Acute pain
Acute pain
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DOI：
10.1016/s0140-6736(99)03313-9
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发表时间：
1999-06-12
期刊：
影响因子：
168.9
通讯作者：
Goudas, LC
中科院分区：
文献类型：
--
作者：
Carr, DB;Goudas, LC
过去，感觉后监护室常常回响着全身麻醉后病人痛苦的哭声。只有在外科医生或麻醉师的许可下，才能按需给予镇痛剂。一旦清醒，要求患者要求每次后续镇痛剂给药，直至出院。毫不奇怪，近一半的手术患者在手术后经历中度至重度疼痛。急性疼痛控制已经取得了显着进展，现在是一个专门的文本，期刊和研究领域。尽管改进的手术技术已经将许多手术转变为当天手术，但控制不充分的疼痛仍然可能延长住院时间，并容易发生昂贵，耗时的并发症，如肺炎。认识到疼痛控制的经济和人道主义利益，引起了全世界专业团体，保险公司和政府的关注。本文介绍了急性疼痛的过程和措施，以控制它与药物或非药物干预。即使是短暂的急性疼痛也会引起长期的神经元重塑和敏化（“可塑性”）、慢性疼痛和持久的心理困扰。因此，急性疼痛和其他类型的疼痛（癌症相关或慢性）被分类为不同的实际上有许多相似之处。
Postanaesthesia care units used to echo with cries of patients in pain after general anaesthesia. Each as-needed dose of analgesia was given only after permission of the surgeon or anaesthesiologist. Once conscious, patients were required to request each subsequent analgesic dose until hospital discharge. Not surprisingly, nearly half the patients who have an operation experience moderate to severe pain after surgery. Acute pain control has advanced dramatically and is now a field with dedicated texts, journals, and research. Despite improved surgical techniques that have transformed many operations into same-day procedures, inadequately controlled pain may still extend the length of hospital stay and predispose to expensive, time-consuming complications such as pneumonia. Recognition of economic and humanitarian benefits of pain control has prompted worldwide attention from professional groups, insurers, and governments. This paper describes the process of acute pain and measures to control it with drugs or non-pharmacological interventions. Even brief intervals of acute pain can induce long-term neuronal remodelling and sensitisation ("plasticity"), chronic pain, and lasting psychologial distress. Hence, acute pain and other types of pain (cancer-related or chronic) that are classified as distinct actually have many similarities.