Pain Relief Unit, Churchill Hospital, Oxford OX3 7LJ, UK.
Philos Trans R Soc Lond B Biol Sci. 2011 Jan 27;366(1562):268-75. doi: 10.1098/rstb.2010.0214.
The last three years have seen significant changes in the Defence Medical Services approach to trauma pain management. This article seeks to outline these changes that have occurred at every level of the casualty's journey along the chain of evacuation, from the point of injury to rehabilitation and either continued employment in the Services or to medical discharge. Particular attention is paid to the evidence for the interventions used for both acute pain and chronic pain management. Also highlighted are possible differences in pain management techniques between civilian and military casualties.
过去三年中，国防医疗服务部门在创伤疼痛管理方面的方法发生了重大变化。本文旨在概述这些变化，这些变化发生在伤员沿着后送链的各个环节，从受伤点到康复，无论是继续在部队服役还是因伤退役。特别关注用于急性疼痛和慢性疼痛管理的干预措施的证据。还强调了平民和军事伤员疼痛管理技术之间可能存在的差异。
