摘要
创伤性疼痛是急诊创伤常见并发症,也是造成病情恶化与应激障碍的主要原因。镇痛治疗是解决创伤疼痛的主要措施,有利于缓解疼痛、改善预后,提高患者的救治成功率。创伤镇痛研究近年取得了巨大进步,已成为国际创伤研究领域的重点与热点。多模式镇痛是目前国际上主流的镇痛模式,因其镇痛效果显著、不良反应少被诸多学者推崇。但在国内急性创伤镇痛领域的推广应用还存在不少阻力与争议。本文通过综述多模式镇痛在创伤镇痛领域近年取得的成果,以期加强临床医师对急性创伤性疼痛的重视和提高对镇痛新理念的理解。
Pain is a common complication in trauma emergency care and the main cause of disease deterioration and stress disorder.Analgesic treatment is the main measure to relieve pain,which proves to be able to improve prognosis and increase the rescue success rate.As a focus and hot spot in trauma research worldwide,great progress has been made on trauma analgesia in recent years.Multimodal analgesia is currently the mainstream analgesic mode in the world,which is highly respected by many scholars because of its remarkable analgesic effect and few adverse reactions.However,there is still a lot of resistance and controversies on its application and promotion in China.This article reviews the recent achievements of multimodal analgesia in the field of trauma analgesia,aiming to remind emergency surgeons to pay more attention to acute traumatic pain and improve theiRunderstanding of the new concept of analgesia.
作者
郭栓柱
陈锦
穆盼盼
李天星
Guo Shuanzhu;Chen Jin;Mu Panpan;Li Tianxing(The First School of Clinical Medicine,Guangdong Medical University,Zhanjiang,Guangdong Province 524000,China;Department of Emergency,Yangjiang Hospital Affiliated to Guangdong Medical University,Yangjiang,Guangdong Province 529500,China)
出处
《创伤外科杂志》
2024年第12期946-950,共5页
Journal of Traumatic Surgery
基金
阳江市卫生健康局科技计划项目(阳卫健2023013)。
关键词
急性创伤
创伤性疼痛
多模式镇痛
镇痛策略
Acute trauma
Traumatic pain
Multimodal analgesia
Analgesic strategies