顺“疼”摸瓜创新理念及其在创伤骨科中的应用

Innovative concept of following the"pain"to get the melon and its application in orthopedic trauma

疼痛是一种机体损伤或潜在损伤的防御性反应,也是创伤骨科中最常见的临床表现之一。在创伤骨科的临床诊疗中,疼痛对明确损伤病因和确定诊治方案至关重要。创伤后的急慢性疼痛不仅给患者带来身体上的痛苦,还可诱发多种并发症,若评估管理不当,极易造成漏诊和误治,延长治疗周期,影响生活质量。目前,疼痛对明确创伤骨科疾病诊断和指导治疗的管理尚缺乏规范的标准。张英泽院士团队针对疼痛评估不充分、病因分析不全面、诊断思维不缜密等问题,总结多种创伤骨科患者的疼痛特点,追本溯源,凝练出顺“疼”摸瓜这一创新理念,从而达到快速精确诊断和早期治疗的目的。笔者对顺“疼”摸瓜创新理念的内涵及其在创伤骨科中的应用进行阐述,探讨这一创新理念的应用价值,实现创伤骨科疾病的快速精确诊断,为制订合理诊治方案提供参考。

Pain is a defensive response to body injury or potential injury,and is also the most common clinical manifestations in orthopedic trauma.Pain is critical to determine the causes of injury and therapeutic plans in the diagnosis and treatment of orthopedic trauma.Post⁃traumatic acute and chronic pain not only brings physical pain to patients,but also induces a variety of complications.Moreover,improper evaluation and management of pain can easily lead to missed diagnosis and misdiagnosis,thus prolonging the treatment cycle and affecting the quality of life.At present,the management of pain has no normative standard in the diagnosis and management of orthopedic trauma.Academician Zhang Yingze′s team has summarized the pain characteristics of various orthopedic trauma patients,traced back to the sources,and conduced the innovative concept of"pain"to get the melon to address issues such as insufficient pain assessment,incomplete etiology analysis and inadequate diagnostic thinking,hoping to achieve rapid and accurate diagnosis and early treatment.The authors elaborate on the connotation of the innovative concept of"pain"to get the melon and its application in clinical orthopedic trauma,aiming to explore the application value of this innovative concept,achieve rapid and accurate diagnosis of orthopedic trauma and provide a reference for formulating reasonable diagnosis and treatment programs.