重症烧伤患者镇痛镇静治疗的研究进展

Research Progress of Analgesic and Sedative Treatment for Patients with Severe Burn

疼痛是烧伤患者的主要特征,重症烧伤患者的疼痛程度相对较重,需及时进行镇痛镇静治疗,否则会加重应激反应和炎症反应程度。目前对于重症烧伤患者多采用药物(芬太尼、丙泊酚等)镇痛镇静治疗,可减轻患者疼痛、提高治疗配合度,确保患者在相对平静的状态下进行创面清理与换药。此外,冷疗、音乐治疗、心理治疗等非药物疗法也具有镇痛镇静作用,且在重症烧伤患者治疗方面已取得一定进展。未来还应进一步拓展研究范围,探寻新的非药物镇痛镇静治疗方法,为重症烧伤患者的治疗提供新思路。

Pain is the main feature of burn patients.The degree of pain in severe burn patients is relatively serious,and timely analgesic and sedative treatment is required,otherwise it will aggravate the degree of stress response and inflammatory response.At present,most severe burn patients are treated with drugs(such as fentanyl,propofol,etc.)for analgesia and sedation,which can reduce the patients′pain,improve treatment coordination,and ensure that the wound cleaning and change dressing can be done in a relatively calm state of the patients.In addition,non-drug therapies such as cold therapy,music therapy and psychotherapy also have analgesic and sedative effects,and have made some progress in the treatment of severe burn patients.In the future,we should further expand the research scope,explore new non-drug analgesic sedative treatment methods,and provide new ideas for the treatment of severe burn patients.