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我国癌症治疗方式的改变竟推高镇痛药需求

2017-09-21 王立群 环球医学

我国是世界人口第一大国,对各种资源的需求较多也是合理的。但是近日有媒体报道称我国镇痛药物的占比及需求增高并不是因为人口的原因,而是因为癌症治疗方式的改变。

我国是世界人口第一大国,对各种资源的需求较多也是合理的。但是近日有媒体报道称我国镇痛药物的占比及需求增高并不是因为人口的原因,而是因为癌症治疗方式的改变。

近日,英媒称,合成类鸦片药物已经成为中国医药市场的明星,而且据英国《金融时报》网站9月18日报道称,中国化学制药工业协会统计,去年中国镇痛药市场增长了20%至36亿元人民币(合5.3亿美元),是整个药物市场增长率的两倍多,而中国药物市场是全球第二大的。

分析人士称,中国大部分镇痛药用于外科,但最近的增长主要是由于癌症发病率从2000年的210万新增病例上升到2015年的430万,导致了对控制慢性疼痛的需求,而且患者不再害怕上瘾。这或许是造成对镇痛药需求增高的首要原因。

据了解,肺癌是中国最常见的癌症,一定程度上是由于吸烟率高和空气污染。

并且《全球肿瘤学杂志》刊登的一篇评论文章说:“假如使用得当,一个国家的类鸦片药物消耗量可以成为确定姑息治疗癌症护理质量的良好替代标准。”文章称,有些医院的类鸦片药物年使用量已经增加了两倍。

对于镇痛药物增长的其他原因,瑞银证券的中国医疗保健行业分析师赵冰表示:“近年来,疼痛治疗在临床得到越来越多的关注。全国各地医院都建立了非住院病人疼痛管理门诊部。”

关于对合成类鸦片药物的使用我国其实也经历过起伏。

十九世纪英国强迫中国从英属印度进口鸦片后,类鸦片药物在中国泛滥,许多人吸鸦片上瘾,成为一段痛苦的历史往事。类鸦片药物挥之不去的恶劣名声让医生和患者都不愿使用它们。

但是,中国政府在2011年实施“癌痛规范化治疗”计划,推动了态度的转变。该计划培训医院工作人员认清不同程度的疼痛,通过及时给药来提供有效的缓解。也因此推动了合成鸦片药物的使用。

报道称,如今中国消耗的类鸦片药物不再是外国商人用船运来的,它们大多是国产的。根据中国医药工业有限公司的数据,去年,地佐辛是在中国最畅销的镇痛药,占据了将近40%的市场份额。该药主要用于术后。

从事健康研究的昆泰中国公司认为,同中国去年的整个药物市场总额1170亿美元相比,镇痛药的销售额还很小,增长潜力巨大。

综上所述,其实我国的镇痛药增长速度还真是惊人。但是镇痛药物的增长速度如此惊人并且潜力巨大是好现象还是坏现象呢?这个问题不好回答,得需要相关数据的支持。因为镇痛药物的增长,不仅仅是单方面的显示出我国对疼痛医疗重视程度的提高和疼痛诊治量的提高。反过来,还能显出我国患疼痛的人数的提高,以及患癌率的提高。

所以这个消息对我们来说是一个喜忧参半的消息。我们在为我国疼痛医疗重视程度提高高兴地同时更应该思考我们的健康水平是不是越来越低了?所以面对如此高的镇痛药物市场需求,我们更应该关注自身的健康,保持良好的生活习惯。也希望国家对于环境治理能够更上一层楼,以保证最大程度的保护人们健康。

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    2018-03-14 howi
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    2017-09-23 zhaojie88
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    2017-09-22 changjiu

    学习了.谢谢

    0

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美国FDA批准首个CAR-T细胞产品CTL019(商品名Kymriah),用于治疗25岁以下复发性或难治性B-细胞急性淋巴细胞白血病患者。

Nature:个性化新抗原疫苗引发强烈抗肿瘤反应,攻克癌症治疗两大障碍!

Dana-Farber癌症研究所和麻省理工学院广泛研究所的研究已经显示靶向肿瘤细胞上特征性的“新抗原”的个体癌症治疗疫苗可刺激黑素瘤患者的有效,安全和高度特异性的免疫抗肿瘤反应。

 J NATL CANCER I :研究发现把治疗点转移到健康细胞可能使癌症治疗呈现惊人效果!

根据英国“癌症研究”(Cancer Research UK)资助的研究报告,目前靶向已被癌细胞劫持的健康细胞可以治疗许多不同类型的疾病,今天发表在“国家癌症研究协会杂志”上。

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