Cancer palliative treatment medicine should enter the basic medicine catalogue

Cancer palliative treatment medicine should enter the basic medicine catalogue
Cancer palliative treatment medicine should enter the basic medicine catalogue
Staff reporter Wang Dan Recently, many medias report " the basic medicine catalogue of palliative treatment of first cancer of our country is expected to issue " ,This has aroused the attention from personage and readers of medical circle. Director of subsidiary tumour centre of hospital of Tongji University of medical college of Tongji University of Central China University of Science and Technology that reporter's telephone interview took charge of this, recover with professional committee's General Board Yu ShiYing of palliative treatment in cancer of Chinese Anti-Cancer Association. Yu ShiYing says, about setting up the suggestion of the basic medicine catalogue of palliative treatment of cancer still in applying, not receiving related departments' reply yet, the draft has not begun to draft either. But should cause the attention to the palliative treatment of cancer. Not merely can standardize palliative treatment while setting up the basic medicine catalogue of palliative treatment of cancer, can also make medical resources used rationally, improve the patient's life quality, reduce the social financial burden. Build catalogue, contribute to, standardize cancer, condone, treat " our country have 1,600,000 people die of cancer nearly every year, later period in patient is in cancer more while going to a doctor. Patient these turn to any doctor one can find when critically ill mostly, unreasonable to use medicine too much, reasonable administration ensure, not only waste medical resources but also enable patient's family ' disasters pile up on one another '. " Yu ShiYing says, because of lacking the relevant norm of palliative treatment, the patient often faces " excessively treats " in later period in cancer , " lose both the person and money " Risk. "For example, severe cancer pain is effective and cheap in the oral morphine treatment, but because knowledge is educated insufficiently and opium is excessively controlled, it is difficult for the patient to obtain enough stopping the pain and palliative treatment. " Great Britain introduces in generation, 60% of the the above has cancer to ache in the cancer patient of our country at present, the cancer patient stands pain proportion and is up to more than 70% in later period. Ache at cancer and treat the respect, the morphine consumption of per person of our country ranks the last but one in the whole world. "For another example, later period the cancer patient's common symptom in constipation is. Employ more medicine taken with water of Chinese medicine clinically at present, costs more than ten yuan each day. In fact, appropriate of dosage rush down leaf as effective medicine to treat constipation, how much is only needed each day. " Yu ShiYing says, medicines used for palliative treatment of cancer should be safe, effective, economic, have acquired character and accord with ethics, should relieve patient's agony effectively, avoid the due to excessively treating financial burden, also want the limited medical resources of rational utilization. The original intention of setting up basic medicines catalogue in the this and our country happens to coincide with. "Cancer the intersection of palliative treatment and global cancer in World Health Organization prevent and four major strategic objectives of control strategy one of, basic medical treatment of what is should become the cancer patient of later period ing, everybody enjoyed the elementary health care. Make and pursue propaganda and continuing education of cancer basic medicines catalogue and rational application of palliative treatment, it is the critical measure of guaranteeing the palliative treatment of cancer implements. " The palliative treatment medicines catalogue of cancer should incorporate the basic medicine catalogue in generation Great Britain introduces, in March of 2007, it has been already announced formally that World Health Organization trusted the basic medicines catalogue of palliative treatment which associations made of international palliative treatment. The international palliative treatment association is from 147 kinds of medicines often used for palliative treatment of cancer, elect 33 kinds to be used for dealing with and interfering with later period and the basic medicines of cancer patient's life quality and life symptom in latter stage of end seriously finally, the treatment includes pain, 18 kinds of symptoms such as breathing problem in end latter stage. World Health Organization advises the governments of various countries to make the basic medicines catalogue of palliative treatment, and list this catalogue in the national basic medicine catalogue. "Our country has not made the basic medicine catalogue of palliative treatment of cancer yet. Basic medicines catalogue and national basic medicine catalogue looks contrast which our country issued in 2004 of palliative treatment of making the international palliative treatment association, among them 10 kinds of medicines have not been listed in the basic medicine catalogue of our country ' Even the one that list in was not labelled either it was a cancer palliative treatment medicine) ,7 kinds of medicines have not been listed in indication of palliative treatment. " "WHO palliative treatment basic in the medicines pyridine a gentle cathartic than sand, certainly treat the curative effect of constipation, the price is cheap, but not entered the catalogues of calling for bid of medicines of some places, so clinical unable application. The later period dyspneal symptom that the patient often appears in cancer is not all that degree of saturation of oxygen is not enough to cause, so oxygen intake is unable to relieve dyspneal symptom. It verifies there is precise curative effect in alleviating the difficulty of this kind of breath in morphine to study early, but our country has not listed it in indication. " Yu ShiYing says, according to the basic medicine catalogue of palliative treatment which the international palliative treatment association made directly, include basic medicines of palliative treatment in the basic medicine catalogue of our country, not merely feasible, and help to make the more complete national basic medicine catalogue. As to international the intersection of palliative treatment and the intersection of palliative treatment and later period common the intersection of mouth and the intersection of do, many sweat,etc. and 5 symptom, patient of cancer, that does not involve under basic medicines that association make, Yu ShiYing says, mainly still lacks the simple, specific medicine because of treating these symptoms, the curative effect of medicine awaits the large-scale clinical trial to verify, or direct against different causes of disease of the same symptom, need to relieve symptom for different methods. But he says, the traditional traditional Chinese medicine of our country has already accumulated the clinical experiences of a large number of dialectical treatments. For example, do as to the mouth, many Khan is divided into timid card and real example dialectically symptom, can be offered different treatment to different diseases. Great Britain thinks in generation, though can playing a unique role still awaits the clinical trial in dealing with these difficult curing symptoms in traditional traditional Chinese medicine, but in the course of pursuing the basic medicines catalogue of palliative treatment that the international palliative treatment association makes, combine China's current situation and condition, set up the basic medicines catalogue of palliative treatment of cancer of our country, guarantee imperative that the cancer patient obtains and most basically relieves painful palliative treatment in vast later period.


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