摘要
儿科重症监护病房（PICU）的多发性创伤患儿由于创面暴露损伤巨大，手术清创、换药频繁，加之各种侵袭性操作，机械通气，远离父母等，较其他普通病房患儿更加焦虑、恐惧和疼痛，虽然医护人员一再进行心理上的安慰，并提倡父母陪护等人性化治疗，但通常都需要使用药物治疗以减轻创伤患儿的应激反应。目前国际上多发性创伤患儿在ICU中镇静镇痛药的使用已日益普及，而国内由于医务人员对疼痛的重视程度和危害性缺乏认识，在ICU中仍然只强调治疗的安全性和有效性，而对患儿的舒适性重视不够。
出处
《中国实用儿科杂志》
CSCD
北大核心
2009年第12期919-922,共4页
Chinese Journal of Practical Pediatrics
参考文献12
-
1American Academy of Pedialrics, Committee on Fetus and Newborn, Committee on Drug. Section on Anesthesiology, Section on Surgery : Prevention and management of pain and stress in the neonate[J]. Pediarties, 2000, 105:454-461.
-
2American Aeademy of pediatrics, Committee on Psychosocial Aspeets of Child and Family Health. the assessment and management of acute pain in infants, children, and adnlescents [J ]. Pediatrics, 2000,108 : 793-797.
-
3Bursch B. Zeltzer LK. Pediatric pain management [ M ]//Behrman RE, Kliegman RM, Jensan HB. Nelson textbook of pediatrics. 17th ed. Saunders Imprint Elsevier Sci, 2004: 358-365.
-
4Zempsky WT, Schechter NL. What' s new in the management of pain in children[J]. Pedialr Rev, 2003, 24(10) :337-347.
-
5Polaner DM. Sedation-analgesia in the pediatric intensive care unit[J]. Pediatr Clin North Am, 2001,48(3) :695-715.
-
6Esau R. British Columbia' s Children' s Hospital pediatric drug dosage guidelines [ M ]. 4th ed. Department of pharmacy children ' s and Women' s Health Centere of British Columbia , Vancouver, BC, 2003. 233-241.
-
7Algren JT, Algren CL. Management of procedural and perioperative pain in ehiMren[M ]//Weiner RS. Pain management:a practical guide for clinicians. CRC Press LLC, 2002. 477-490.
-
8Tobias JD. Tolerance, withdrawal, and physical dependency after long-term sedation and analgesia of children in the pediatric intensive care unit [J]. Crit Care Med, 2000, 28 (6) : 2122-2132.
-
9Petrack EM, Christopher NC, Kriwinsky J. Pain management in the emerygency department : Patterns of analgesic utilization [J ]. Pediatrics, 1997,99:711-714.
-
10Joseph MH, Brill J, Zehzer LK. Pediatric pain relief in trauma[J]. Pediat Res, 1999,20(3):75-83.
同被引文献8
-
1赵再召,刘燕萍.小儿多发伤32例急救与护理[J].浙江预防医学,2006,18(10):51-52. 被引量：1
-
2朱义用,汪建良,许科峰,卢锋,徐东升.创伤性失血性休克的救治探讨[J].中华创伤杂志,2006,22(10):785-786. 被引量：22
-
3戚文涛,刘冬,王刚,赵海松.创伤失血性休克的急救护理[J].中国误诊学杂志,2007,7(6):1358-1359. 被引量：20
-
4Millham FH,LaMorte WW. Factors associated with mortality in trauma:Revaluation of the TRISS method using the National Trauma Data Bank[J].J Trauma,2004,56(5) :1090-1096.
-
5Dyregrov A, Yule W. A review of PTSD in children[J]. Child AdolescentMental Health,2006,11(4) = 176-184.
-
6祝振媛.阅读疗法在儿童创伤心理治疗的应用初探[J].晋图学刊,2010(1):36-39. 被引量：17
-
7苏远红,姚锦辉,刘旺林,刘同刚,郭少卿.严重多发伤232例救治体会[J].中国医药导报,2011,8(24):144-145. 被引量：4
-
8王正国.多发伤的救治[J].中华创伤杂志,2004,20(1):1-3. 被引量：280
-
1张黄丽,赵秀琴.硬膜外麻醉不同阻滞平面加辅助用药对SpO_2和PETCO_2的影响[J].实用医技杂志,2001,8(11):859-860. 被引量：1
-
2王向兵,唐桂萍,刘炜,吴春峰.右美托咪定联合芬太尼对颈丛阻滞下甲状腺手术患者循环及血糖的影响[J].中国基层医药,2012,19(8):1211-1212. 被引量：1
-
3张宏.老年患者术后镇静镇痛药的合理选择[J].实用老年医学,2000,14(4):187-189. 被引量：8
-
4王亚平,王新春,熊采亮,沈成华.负压封闭引流治疗大面积软组织创伤14例的临床效果观察[J].感染．炎症．修复,2011,12(2):113-114. 被引量：2
-
5曹彬.前列腺炎的人性化治疗[J].中国性科学,2006,15(5):14-14.
-
6林楠,谢少锋,郑秀莲,蔡丹薇.心理干预在减轻甲状腺手术时恐惧和疼痛的作用[J].医学临床研究,2004,21(8):882-883. 被引量：9
-
7蔡栩栩.严重脓毒症及脓毒性休克时的糖皮质激素应用[J].中国小儿急救医学,2007,14(6):482-484.
-
8蒋克东,毛丽,张莎,叶丰力.硬膜外阻滞下静脉辅用镇静镇痛药对呼吸的影响[J].贵阳医学院学报,2003,28(3):243-244.
-
9郑朝阳,王锡静,梁民.腰-硬联合麻醉在妇科手术中的应用[J].内蒙古中医药,2009,28(9):57-58.
-
10邓燕忠.丙泊酚复合曲马多进行人工流产的临床观察[J].医药论坛杂志,2011,32(18):48-49.
