缓和医疗在癌症儿童患者中的研究应用进展

doi:10.12372/jcp.2025.24e1337

摘要/Abstract

摘要：

缓和医疗作为一种有效提高癌症患者及其家属生活质量的方法，在我国儿童及青少年患者中仍处于破冰阶段。目前儿童及青少年群体接受缓和医疗的比例较低，尚缺乏对既往有关儿童恶性肿瘤患儿的临终关怀方法的研究应用的有效整合，暂无明确的干预标准、统一的疾病不同进展阶段患儿相对应的缓和医疗指南。本文系统、全面地介绍了缓和医疗在儿科中的起源和发展，探讨了缓和医疗在改善肿瘤患儿生活质量、提高沟通及决策效率、降低住院成本等方面的作用，以及简要概述了缓和医疗在肿瘤患儿中实际实施中的应用障碍，能够为我国缓和医疗的制定和实施提供一定的参考，并为儿童癌症患者深入开展缓和医疗提供借鉴。

关键词: 缓和医疗, 临终关怀, 癌症, 恶性肿瘤, 儿童

Abstract:

Palliative care, as an effective method to improve the quality of life of cancer patients and their families, is still in the ice-breaking stage among children and adolescent patients in China. Currently, the percentage of pediatric and adolescent patients receiving palliative care remains low. There is still a lack of effective integration of previous research applications on end-of-life care methods for children with malignant tumors in children. Clear intervention standards are yet to be established, or unified guidelines for palliative care corresponding to children at different stages of disease progression. This article meticulously and comprehensively outlines the origins and evolution of palliative medicine within pediatrics, exploring how palliative care enhances the quality of life for pediatric oncology patients, streamlines communication and decision-making processes, and diminishes hospitalization expenses, as well as briefly outlining the barriers to the practical implementation of palliative care in children with oncology. This paper can provide some reference for the development and implementation of palliative care in China, and provide a reference for the in-depth implementation of palliative care for children with cancer.

Key words: palliative care, hospice care, cancer, malignant tumors, child

刘福惠, 刘福泽, 吕祖芳. 缓和医疗在癌症儿童患者中的研究应用进展[J]. 临床儿科杂志, 2025, 43(5): 389-394.

LIU Fuhui, LIU Fuze, LYU Zufang. Research progress on application of palliative care in pediatric patients with cancer[J]. Journal of Clinical Pediatrics, 2025, 43(5): 389-394.

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