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我院于１９９５年开设癌痛病人在家治疗，至１９９８年８月，四年间共治疗晚期癌痛９７９例。其中肺癌病例最多总共３６２例（３７．０％），其次为乳腺癌９８例（１０．０％）。出诊到病人家里治疗是临床观念的转变，在家治疗的内容包括指导病人和家属止痛药的使用，及时调整治疗方案（７８８例次，８０．５％），神经阻滞（１３５例次，１３．８％），病人自控镇痛（ＰＣＡ）（９３例，９．４％），输液，肌注等支持治疗（６００例次，６１．３％）。资料分析表明，合理的使用止痛药物，可以控制大多数的癌痛，少数癌痛病人则需要麻醉技术控制疼痛。在本文的最后，提出了癌痛病人在家治疗的基本模式
In our hospital, cancer pain patients were treated at home in 1995. By August 1998, 979 cases of advanced cancer pain were treated during the four years. Among them, a total of 362 cases (37.0%) were lung cancer cases, followed by 98 cases (10.0%) of breast cancer. Visits to the patient’s home are a change of clinical concept. The treatment at home includes the use of pain medications to guide patients and their families, timely adjustment of treatment programs (788 cases, 80.5%), nerve block (135 cases, 13. 8%) Patient-controlled analgesia (PCA) (93 cases, 9.4%), infusion, intramuscular injection, etc. (600 cases, 61.3%). Data analysis shows that the rational use of analgesic drugs can control most cancer pains, and a small number of cancer pain patients need anesthesia to control pain. At the end of this article, the basic model of home treatment for cancer patients was proposed.