Berben Sivera A A, Meijs Tineke H J M, van Dongen Robert T M, van Vugt Arie B, Vloet Lilian C M, Mintjes-de Groot Joke J, van Achterberg Theo
Accident & Emergency Department, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Injury. 2008 May;39(5):578-85. doi: 10.1016/j.injury.2007.04.013. Epub 2007 Jul 20.
Acute pain in the A&E department (ED) has been described as a problem, however insight into the problem for trauma patients is lacking.
This study describes the prevalence of pain, the pain intensity and the effect of conventional pain treatment in trauma patients in the ED.
In a prospective cohort study of 450 trauma patients, pain was measured on admission and at discharge, using standardized and validated pain instruments.
The prevalence of pain was high, both on admission (91%) and at discharge (86%). Two thirds of the trauma patients reported moderate or severe pain at discharge. Few patients received pharmacological or non-pharmacological pain relieving treatment during their stay in the ED. Pain decreased in 37% of the patients, did not change at all in 46%, or had increased in 17% of the patients at discharge from the ED. The most effective pain treatment given was a combination of injury treatment and supplementary pharmacological interventions, however this treatment was given to a small group of patients.
Acute pain in trauma patients is a significant problem in the ED's. Pain itself does not seem to be treated systematically and sufficiently, anywhere in the cycle of injury treatment in the ED.
急诊部门的急性疼痛已被视为一个问题，但对于创伤患者这一问题的了解尚缺。
本研究描述了急诊创伤患者的疼痛发生率、疼痛强度以及传统疼痛治疗的效果。
在一项针对450名创伤患者的前瞻性队列研究中，使用标准化且经过验证的疼痛评估工具在入院时和出院时测量疼痛程度。
疼痛发生率很高，入院时为91%，出院时为86%。三分之二的创伤患者在出院时报告有中度或重度疼痛。很少有患者在急诊期间接受药物或非药物止痛治疗。出院时，37%的患者疼痛减轻，46%的患者疼痛完全没有变化，17%的患者疼痛加重。最有效的疼痛治疗方法是损伤治疗与辅助药物干预相结合，但接受这种治疗的患者较少。
创伤患者的急性疼痛在急诊部门是一个重大问题。在急诊损伤治疗的整个过程中，疼痛本身似乎并未得到系统且充分的治疗。
