌痛镇痛处理的阶梯了解阿片类镇痛剂给药的其他途径(tújìng)讲解维持镇痛时阿片类药物间互相转换的技巧ObjectivesCompare,contrastnociceptive,neuropathicpainKnowstepsofanalgesicmanagementofcancerpainKnowalternativeroutesfordeliveryofopioidanalgesicsDemonstrateabilitytoconvertbetweenopioidswhilemaintaininganalgesia第二页，共三十二页。躯体躯体(qūtǐ)(qūtǐ)的疼痛的疼痛PhysicalPhysicalPainPain情感情感(qínggǎ(qínggǎn)n)的的疼痛疼痛EmotionalEmotionalPainPain社交社交(shèji(shèjiāo)āo)障碍障碍SocialSocialDiscordDiscord宗教的宗教的困扰困扰SpiritualSpiritualDistressDistress病痛病痛==总体的疼痛总体的疼痛Suffering=TotalPainSuffering=TotalPain第三页，共三十二页。总的原则多因素(yīnsù)对患者反应的影响环境心理/社会状态年龄性别多系统疾病和障碍复合用药GeneralPrinciplesInfluencesonpatient’sresponsetoRxEnvironmentPsycho/socialstatusAgeSexMulti-systemdiseaseanddisordersPolypharmacy总的原则多因素(yīnsù)对患者反应的影响环境心理/社会状态年龄性别多系统疾病和障碍复合用药GeneralPrinciplesInfluencesonpatient’sresponsetoRxEnvironmentPsycho/socialstatusAgeSexMulti-systemdiseaseanddisordersPolypharmac...