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小儿急性胰腺炎的初始疼痛管理:阿片类药物与非阿片类药物的比较

Initial Pain Management in Pediatric Acute Pancreatitis: Opioid Versus Non-opioid.

作者信息

Grover Amit S, Mitchell Paul D, Manzi Shannon F, Fox Victor L

机构信息

Division of Gastroenterology, Hepatology and Nutrition.

Institutional Centers for Clinical and Translational Research.

出版信息

J Pediatr Gastroenterol Nutr. 2018 Feb;66(2):295-298. doi: 10.1097/MPG.0000000000001809.

Abstract

Nearly all patients with acute pancreatitis (AP) experience some degree of abdominal pain that is severe enough to prompt medical evaluation and necessitate analgesia. Effective analgesia is a priority in caring for such patients. Despite its importance, strategies for pain management in AP have been poorly studied, particularly in the field of pediatrics. Presently, no published data examine the management of pain because of AP in children at the time of initial presentation. Management approaches are often extrapolated from adult practice and based on anecdotal experience in the absence of objective data. The aim of our study was to examine the initial provision of analgesia to children who presented to a pediatric emergency department with AP.

摘要

几乎所有急性胰腺炎(AP)患者都会经历一定程度的腹痛,疼痛严重到足以促使其寻求医疗评估并需要止痛治疗。有效的止痛是护理此类患者的首要任务。尽管其很重要,但AP疼痛管理策略的研究却很少,尤其是在儿科领域。目前,尚无已发表的数据研究儿童初诊时因AP所致疼痛的管理情况。管理方法通常是从成人实践中推断而来,且基于缺乏客观数据的轶事经验。我们研究的目的是调查向儿科急诊科就诊的AP患儿的初始止痛情况。

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