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儿科疼痛管理

Pediatric pain management.

作者信息

Lederhaas G

机构信息

Department of Anesthesiology and Critical Care, Nemours Children's Clinic Jacksonville, Florida, USA.

出版信息

J Fla Med Assoc. 1997 Jan;84(1):37-40.

PMID:9037997
Abstract

It is now recognized that from the newborn period onwards, children are capable of experiencing pain. This includes the premature infant. The challenge for healthcare providers is to incorporate methods of pain assessment and treatment into their daily practices. The child's understanding of pain closely follows the cognitive and behavioral model developed by Jean Piaget. Based on these developmental stages, pain assessment measures have been developed. Pharmacologic advances have accompanied this improved understanding of infant, child, and adolescent psychology. While acute pain accounts for the majority of children's experiences, recurrent/chronic pain states do occur (e.g. sickle cell related and neuropathic) and can be effectively treated.

摘要

现在人们认识到,从新生儿期开始,儿童就能够感知疼痛。这包括早产儿。医疗保健提供者面临的挑战是将疼痛评估和治疗方法纳入他们的日常实践中。儿童对疼痛的理解紧密遵循让·皮亚杰提出的认知和行为模型。基于这些发育阶段,已经开发出了疼痛评估方法。随着对婴儿、儿童和青少年心理学认识的提高,药理学也取得了进展。虽然急性疼痛占儿童疼痛经历的大部分,但复发性/慢性疼痛状态确实会出现(例如镰状细胞相关疼痛和神经性疼痛),并且可以得到有效治疗。

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