Clifford John L, Fowler Marcie, Hansen Jacob J, Cheppudira Bopiah, Nyland Jennifer E, Salas Margaux M, McGhee Laura L, Petz Lawrence N, Loyd Dayna R
From the Pain Management Research Area (J.L.C., M.F., J.J.H., B.C., J.E.N., M.M.S., L.N.P., D.R.L.), Department of Anesthesiology (J.J.H.), US Army Institute of Surgical Research, San Antonio Military Medical Center, Fort Sam Houston, San Antonio, Texas; Defense and Veterans Pain Management Initiative (L.L.M.), Washington, District of Columbia.
J Trauma Acute Care Surg. 2014 Sep;77(3 Suppl 2):S228-36. doi: 10.1097/TA.0000000000000403.
The pain conditions and comorbidities experienced by injured service members and the challenge of pain management by the military medical system offer a unique opportunity to inform pain management and medical research. In this article, acute and chronic pain issues, current treatment options and limitations, as well as novel approaches to pain management are discussed within the context of combat casualty care, from the battlefield to hospitalization and rehabilitation. This review will also highlight the current pain management limitations that need to be addressed in future clinical and basic science research to improve care for our nation's injured service members.
受伤军人所经历的疼痛状况和合并症，以及军事医疗系统在疼痛管理方面面临的挑战，为疼痛管理和医学研究提供了一个独特的契机。在本文中，我们将在从战场到住院及康复的战斗伤员救治背景下，讨论急性和慢性疼痛问题、当前的治疗选择和局限性，以及疼痛管理的新方法。本综述还将强调当前疼痛管理的局限性，这些局限性需要在未来的临床和基础科学研究中加以解决，以改善对我国受伤军人的护理。
