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[小儿烧伤药物镇静镇痛的研究现状与进展]

[Current status and research advances on drug sedation and analgesia in burn children].

作者信息

Jia M Q, Yuan X G

机构信息

Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Department of Burns and Plastic Surgery, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Feb 20;38(2):190-195. doi: 10.3760/cma.j.cn501120-20200908-00404.

Abstract

Children are high-risk groups of burns, with unique physiological, psychological, and anatomical states, and the management of anxiety and pain for burn children are extremely challenging. Non-pharmacological interventions are very important for pain management in burn children, but are often inadequate for treating pain and anxiety, so pharmacological sedation and analgesia are necessary. This article reviewed the clinical treatment and research progress in this field in the past 10 years at home and abroad, including the pain assessment of burn children, monitoring in sedative and analgesic treatment, main therapeutic drugs and research progress, and some controversies in clinical practice. Besides, some suggestions have been put forward for clinical reference.

摘要

儿童是烧伤的高危群体,具有独特的生理、心理和解剖状态,对烧伤儿童的焦虑和疼痛管理极具挑战性。非药物干预对烧伤儿童的疼痛管理非常重要,但往往不足以治疗疼痛和焦虑,因此药物镇静和镇痛是必要的。本文综述了国内外近10年该领域的临床治疗及研究进展,包括烧伤儿童的疼痛评估、镇静镇痛治疗中的监测、主要治疗药物及研究进展,以及临床实践中的一些争议。此外,还提出了一些建议供临床参考。

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本文引用的文献

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[Advances in the research of pain assessment and non-drug intervention in burn children].[小儿烧伤疼痛评估与非药物干预的研究进展]
Zhonghua Shao Shang Za Zhi. 2020 Jan 20;36(1):76-80. doi: 10.3760/cma.j.issn.1009-2587.2020.01.015.
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ISBI Practice Guidelines for Burn Care, Part 2.国际生物医学影像学会烧伤护理实践指南,第2部分。
Burns. 2018 Nov;44(7):1617-1706. doi: 10.1016/j.burns.2018.09.012. Epub 2018 Oct 19.
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Pediatric Delirium: A Worldwide PICU Problem.
Crit Care Med. 2017 Apr;45(4):746-747. doi: 10.1097/CCM.0000000000002275.

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