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| 缓和医疗中缓和镇静的研究进展 |
| Progress of palliative sedation in palliative care |
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| DOI：10.12089/jca.2021.07.024 |
| 中文关键词: 缓和医疗 缓和镇静 适应证 决策流程 |
| 英文关键词: Palliative care Palliative sedation Indications Decision-making process |
| 基金项目: |
| 作者 | 单位 | E-mail | | 黄光华 | 100730,中国医学科学院北京协和医学院,北京协和医院老年医学科 | | | 杨嘉年 | 100730,中国医学科学院北京协和医学院,北京协和医院老年医学科 | | | 刘红菊 | 100730,中国医学科学院北京协和医学院,北京协和医院麻醉科 | | | 宁晓红 | 100730,中国医学科学院北京协和医学院,北京协和医院老年医学科 | ningxh1973@foxmail.com | | 黄宇光 | 100730,中国医学科学院北京协和医学院,北京协和医院麻醉科 | |
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| 中文摘要: |
| 缓和镇静是缓和医疗中控制痛苦症状的最后手段。缓和镇静适用于处于终末期、已接受系统性缓和医疗服务、存在顽固性症状且该症状产生无法忍受痛苦的患者。缓和镇静存在严格的适应证和决策流程。但我国尚无相关指南出台，且医护人员对其认知欠缺。本文将汇总国内外相关文献，就缓和镇静国内外发展现状、定义、分类、适应证、规范决策流程和常用策略等进行综述，旨在为我国缓和镇静的规范应用提供参考。 |
| 英文摘要: |
| Palliative sedation is the last resort for symptom control in palliative care. It could be applied to terminal-stage patients with intractable symptoms which continuously induce intolerant pain even after receiving systematic palliative care. Palliative sedation has strict indications and decision-making processes. Nevertheless, no relevant guidelines have been issued in China, and medical staff may not fully understand the details of palliative sedation. Our study reviews the present development domestically and abroad, definition, categories, indications, decision-making processes and common strategies of palliative sedation, aiming to provide references for its standard use in China. |
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