疼痛专业临床药师在疼痛药物治疗管理中作用：以南京鼓楼医院为例

Role of pain pharmacist in pain medication management: a case study of Nanjing Drum Tower hospital

摘要:

本文以南京鼓楼医院的疼痛药物疼痛管理已成为全球性议题。近年来，国内外在构建多学科协作疼痛管理模式、信息化技术赋能疼痛干预等方面取得显著进展，推动疼痛管理从经验性向精准化、规范化方向转型。然而，当前国内疼痛管理实践仍普遍面临规范化路径不统一、智能化支撑体系薄弱、疼痛药师参与度不足等问题，疼痛药物治疗的精准化、规范化仍是亟待突破的重点方向。南京鼓楼医院正逐步构建并实施疼痛药师深度参与的全周期疼痛管理模式，其患者术后中重度疼痛发生率降至10%以下，平均术后24 h静息疼痛评分稳定在1.5分左右，患者满意度显著提高，并通过信息化手段覆盖全院急性疼痛、慢性疼痛、癌痛患者，管理效率大幅提高。本文结合南京鼓楼医院疼痛管理实践案例，进一步明确了疼痛药师深度参与的多学科协作模式在全周期疼痛管理中的价值，未来应着力于建立标准化的疼痛药师培养与认证体系，优化覆盖急性、慢性与癌痛全场景的智能决策支持系统，以推动我国疼痛管理向精准化、规范化目标迈进。

Abstract:

Pain management has become a global priority, marked by significant advances in multidisciplinary collaboration and information technology, which have shifted practice from experience-based to precision and standardization. Despite these gains, key challenges in China persist: inconsistent care pathways, immature intelligent systems, and low involvement from pain pharmacists. Achieving precision and standardized pain pharmacotherapy remains the central goal. Nanjing Drum Tower Hospital’s full-cycle pain management model, driven by pain pharmacists, exemplifies effective precision pain care. This approach has lowered moderate-to-severe postoperative pain rates to under 10%, stabilized pain scores, and raised patient satisfaction. Using information technology, acute, chronic, and cancer pain cases are efficiently managed for all inpatients. Based on the practical case of pain management at Nanjing Drum Tower Hospital, this paper further clarifies the value of a multidisciplinary collaborative model with pain pharmacists’ in-depth participation in full-cycle pain management. Moving forward, efforts should focus on establishing a standardized training and certification system for pain pharmacists and optimizing an intelligent decision-support system that covers all scenarios of acute pain, chronic pain, and cancer-related pain, thereby advancing pain management in China toward the goals of precision and standardization.