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[急诊科的急性疼痛:需要更好的治疗]

[Acute pain at the emergency department: better treatment required].

作者信息

Gaakeer Menno I, Veugelers Rebekka, Houser Christine M, Berben Sivera A A, Bierens Joost J L M

机构信息

Medisch Spectrum Twente, afd. Spoedeisende Geneeskunde, Enschede, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155:A2241.

PMID:21262007
Abstract

Acute pain is common among patients at the emergency department and is still not being treated adequately. Repeated measurement and documentation of pain is essential for adequate pain treatment. The patient determines how much analgesia is needed. Pharmacological pain relief should not be delayed during the diagnostic process, not even in cases of abdominal pain. Opioids play a central role in the treatment of acute pain. Opiophobia is not justified. Adequate pain relief started at the emergency department must be continued throughout both hospital admission and discharge to home.

摘要

急性疼痛在急诊科患者中很常见,且目前仍未得到充分治疗。反复测量和记录疼痛对于充分的疼痛治疗至关重要。患者决定所需的镇痛剂量。在诊断过程中,不应延迟给予药物止痛,即使是腹痛患者也不例外。阿片类药物在急性疼痛治疗中起着核心作用。对阿片类药物的恐惧是没有道理的。在急诊科开始的充分止痛措施必须在住院期间和出院回家后持续进行。

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BMC Anesthesiol. 2024 Dec 19;24(1):460. doi: 10.1186/s12871-024-02836-8.
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Sex differences in pain catastrophizing and its relation to the transition from acute pain to chronic pain.疼痛灾难化的性别差异及其与急性疼痛向慢性疼痛转变的关系。
BMC Anesthesiol. 2024 Apr 2;24(1):127. doi: 10.1186/s12871-024-02496-8.
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Pain severity at emergency department discharge as a predictor for chronification of pain.
急诊科出院时的疼痛严重程度作为疼痛慢性化的预测指标。
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A simplified way for the urgent treatment of somatic pain in patients admitted to the emergency room: the SUPER algorithm.急诊室收治患者躯体疼痛紧急治疗的一种简化方法:SUPER算法。
Intern Emerg Med. 2015 Dec;10(8):985-92. doi: 10.1007/s11739-015-1304-7. Epub 2015 Sep 4.