缓和医疗中缓和镇静的研究进展
Journal of Clinical Anesthesiology(2021)
Abstract
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.
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