Girtler R, Gustorff B
Abteilung für Anästhesie und Intensivmedizin, Wilhelminenspital der Stadt Wien, Montleartstr. 37, 1160 Wien, Österreich.
Anaesthesist. 2011 Mar;60(3):243-50. doi: 10.1007/s00101-010-1835-2.
Burn injuries represent a severe form of acute pain. In spite of improvements in wound treatment and pain regimens during recent years, the management of burn pain still remains a common problem and a tremendous challenge for clinical staff. An efficient pain treatment plan contributes to a fast and uneventful course and is an important part of the therapeutic management by plastic surgeons, anesthesiologists, psychologists and physiotherapists. Extensive pharmacokinetic alterations, additional neuropathic components and multiple dressing changes or therapeutic procedures need a flexible and dynamic pain strategy. A standardized continuous pain assessment and documentation are a cornerstone of burn pain control. In addition to pharmacological methods non-pharmacological procedures can play an important role and should be started early during burn patient therapy.
烧伤是急性疼痛的一种严重形式。尽管近年来伤口治疗和疼痛治疗方案有所改进,但烧伤疼痛的管理仍然是一个常见问题,对临床工作人员来说也是一项巨大挑战。有效的疼痛治疗计划有助于病程快速且平稳,是整形外科医生、麻醉师、心理学家和物理治疗师治疗管理的重要组成部分。广泛的药代动力学改变、额外的神经病理性成分以及多次换药或治疗程序需要灵活且动态的疼痛策略。标准化的持续疼痛评估和记录是烧伤疼痛控制的基石。除药物治疗方法外,非药物治疗程序也可发挥重要作用,应在烧伤患者治疗早期就开始实施。