王杰军：中国肿瘤姑息治疗明天更美好

2016-11-03 MedSci MedSci原创

第二届亚太地区华语安宁疗护高峰论坛--2016北京峰会于10月29日在国家会议中心隆重召开，在大会报告环节，第二军医大学附属长征医院肿瘤科主任王杰军教授作了主题为《中国肿瘤姑息治疗明天更美好》的报告。王教授通过分析多项国内外临床研究数据对姑息治疗的发展现状及癌痛合理用药情况进行了详细地解读。以下为小编对报告内容进行的整理，以飨读者。王杰军教授，第二军医大学附属长征医院肿瘤科主任，中国人民解放军肿瘤

第二届亚太地区华语安宁疗护高峰论坛--2016北京峰会于10月29日在国家会议中心隆重召开，在大会报告环节，第二军医大学附属长征医院肿瘤科主任王杰军教授作了主题为《中国肿瘤姑息治疗明天更美好》的报告。王教授通过分析多项国内外临床研究数据对姑息治疗的发展现状及癌痛合理用药情况进行了详细地解读。以下为小编对报告内容进行的整理，以飨读者。

王杰军教授，第二军医大学附属长征医院肿瘤科主任，中国人民解放军肿瘤专业委员会主任委员、中华医学会上海分会肿瘤专科委员会前任主任委员、中国生命关怀协会副会长、上海癌症康复与姑息治疗专业委员会主任委员、中国癌症康复与姑息治疗专业委员会候任主任委员、上海市防癌抗癌事业发展基金会副理事长、中国临床肿瘤协作中心（CSCO）常务委员、中华医学会疼痛学分会常务委员、国家药品监督管理局药物审评委员会委员等。

肿瘤姑息治疗的现状

姑息治疗医学是对那些对治愈性治疗不反应的病人安全的、主动的处置。控制疼痛及有关症状，并对心理、社会和精神问题给予重视。其目的是为病人和家属赢得最好的生活质量。姑息治疗同样适用于早期肿瘤病人，姑息治疗与抗肿瘤治疗同等重要，是标准治疗的一个部分。姑息治疗、临终关怀在临床中的作用不可忽视。

“从2015年最新世界死亡质量指数解读上看到，中国大陆在亚太19个国家或地区中只排名15位，其中台湾地区、日本等排行前列”，王教授指出，这是一个国家或地区针对姑息治疗的需求和满足能力之间差距造成的，我们应学习和借鉴经验，制定符合我国国情的肿瘤姑息治疗模式。

超过60%的肺癌病人认为他们的晚期疾病是可能或者非常可能被治愈的

王教授指出：我国姑息治疗的发展受三大因素的制约。第一：仍有相当数量的患者到肿瘤终末期时才想到姑息治疗，甚至是部分临床医生也对姑息治疗存在偏见，因此应加大对患者的教育和医生的培训工作；第二：姑息治疗专业人才还不够，在我国医学院校，姑息治疗和临终关怀都不是必修课，仅有少数有相应的选修课程，对姑息治疗的认识还不够深入；第三：已有国家政策出台，进一步强调姑息治疗的重要性，但目前还没有医院有专门的姑息治疗科，这些均是目前亟待解决的问题。

癌痛的合理用药

癌痛是肿瘤姑息治疗中一个重要的组成部分，癌痛是对病人及其家人生活质量影响最大，也是最容易得到有效控制的一个状况。

为进一步加强我国肿瘤规范化诊疗管理，提高癌痛规范化治疗和合理用药水平，改善对肿瘤患者的医疗服务，保障肿瘤患者的合法权益，提高肿瘤患者生存质量，国家卫生计生委合理用药专家委员会定于2016年3月在全国17个省（市）开展癌痛合理用药情况调研活动，活动涉及三级、二级、一级及基层医疗卫生机构175家。研究目标：了解癌痛患者数量变化趋势、癌痛患者治疗现状、阿片类药物的设备情况以及麻醉药品的管理现状。

王教授强调，关于癌痛的合理用药，无论是从患者和家属的观念，还是从政策限制、医护人员的相关培训等方面，都需要我们做出更多的努力使其进一步完善。

报告最后，王教授表示：经过这些年的推广普及，我国肿瘤姑息治疗取得了一定的成绩，姑息治疗理念也逐渐深入人心。我们要不断发展肿瘤姑息治疗事业，从一个点辐射到面，为整个姑息医学的发展提供新思路

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2017-03-19 shalley66

#王杰军#

42 0
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2017-07-03 lancelotzzl

#肿瘤姑息治疗#

46 0
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2016-11-11 ylzr123

要不断发展肿瘤姑息治疗事业，从一个点辐射到面，为整个姑息医学的发展提供新思路。

63 0
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2016-11-08 doctorJiangchao

值得收藏

57 0
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2016-11-05 忠诚向上

好好看下

76 0
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2016-11-05 经常头晕

#姑息#

48 0
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2016-11-03 雾夜芭蕾

姑息治疗和积极治疗一直比较矛盾

61 0

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