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首页> 外文期刊>Journal of pain & palliative care pharmacotherapy >Pain Management in Children With Cancer Using World Health Organization Guidelines at a Tertiary Cancer Center in Rural India
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Pain Management in Children With Cancer Using World Health Organization Guidelines at a Tertiary Cancer Center in Rural India

机译：在印度农村三级癌症中心使用世界卫生组织指南的癌症患儿疼痛管理

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Management of cancer pain among children is a difficult process due to the way they perceive pain, their dependence on parents, complexity of assessment, and limited availability of safe analgesics. Pain among children with cancer is still a less explored problem in India. This descriptive study was carried out in a tertiary cancer center to explore the characteristics of pain and its management among the children with cancer. We analyzed children diagnosed with hematologic malignancies, aged 4-18 years, admitted between January 2013 and December 2017. This retrospective cohort study involved the review of patient records available at the medical records department. During the study period, there were 290 admission episodes, of which 93 (32.1%) episodes were associated with pain. Of these 93 episodes, 14 (15%) were primarily for pain management. Step I analgesic was utilized in the majority (83%) of the admission episodes involving younger age group (4-9 years) children, whereas for the older age group (10-18 years) Step 2 analgesic (tramadol) was utilized in 29 (58%) episodes, and this was found to be statistically significant (P<.001). Only in 9 (9.7%) episodes Step 3 analgesic was utilized. A significant proportion of children with hematologic malignancies had pain episodes, and these episodes in older age group children were managed with weak opioids.
机译：由于他们感知疼痛，对父母的复杂性以及安全镇痛药的可用性有限，因此癌症疼痛的管理是一个艰难的过程。患有癌症的痛苦仍然是印度仍然是一个较少的探索问题。这种描述性研究是在高等教育中心进行的，探讨患有癌症的儿童疼痛及其管理的特征。我们分析了患有4-18岁的血液学恶性肿瘤的儿童，于2013年1月至2017年1月入院。这项回顾性队列研究涉及审查医疗记录部门的患者记录。在研究期间，有290个入学集，其中93个（32.1％）发作与疼痛有关。在这93张发作中，14个（15％）主要用于疼痛管理。步骤I镇痛药被利用涉及年龄组（4-9岁）儿童的大多数（83％）的录取发作，而对于年龄较大的年龄组（10-18岁）步骤2镇痛（曲马多）在29中使用（58％）发作，发现这是统计学意义（P <.001）。仅在9（9.7％）发作步骤3中，使用镇痛。血液学恶性肿瘤的大部分儿童有疼痛发作，这些龄群儿童的这些发作患有弱阿片类药物。

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