Gaglani Aarti, Gross Toni
Division of Emergency Medicine, Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, AZ 85018, USA.
Division of Emergency Medicine, Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, AZ 85018, USA; Division of Emergency Medicine, Department of Child Health, Phoenix Children's Hospital, University of Arizona College of Medicine-Phoenix, Phoenix Children's Hospital Emergency Medicine, 1919 East Thomas Road, Phoenix, AZ 85016, USA.
Emerg Med Clin North Am. 2018 May;36(2):323-334. doi: 10.1016/j.emc.2017.12.002.
Nearly 20 years ago, standards were established for hospitals to assess and treat pain in all patients. Research continues to demonstrate evolving trends in the measurement and effective treatment of pain in children. Behavioral research demonstrating long-lasting effects of inadequate pain control during childhood supports the concepts of early and adequate pain control for children suffering from painful conditions in the acute care setting. The authors discuss pain concepts, highlighting factors specific to the emergency department, and include a review of evidence for pharmacologic and nonpharmacologic treatments.
近20年前，医院就已制定了评估和治疗所有患者疼痛的标准。研究不断表明儿童疼痛测量和有效治疗方面的发展趋势。行为研究表明，儿童期疼痛控制不足会产生长期影响，这支持了在急性护理环境中对患有疼痛疾病的儿童进行早期和充分疼痛控制的理念。作者讨论了疼痛概念，强调了急诊科特有的因素，并对药物和非药物治疗的证据进行了综述。
