Kawagoe Koh
Pallium.
Gan To Kagaku Ryoho. 2009 Dec;36 Suppl 1:1-4.
In Japan, a pain relief for terminally ill cancer patients has been improved greatly in the past twenty years owing to the appearance of several new opioids and manuals available, loosening the usage of opioids legally, and so on. Medical institutions including clinics which are involved in home palliative care have the knowledge and techniques in certain levels. Sixity-seven percent of such institutions have the ability to carry out the continuous subcutaneous morphine injection. Though very few, certain clinics can do the continuous subarachnoid morphine injection using subcutaneous indwelling port. Considering that home palliative care including pain control required a professional knowledge and techniques, it is necessary to establish a new system in the district which enables to provide the palliative care of high quality by a team in which palliative care clinic or PCC exists as the main medical center.
在日本，由于几种新型阿片类药物的出现、相关手册的问世以及阿片类药物合法使用的放宽等因素，晚期癌症患者的疼痛缓解状况在过去二十年中有了极大改善。包括参与居家姑息治疗的诊所在内的医疗机构具备一定水平的知识和技术。67%的此类机构有能力进行皮下持续吗啡注射。虽然数量很少，但某些诊所能够使用皮下留置端口进行蛛网膜下腔持续吗啡注射。鉴于包括疼痛控制在内的居家姑息治疗需要专业知识和技术，有必要在该地区建立一个新系统，以便由以姑息治疗诊所或姑息治疗中心（PCC）为主要医疗中心的团队提供高质量的姑息治疗。
