Centre for Pain Research, Institute for Molecular Bioscience, The University of Queensland, St Lucia, Queensland, Australia.
School of Pharmacy, The University of Queensland, Wooloongabba, Queensland, Australia.
Pain Med. 2018 Apr 1;19(4):708-734. doi: 10.1093/pm/pnx228.
This review aims to examine the available literature on the epidemiology, pathophysiology, and treatment of burn-induced pain.
A search was conducted on the epidemiology of burn injury and treatment of burn pain utilizing the database Medline, and all relevant articles were systemically reviewed. In addition, a critical review was performed on the pathophysiology of burn pain and animal models of burn pain.
The search on the epidemiology of burn injury yielded a total of 163 publications of interest, 72 of which fit the inclusion/exclusion criteria, with no publications providing epidemiological data on burn injury pain management outcomes. The search on the treatment of burn pain yielded a total of 213 publications, 14 of which fit the inclusion/exclusion criteria, highlighting the limited amount of evidence available on the treatment of burn-induced pain.
The pathophysiology of burn pain is poorly understood, with limited clinical trials available to assess the effectiveness of analgesics in burn patients. Further studies are needed to identify new pharmacological targets and treatments for the effective management of burn injury pain.
本综述旨在研究烧伤引起的疼痛的流行病学、病理生理学和治疗方面的现有文献。
利用 Medline 数据库对烧伤损伤的流行病学和烧伤疼痛的治疗进行了检索,并对所有相关文章进行了系统回顾。此外,还对烧伤疼痛的病理生理学和烧伤疼痛的动物模型进行了批判性评价。
对烧伤损伤的流行病学的检索共产生了 163 篇相关文献,其中 72 篇符合纳入/排除标准,但没有任何文献提供烧伤损伤疼痛管理结果的流行病学数据。对烧伤疼痛治疗的检索共产生了 213 篇文献,其中 14 篇符合纳入/排除标准,这突出表明可用的烧伤引起的疼痛治疗证据有限。
烧伤疼痛的病理生理学知之甚少,可用于评估烧伤患者镇痛剂疗效的临床试验有限。需要进一步的研究来确定新的药理学靶点和治疗方法,以有效管理烧伤损伤疼痛。