义乌首例！癌痛终极武器来了！鞘内泵为晚期癌痛患者带来巨大福音！
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics.app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <p class="empty_paragraph" style="text-align: center;"> </p><section style="font-size: 15px; line-height: 1.5;"><section style="line-height: 2.5;"><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #6a3e3e;">癌痛，闻之色变。</span></p><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #6a3e3e;">癌痛是由于恶性肿瘤引起的疼痛，特别是晚期癌性疼痛程度激烈，会让不少患者痛不欲生，</span><span style="color: #6a3e3e; text-decoration: underline;"><strong>消耗体力的同时，也严重影响了他们抵抗肿瘤及面对生活的信心</strong></span><span style="color: #6a3e3e;">。严重癌痛往往会</span><span style="color: #6a3e3e; text-decoration: underline;"><strong>伴随失眠、食欲减退、疲劳和乏力，还可能会出现恐惧、焦虑等心理问题</strong></span><span style="color: #6a3e3e;">。</span></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FnC77uP0nTWq4Odo996W8Tuosi73" /></section></section><section style="line-height: 2.5;"><p style="text-indent: 2em; text-wrap: wrap;"><strong><span style="text-indent: 2em; color: #ff0000;">日前，义乌市中心医院成功完成全市首例针对难治性癌痛的鞘内镇痛泵植入术</span></strong><span style="color: #6a3e3e; text-indent: 2em;">，手术将一个持续泵药的装置植入患者体内，将镇痛药物通过管道直接给药至蛛网膜下腔，直接作用于脊髓上，从而安全有效地达到为晚期癌痛患者进行镇痛的目的。</span></p><p style="text-indent: 2em; text-wrap: wrap;"><strong><span style="color: #ff0000;">这是癌痛精准治疗的又一次新尝试，为更多晚期癌痛患者提高生活质量带去了福音。</span></strong></p></section><p style="text-wrap: wrap;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Fg-KrOeLAPv5HNqNpVXtqDzmcXx5" /></section></section><section style="line-height: 2.5; direction: ltr;"><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #6a3e3e;">柳奶奶（化名）今年77岁，肝恶性肿瘤术后一年余，骨继发恶性肿瘤，长期服用阿片类药物止痛治疗，但疼痛控制欠佳，生活质量较低。在综合评估患者病情后，为了有效减轻患者痛苦，疼痛科决定为老人实施</span><span style="text-decoration: underline;"><strong><span style="color: #ff0000;">鞘内镇痛泵植入术</span></strong></span><span style="color: #6a3e3e;">。</span></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Fh5HWSy3AcDS03bqnyz_eRm2H9hO" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center;"><p><strong>▲ 鞘内泵植入示意图</strong></p></section><section style="line-height: 2.5;"><p style="text-indent: 2em; text-wrap: wrap;"><span style="text-indent: 2em; color: #6a3e3e;">疼痛科副主任（主持工作）、主任医师周阳介绍，<strong>植入式鞘内药物输注系统</strong>（IDDS，俗称：鞘内泵）已被众多高质量文献证实为难治性癌痛的有效镇痛手段。</span></p><p style="text-indent: 2em; text-wrap: wrap;"><span style="text-indent: 2em; color: #6a3e3e;">其优势在于</span><strong style="text-indent: 2em;"><span style="color: #ff0000;">创伤小、用药量少、副作用小</span></strong><span style="text-indent: 2em; color: #6a3e3e;">等优点，<strong>可安全有效的减轻癌性疼痛，降低全身阿片类药物毒性，同时还可使患者精神状态、躯体功能、生活质量及预期生存周期得到相应改善。</strong></span></p></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: bottom; width: 19%; align-self: flex-end; flex: 0 0 auto; border-radius: 99%; overflow: hidden; padding: 6px; height: auto; border: 2px solid #6bbbfd;"><section style="line-height: 0; text-align: center;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 99%; overflow: hidden;"><img style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FkxPIz9sWYZXdIUTkZOieV7bYjOc" /></section></section></section><section style="display: inline-block; vertical-align: bottom; width: 50%; align-self: flex-end;"><section style="justify-content: flex-start; display: flex; flex-flow: row; margin-bottom: 7px;"><section style="display: inline-block; vertical-align: bottom; width: 18px; align-self: flex-end; flex: 0 0 auto; height: auto; margin-right: -3px; margin-bottom: -1px;"></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; min-width: 5%; flex: 0 0 auto; height: auto;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; padding-right: 7px; align-self: flex-end;"><section style="font-size: 18px;"><section style="display: inline-block; background-color: #fb7e6d; width: 1.8em; height: 1.8em; line-height: 1.8em; border-radius: 100%; margin-left: auto; margin-right: auto; font-size: 11px; color: #ffffff; border: 1px solid #fb7e6d;"><p> </p></section></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 0 0 auto; background-image: linear-gradient(90deg, #fd7e6b 0%, #6bbbfd 87%); min-width: 5%; height: auto; padding-right: 9px; padding-left: 9px;"><section style="text-align: justify; color: #ffffff; font-size: 18px;"><p style="text-wrap: wrap;"><strong>鞘内泵植入术全过程</strong></p></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: flex-end; padding-left: 8px;"><section style="text-align: justify; font-size: 9px; line-height: 1.2;"><p style="text-wrap: wrap;"> </p></section></section></section></section></section></section></section><section style="transform-origin: left top;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 4px; margin-bottom: 5px;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: center;"><section style="display: flex; width: 100%; flex-flow: column;"><section style="transform: rotateZ(19deg) rotateX(31deg) rotateY(326deg); transform-origin: center center; z-index: 1;"><section style="justify-content: center; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; min-width: 5%; height: auto;"><section style="z-index: auto;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: middle; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; padding-right: 5px; padding-left: 5px; border-radius: 6px; overflow: hidden; background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%);"><section style="text-align: center;"><section style="font-size: 17px; color: #ffffff;"><p><strong>术前标记</strong></p></section></section></section></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%); height: 2px;"></section></section></section></section></section><section style="line-height: 0; text-align: right;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 89%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Fqw0wQH0S7JK40EECaghxmZllgbk" /></section></section><section style="line-height: 0; text-align: right; margin-top: 10px;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 89%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Fg3hJvueaHQ7pEYw3yKsnCiAyx26" /></section></section><p style="text-wrap: wrap;"> </p><section style="transform-origin: left top;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 4px; margin-bottom: 5px;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: center;"><section style="display: flex; width: 100%; flex-flow: column;"><section style="transform: rotateZ(19deg) rotateX(31deg) rotateY(326deg); transform-origin: center center; z-index: 1;"><section style="justify-content: center; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; min-width: 5%; height: auto;"><section style="z-index: auto;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: middle; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; padding-right: 5px; padding-left: 5px; border-radius: 6px; overflow: hidden; background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%);"><section style="text-align: center;"><section style="font-size: 17px; color: #ffffff;"><p><strong>穿刺</strong></p></section></section></section></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%); height: 2px;"></section></section></section></section></section><section style="line-height: 0; text-align: right;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 89%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FkjD6o0wfMn5O1IvV1atL8Tn4ta4" /></section></section><section style="line-height: 0; text-align: right; margin-top: 10px;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 89%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Fv92QwTrSA8nQqAVhj82BEY4g1Sf" /></section></section><p style="text-wrap: wrap;"> </p><section style="transform-origin: left top;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 4px; margin-bottom: 5px;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: center;"><section style="display: flex; width: 100%; flex-flow: column;"><section style="transform: rotateZ(19deg) rotateX(31deg) rotateY(326deg); transform-origin: center center; z-index: 1;"><section style="justify-content: center; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; min-width: 5%; height: auto;"><section style="z-index: auto;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: middle; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; padding-right: 5px; padding-left: 5px; border-radius: 6px; overflow: hidden; background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%);"><section style="text-align: center;"><section style="font-size: 17px; color: #ffffff;"><p><strong>建立隧道</strong></p></section></section></section></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%); height: 2px;"></section></section></section></section></section><section style="line-height: 0; text-align: right;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 89%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FuNA-qDfd9telt7PMjQcLiuVWpg1" /></section></section><p style="text-wrap: wrap;"> </p><section style="transform-origin: left top;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 4px; margin-bottom: 5px;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: center;"><section style="display: flex; width: 100%; flex-flow: column;"><section style="transform: rotateZ(19deg) rotateX(31deg) rotateY(326deg); transform-origin: center center; z-index: 1;"><section style="justify-content: center; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; min-width: 5%; height: auto;"><section style="z-index: auto;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: auto; vertical-align: middle; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; padding-right: 5px; padding-left: 5px; border-radius: 6px; overflow: hidden; background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%);"><section style="text-align: center;"><section style="font-size: 17px; color: #ffffff;"><p><strong>制作囊袋</strong></p></section></section></section></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="background-image: linear-gradient(90deg, #10cfd7 13%, #1980c9 88%); height: 2px;"></section></section></section></section></section><section style="line-height: 0; text-align: right; margin-top: 5px;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 89%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FmXS-9g1U8ZG7UtUBqZFEZQnPXt8" /></section></section><section style="line-height: 0; text-align: right; margin-top: 10px;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 89%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Fmcv7DeC4g2ZaLd7MOdE37YpDCi8" /></section></section><p style="text-wrap: wrap;"> </p><section style="line-height: 2.5;"><p style="text-indent: 2em; text-wrap: wrap;"><span style="text-indent: 2em; font-size: 17px;"><strong><span style="color: #ff0000;">鞘内泵技术</span></strong></span><span style="text-indent: 2em; color: #6a3e3e;">就是通过两个2cm左右的微创切口，在患者椎管内植入一个输注通道，把通道另一端的输注港放到患者的胸腹部皮下。通过体外连接智能化镇痛泵</span><strong style="text-indent: 2em;"><span style="color: #ff0000;">让镇痛药“一路畅通”抵达“目的地”直接作用于脊髓</span></strong><span style="text-indent: 2em; color: #6a3e3e;">，只需</span><strong style="text-indent: 2em;"><span style="color: #ff0000;">口服药物1/300的剂量、静脉药量的1/100</span></strong><span style="text-indent: 2em; color: #6a3e3e;">，就可以达到同等镇痛效果、并且几乎没有明显的不良反应，</span><strong style="text-indent: 2em;"><span style="color: #ff0000;">更安全、更高效地为顽固性疼痛患者进行镇痛</span></strong><span style="text-indent: 2em; color: #6a3e3e;">的一种方法。</span></p><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #6a3e3e;">术后，柳奶奶的疼痛得到有效缓解，并根据其疼痛情况及时调整给药量，其生活质量得到明显改善。</span></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Foz4Vbfo56gcB4qIkDjJ0eBb5O0E" /></section></section><section style="line-height: 2.5;"><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #6a3e3e;">周阳表示，柳奶奶的情况，仅仅是众多晚期恶性肿瘤患者的一个缩影，相关数据显示，很多肿瘤疼痛患者存在中至重度的疼痛，其中大约有20%左右的患者应用传统的“三阶梯”药物治疗无法缓解，甚至还出现严重的恶心呕吐及便秘等不良反应。</span><strong><span style="color: #ff0000;">“针对难治性癌痛的患者，如何控制好疼痛以及并发症状，是这一阶段迫切需要解决的问题。”</span></strong></p></section><p style="text-wrap: wrap;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-image: linear-gradient(#a6d2fe 13%, rgba(166, 210, 254, 0) 88%); padding: 20px;"><section style="justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: center; margin-right: -28px; z-index: 1;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 35px; height: auto;"><img style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/Fhq9IAoV_2WG-dw287Iagg9Gvq1d" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; background-color: #ffffff; box-shadow: #81868c 3px 3px 5px 0px; border-radius: 50px; overflow: hidden; padding: 5px 20px; height: auto; margin-left: 10px;"><section style="text-align: center; font-size: 17px; color: #1e69ce; letter-spacing: 2px;"><p><strong>鞘内泵适应症</strong></p></section></section></section><section style="text-align: justify;"><p style="text-wrap: wrap;"> </p></section><section style="text-align: justify; line-height: 2.5;"><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #3e3e3e;">1、中重度难治性癌痛，三阶梯治疗效果不佳的中晚期恶性肿瘤患者，鞘内吗啡泵已成为这类患者的第四阶梯治疗；</span></p><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #3e3e3e;">2、采用三阶梯治疗出现阿片类药物严重不良反应，如剧烈恶心、呕吐、便秘、精神障碍等；</span></p><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #3e3e3e;">3、消化道肿瘤或晚期癌症患者出现或可能胃肠道梗阻，药物吸收障碍；</span></p><p style="text-indent: 2em; text-wrap: wrap;"><span style="color: #3e3e3e;">4、顽固性非癌性疼痛如带状疱疹后遗痛、骨质疏松、腰椎手术后神经痛、复杂性区域疼痛综合征等。</span></p></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: bottom; width: 19%; align-self: flex-end; flex: 0 0 auto; border-radius: 99%; overflow: hidden; padding: 6px; height: auto; border: 2px solid #6bbbfd;"><section style="line-height: 0; text-align: center;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 99%; overflow: hidden;"><img style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FomMbs83NvxS_2XudrUayXQH5RNv" /></section></section></section><section style="display: inline-block; vertical-align: bottom; width: 50%; align-self: flex-end;"><section style="justify-content: flex-start; display: flex; flex-flow: row; margin-bottom: 7px;"><section style="display: inline-block; vertical-align: bottom; width: 18px; align-self: flex-end; flex: 0 0 auto; height: auto; margin-right: -3px; margin-bottom: -1px;"></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; min-width: 5%; flex: 0 0 auto; height: auto;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: bottom; width: auto; 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line-height: 1.2;"><p style="text-wrap: wrap;"> </p></section></section></section></section></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FpvVP0KQxA7dDqU2CZAFCZ8JU61-" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pics.app.cnyw.net/FksIC8Cko2hvEvpD78XqvnA8V3_W" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; 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font-size: 16px; font-variant-numeric: normal; font-variant-east-asian: normal; color: #6a3e3e; letter-spacing: 0.544px; text-align: left; line-height: normal;"> </p></section></section></section><p style="display: none;"> </p> <!----></div> 好好好 ，，，， 看看 点赞
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