癌痛治疗的现状和挑战-教学课件

1、癌痛治疗的现状与挑战Current situation and challenges of cancer pain management 1.癌痛治疗的现状与挑战Current situation aAvailability of opioids for pain management2.Availability of opioids for pa3.3.Availability of opioids* for pain management (2010-2012 average) 4.Availability of opioids* for p5.5.Availability of opio

2、ids for pain management6.Availability of opioids for pa含有Oxycodone的镇痛药物共有28个品种！7.含有Oxycodone的镇痛药物共有28个品种！7.8.8.Global Atlas of Palliative Care9.Global Atlas of Palliative CarGlobal Atlas of Palliative Care10.Global Atlas of Palliative CarGlobal Atlas of Palliative Care11.Global Atlas of Palliative C

3、arGlobal Atlas of Palliative Care12.Global Atlas of Palliative CarHospice and Palliative Care13.Hospice and Palliative Care13.Interdisciplinary Team of Hospice14.Interdisciplinary Team of HospTotal Hospital Agencies by Year15.Total Hospital Agencies by YeaCare Providers16.Care Providers16.Location o

4、f Hospice patients at Death17.Location of Hospice patients aProportion of Patients by Length of Service in 201318.Proportion of Patients by LengWho conduct palliative care ? 19.Who conduct palliative care ? Who conduct P.C in China? Physical Symptoms Psychological disordersRehabilitationQOL and Surv

5、ival20.Who conduct P.C in China? PhysUnder-treatment of cancer pain2022/10/7N=3106，38 (six academic and 32 community) institutions21.Under-treatment of cancer pain2022/10/7只有1/3患者的疼痛得到改善，1/5疼痛加重!Under-treatment of cancer pain22.2022/10/3只有1/3患者的疼痛得到改善，1/5疼痛加Under-treatment of cancer pain2022/10/723.

6、Under-treatment of cancer painChallenges of cancer pain management24.Challenges of cancer pain manaChallenges of cancer pain management25.Challenges of cancer pain manaQuestions and Answers(“奥”视群雄队)决定阿片滴定起始剂量的因素是：A. 疼痛强度B. 安全性因素C. 疼痛性质D. 患者的止痛目标26.Questions and Answers(“奥”视群雄队Questions and Answers (

7、十全十“美”队)阿片肝脏代谢的第一步为氧化,下述正确的是：经3A4通路代谢的产物绝大多数没有活性同服经2D6通路代谢的药物可导致阿片镇痛效果增加 经过3A4途径代谢的药物包括SSRI类、氟哌啶醇和氯丙嗪等27.Questions and Answers (十全十“美”Different opioids, different metabolisms28.Different opioids, different mQuestions and Answers (勇争“蒂”一队)关于阿片类药物之间的交叉耐受,错误的是：A. 阿片类药物之间都存在交叉耐受B. 交叉耐受是阿片转换时剂量换算的基础D. 阿片类药物之间的交叉耐受是不完全的29.Questions and Answers (勇争“蒂”一Public health model for Palliative care 30.Public