Richardson C, Upton D
Primary Care Division, School of Nursing, Midwifery and Social Work, University of Manchester, UK.
J Wound Care. 2010 Oct;19(10):424,426-30. doi: 10.12968/jowc.2010.19.10.79089.
Evidence has been developing about the potential analgesic effects of wound dressings. Several theories have been formulated as to how a dressing placed over a wound might contribute to pain relief. This paper reviews these potential mechanisms. In all, 10 are discussed here, most of which will probably overlap, leading to a high degree of complexity and interdependence. The psychological components inherent in the biopsychosocial model of pain make a key contribution to any analgesic effects that occur following dressing application. The 10 mechanisms identified in this paper will need significant and rigorous testing to determine which, if any, can be confirmed as analgesic.
关于伤口敷料潜在的镇痛作用，已有越来越多的证据。关于覆盖在伤口上的敷料如何有助于缓解疼痛，已经形成了几种理论。本文回顾了这些潜在机制。本文共讨论了10种机制，其中大多数可能相互重叠，导致高度的复杂性和相互依赖性。疼痛的生物心理社会模型中固有的心理成分，对敷料应用后产生的任何镇痛作用都起着关键作用。本文确定的10种机制需要进行大量严格的测试，以确定哪些（如果有的话）可以被确认为具有镇痛作用。
