The difficult problem of pain discipline three waits to solve

The difficult problem of pain discipline three waits to solve
The difficult problem of pain discipline three waits to solve
Staff reporter cub reporter Wang Dan sweet Beibei According to World Health Organization, nearly there are 5,500,000 people (account for 60%~80% of the cancer patient of later period) every day in the whole world at present Stand the cancer torment aching. Study to reveal, the insomnia rate of the pain patient is about 27%, rate is about 49% that the social activity can lose, the depression morbidity is about 60%. The expert points out, though pain has already been considered as the fifth major life physical sign and received the extensive concern, but our country pains medical scientific development is still at the starting stage at present. On the sixth " of October 11 The world eases pain on day " While coming, have interviewed the relevant expert in current situation of the development of discipline that the reporter has pained at present. Pain is diagnosed to lack the fourth army medical university of standard to pain biomedical chief of research institute Professor Chen Jun tells reporters, because our country has not formed the medical organization that ripe concentration accepted the chronic pain patient for medical treatment yet, so it is difficult to investigate chronic pain epidemiology in many centres. But the chronic pain is the elderly's main symptom and physical sign, diabetes peripheral neuralgia, old age getting dull-witted to ache and Parkinson disease ache and gout, the intersection of waist and the intersection of leg and the intersection of person who ache and issue enter the senilization society in our country ' Population exceeds 14%) accounting for total proportions of people over 60 And then stress more than the other countries. So, can estimate in advance, pain will become one of the important medical problems that our country must be faced in the future. Professor Chen Jun says, in the clinical diagnosis of pain at present, biochemistry of still lacking the blood, humoral etc. examines the specific index, organize pathology to lack the diagnostic standard while being micro- in pathology on the whole. Meanwhile, though such inspection means as the nerve image of the function is studied can be assisted and diagnosed pain, but so far in the world still with the visual simulation scale (VAS) Wait for the form to carry on determining the nature and quantitative diagnosis. However, because culture and education level of our country exists and is deficient, different crowd's understanding of questionnaire and point scale has a difference, make the diagnosis of pain fall into " The mire " . In addition, in the course of treating, though the radio frequency melts, in the brain (spinal) The electricity is stimulated,etc. clinical therapeutic method can make certain curative effect, but because the former is a getting involved treatment to the ill, the latter lacks long-term curative effect and appraises and the price is too high, so it is difficult to use in clinic extensively. Clinical commonly used the intersection of opium and kind, non- the intersection of steroid and body resist the intersection of inflammation and medicine antalgesic, have certain side effect, and is only suitable for the acute pain and ease pain and treat in a short time. "So, all in all, make a diagnosis and give treatment to still remain clinically during the course of trying to find out and accumulating the experience in chronic pain of our country. Develop clinical diagnosis of all kinds of chronic pains of the suitable national conditions of our country and evaluation criterion of the curative effect, it is one of the national important demands to strengthen the basic research of the medical science domain of pain and clinical experimental study of many centres at the same time. " Professor Chen Jun says. Specialized personnel deficient to restrain from, develop, " influence and restrain our country from pain medical subject problem of development whether high level pain medical shortage of talent. " Professor Chen Jun tells reporters, estimated in accordance with minimum exigency, train 100 to have pain medical doctorate and 300 senior talents with medical master's degree of pain every year, could meet our country, pain medical basic research and need of the clinic diagnosis. For this reason, Professor Chen Jun proposes, sets up the biomedical research institute of pain in university and hospital where the scientific research condition is surging, divided into foundation and two clinical branched departments, form and use scientific research to bring along the mode of clinical development. It is introduced, on June 1, 2004, Capital University of Medical Sciences was criticized and set up the biomedical research institute of pain at first. In 2005, all the hospital set up the biomedical research institute of pain too in the fourth army medical university subsidiary Tang. In 2005, the committee of degree of the State Council accredited setting up discipline doctors of pain medical science second to authorize some independently under first class discipline of clinical medicine. In June of 2009, first batch of pain doctor of medicine, Master degree candidate in our country will graduate and finish the degree and reply, move towards clinical, indicate our country pain medical science professional degree authorize and personnel training and discipline build realizing from having to some qualitative leaps. Pain department wait, make a reservation 2007 accurately, Ministry of Public Health send out until " whether medical organization make a diagnosis subject register " increasing " pain department " The notice of subject of making a diagnosis, has sent out " licence " for the setting-up of the pain department . But how department have a foothold in clinical medicine pain and what the intersection of it and the intersection of correct development path,etc. and difficult problem, still puzzle hospital administrator and pain professional personnel so far. "In the past, the pain patient, in order to get effective making a diagnosis and giving treatment, turned into another department from an department blindly. Now, there can be several doctors and is jointly consulted about by a complicated difficult pain patient who treat. This is advantage of the pain department. " China pains and learns the president, academician of Chinese Academy of Sciences Korea S. how to help and grow explaining, pain is a new developing comprehensive discipline, such departments as staff members come from department of anesthesia, dept. of orthopedics, department of nerve internal medicine, department of neurosurgery, recover in the department. They have different foundations and ideas in respects such as the medical background, diagnosing the thinking, treatment means,etc.. Take treatment means as examples, the department of anesthesia relies mainly on creating invading a little and operating, dept. of orthopedics relies mainly on performing the operation, the department of nerve internal medicine relies mainly on taking medicine, recover in the department as the main fact by the physiotherapy. And many close cooperation, doctor of department, make common understanding, can make most reliable diagnosis and make most effective for the intersection of pain and patient fast cheap healing solution. Pain to some medical organization whom department face in establishment lack cause of disease, leader, pay attention to insufficient, standardization make a diagnosis with the experience of management of the ward demanding the problem of setting up etc. urgently, Guangzhou the intersection of city and the intersection of Red Cross and hospital pain the intersection of head of the department and the double Professor think, any door of clinical new disciplines will all go through the similar course. The pain department should strengthen the coordination and department's internal management among the departments on the initial stage of developing, make a reservation in the professional range accurately, set up discipline brand gradually. Give play to one's own advantage and characteristic technology, guarantee medical quality, perhaps will become prerequisite and developing road that the pain department survives.


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