烧伤临床救治必修课：疼痛与镇痛

聂发传

doi:10.3760/cma.j.cn501225-20251014-00428

烧伤临床救治必修课：疼痛与镇痛

doi: 10.3760/cma.j.cn501225-20251014-00428

聂发传^,

重庆医科大学附属第三医院（方大医院）疼痛科,重庆　401120

详细信息

通讯作者:
Email：fachuan_nie@sina.com

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出版历程
- 收稿日期: 2025-10-14
- 网络出版日期: 2026-03-03

A compulsory course in clinical treatment in burn patients: pain and analgesia

Nie Fachuan^,

Department of Pain Care, the Third Affiliated Hospital of Chongqing Medical University (Fangda Hospital), Chongqing 401120 Email:fachuan_nie@sina.com

摘要

摘要: 该文以近年来麻醉学、疼痛学专业在应对急性、慢性疼痛方面的进步为基础,对烧伤临床中的疼痛与镇痛问题进行了阐述,并提出了系统性的建议。进一步地介绍了烧伤疼痛中的神经病理性痛相关知识、深度镇痛镇静的风险和策略、非甾体类消炎镇痛药和阿片类药物各自使用的优点和不足。特别强调了老年和小儿患者疼痛管理的特殊性。对于“无痛烧伤科”建设这个造福患者并有利学科建设的重要问题,提出了比较具体的实施方案。
- 烧伤 /
- 疼痛 /
- 镇痛 /
- 创面 /
- 非甾体消炎镇痛药 /
- 中枢性镇痛药 /
- 无痛烧伤科
Abstract: Based on the advancements in anesthesiology and pain medicine in recent years in addressing acute and chronic pain, this article expounds on the issues of pain and analgesia in burn clinical practice and provides systematic recommendations. It introduces knowledge related to neuropathic pain in burn patients, the risks and strategies of deep analgesia and sedation, as well as the respective advantages and disadvantages of non-steroidal anti-inflammatory drugs and opioids. Special emphasis is placed on the specificity of pain management in elderly and pediatric patients. A relatively specific implementation plan is proposed for the construction of a " pain-free burn unit," which is an important issue that benefits both patients and facilitates the development of the discipline.
- Burns /
- Pain /
- Analgesia /
- Wound /
- Non-steroidal anti-inflammatory drugs /
- Central analgesics /
- Pain-free burn unit

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参考文献(33)

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