Vallerand April Hazard, Cosler Patricia, Henningfield Jack E, Galassini Pam
Pain Res Manag. 2015 Sep-Oct;20(5):261-8. doi: 10.1155/2015/196025.
Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, and developing interdisciplinary multimodal pain management strategies based on outcomes observed both in combat and hospital settings.
To provide a narrative review regarding US military pain management guidelines and initiatives, which may guide improvements in pain management, particularly chronic pain management and prevention, for the general population.
A literature review of US military pain management guidelines and initiatives was conducted, with a particular focus on the potential of these guidelines to address shortcomings in chronic pain management in the general population.
The application of US military pain management guidelines has been shown to improve pain monitoring, education and relief. In addition, the US military has instituted the development of programs and guidelines to ensure proper use and discourage aberrant behaviours with regard to opioid use, because opioids are regarded as a critical part of acute and chronic pain management schemes. Inadequate pain management, particularly inadequate chronic pain management, remains a major problem for the general population in the US. Application of military strategies for pain management to the general US population may lead to more effective pain management and improved long-term patient outcomes.
受伤士兵常经历剧痛，在重返现役或 civilian life 之前必须解决这一问题。美国军方制定了多项指南和倡议，旨在通过提供快速医疗服务以及根据在战斗和医院环境中观察到的结果制定跨学科多模式疼痛管理策略来改善疼痛管理。
对美国军方疼痛管理指南和倡议进行叙述性综述，这可能会指导改善一般人群的疼痛管理，尤其是慢性疼痛管理和预防。
对美国军方疼痛管理指南和倡议进行文献综述，特别关注这些指南解决一般人群慢性疼痛管理缺陷的潜力。
已证明应用美国军方疼痛管理指南可改善疼痛监测、教育和缓解。此外，美国军方已着手制定项目和指南，以确保阿片类药物的正确使用并抑制阿片类药物使用方面的异常行为，因为阿片类药物被视为急慢性疼痛管理方案的关键部分。疼痛管理不足，尤其是慢性疼痛管理不足，在美国普通人群中仍然是一个主要问题。将军方疼痛管理策略应用于美国普通人群可能会带来更有效的疼痛管理并改善患者长期预后。
