癌痛治療的現(xiàn)狀和挑戰(zhàn)-教學課件

1、癌痛治療的現(xiàn)狀與挑戰(zhàn)Current situation and challenges of cancer pain management 1.癌痛治療的現(xiàn)狀與挑戰(zhàn)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的鎮(zhèn)痛藥物共有28個品種！7.含有Oxycodone的鎮(zhèn)痛藥物共有28個品種！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(“奧”視群雄隊)決定阿片滴定起始劑量的因素是：A. 疼痛強度B. 安全性因素C. 疼痛性質(zhì)D. 患者的止痛目標26.Questions and Answers(“奧”視群雄隊Questions and Answers (

7、十全十“美”隊)阿片肝臟代謝的第一步為氧化,下述正確的是：經(jīng)3A4通路代謝的產(chǎn)物絕大多數(shù)沒有活性同服經(jīng)2D6通路代謝的藥物可導致阿片鎮(zhèn)痛效果增加 經(jīng)過3A4途徑代謝的藥物包括SSRI類、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 (勇爭“蒂”一隊)關(guān)于阿片類藥物之間的交叉耐受,錯誤的是：A. 阿片類藥物之間都存在交叉耐受B. 交叉耐受是阿片轉(zhuǎn)換時劑量換算的基礎D. 阿片類藥物之間的交叉耐受是不完全的29.Questions and Answers (勇爭“蒂”一Public health model for Palliative care 30.Public