战伤疼痛等级评估与镇痛策略
Pain assessment of war wounds and analgesic strategies
陈艳 1马丽 2孙丽君 1李秀敏1
作者信息
- 1. 解放军总医院医疗保障中心药剂科,北京 100853
- 2. 解放军总医院第七医学中心麻醉科,北京 100700
- 折叠
摘要
疼痛是五大生命体征之一,是战创伤伤员最主要的并发症,镇痛是战伤救治的重要内容.美军《战术战伤救治指南》明确了分级镇痛药物的使用策略.该文综述了疼痛等级评估路径,包括根据伤类伤情初步评判、主观感受量化评估和客观监测量化评估疼痛等级,分析了常用的镇痛策略,镇痛药物包括局部麻醉药、非甾体镇痛药、阿片类、N-甲基-D-天冬氨酸受体拮抗剂等,镇痛技术包括区域神经阻滞、神经射频、神经毁损、脊髓电刺激技术等,为我军完善疼痛管理手段,提升战伤救治能力提供了有益参考.
Abstract
Pain is one of the five vital signs,and the leading complication of war trauma,so analgesia is critical to combat casualty care.The U.S.Tactical Combat Casualty Care guidelines have defined the battlefield graded analgesic strategies.This paper reviews the assessment of pain grade of war wounds,involving the preliminary evaluation according to categories and conditions of trauma,and the quantitative evaluation according to subjective feeling and objective index monitoring.The analgesic strategies are analyzed,involving such as analgesic drugs local anesthetics,non-steroidal analgesics,opioids,N-methyl-D-aspartate receptor antagonists,and such analgesic techniques as regional nerve block,nerve radiofrequency,nerve ablation and spinal cord electrical stimulation technology.This review is expected to provide a useful reference for improving pain management and war injury treatment in China's army.
关键词
战伤救治/疼痛评估/镇痛策略Key words
combat casualty care/pain assessment/analgesic strategy引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据