Sabatowski R, Schäfer D, Kasper S M, Brunsch H, Radbruch L
Pain Clinic, Department of Anesthesiology, University of Cologne, 50924 Cologne, Germany.
Curr Pharm Des. 2004;10(7):701-16. doi: 10.2174/1381612043452974.
Pain is a common experience of mankind. Pain theories and the management of pain have been modified throughout the history of mankind. This article gives a brief review on pain, pain believes and pain management from early magico-demonic and magico-religious ideas and procedures to more empiric-scientific models; from ancient times and primitive cultures to the 20th century. Due to new anatomical, physiological and biochemical insights, modern pain theories developed in the 19th and 20th century. Modern analgesics were synthesized and new invasive procedures were approved having a major impact on pain management strategies. However, older traditional beliefs and attitudes have not been replaced completely and have survived to some degree in modern patients.
疼痛是人类的一种常见体验。在人类历史进程中,疼痛理论和疼痛管理方法不断演变。本文简要回顾了疼痛、疼痛观念及疼痛管理的发展历程,涵盖从早期的魔法 - 恶魔及魔法 - 宗教观念与做法到更为实证 - 科学的模式;从古代和原始文化直至20世纪。由于在解剖学、生理学和生物化学方面有了新的见解,现代疼痛理论在19世纪和20世纪得以发展。现代镇痛药被合成出来,并批准了新的侵入性操作,这对疼痛管理策略产生了重大影响。然而,古老的传统观念和态度并未被完全取代,在现代患者中仍在一定程度上留存。