国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2012年
4期
266-270
,共5页
李肇端%周汾%余剑波%李文硕
李肇耑%週汾%餘劍波%李文碩
리조단%주분%여검파%리문석
疼痛%感觉%评估
疼痛%感覺%評估
동통%감각%평고
Pain%Sensory%Assessment
背景 疼痛是一种令人不快的感觉和情绪上的感受,伴随着现有的或潜在的组织损伤.疼痛评估是疼痛处理关键的第一步,是指使用可靠有效的评估工具对患者的疼痛做出定量或定性的估计.由于目前国内外尚无测量疼痛的统一量具,对疼痛难以做出客观定量的评定,也在一定程度上造成对疼痛评估的不足.目的 足够重视疼痛,熟练掌握疼痛的客观评估工具,将为患者解除痛苦,必为疼痛患者带来福音.内容 疼痛个体差异较大,影响疼痛主观感受的因素也很多,临床上很难客观对疼痛进行计量和比较.同时由于疼痛给患者造成身心多重损害,因此寻求有效的疼痛评估方法和选择有效的评估工具管理疼痛显得尤为重要.同时疼痛的评估工具可谓多种多样,其具体的操作,适用的人群也不尽相同.综述疼痛的客观评估方法的进展.趋向 今后临床将更侧重疼痛的客观评估,从而用量化指标表示疼痛,指导临床工作.
揹景 疼痛是一種令人不快的感覺和情緒上的感受,伴隨著現有的或潛在的組織損傷.疼痛評估是疼痛處理關鍵的第一步,是指使用可靠有效的評估工具對患者的疼痛做齣定量或定性的估計.由于目前國內外尚無測量疼痛的統一量具,對疼痛難以做齣客觀定量的評定,也在一定程度上造成對疼痛評估的不足.目的 足夠重視疼痛,熟練掌握疼痛的客觀評估工具,將為患者解除痛苦,必為疼痛患者帶來福音.內容 疼痛箇體差異較大,影響疼痛主觀感受的因素也很多,臨床上很難客觀對疼痛進行計量和比較.同時由于疼痛給患者造成身心多重損害,因此尋求有效的疼痛評估方法和選擇有效的評估工具管理疼痛顯得尤為重要.同時疼痛的評估工具可謂多種多樣,其具體的操作,適用的人群也不儘相同.綜述疼痛的客觀評估方法的進展.趨嚮 今後臨床將更側重疼痛的客觀評估,從而用量化指標錶示疼痛,指導臨床工作.
배경 동통시일충령인불쾌적감각화정서상적감수,반수착현유적혹잠재적조직손상.동통평고시동통처리관건적제일보,시지사용가고유효적평고공구대환자적동통주출정량혹정성적고계.유우목전국내외상무측량동통적통일량구,대동통난이주출객관정량적평정,야재일정정도상조성대동통평고적불족.목적 족구중시동통,숙련장악동통적객관평고공구,장위환자해제통고,필위동통환자대래복음.내용 동통개체차이교대,영향동통주관감수적인소야흔다,림상상흔난객관대동통진행계량화비교.동시유우동통급환자조성신심다중손해,인차심구유효적동통평고방법화선택유효적평고공구관리동통현득우위중요.동시동통적평고공구가위다충다양,기구체적조작,괄용적인군야불진상동.종술동통적객관평고방법적진전.추향 금후림상장경측중동통적객관평고,종이용양화지표표시동통,지도림상공작.
Background Pain is an unpleasant sensory and emotional experience,accompanied with existing or potential tissue damage.Pain assessment is a critical first step in pain management characterized by providing patients a quantitative or qualitative results through reliable and valid pain assessment tool.Because unified method of pain assessment is unavailable,it is difficult to make objective and quantitative assessment.To some extent,therefore,pain assessment is inadequate for clinicians to solve pain problem. Objective Taking pain problem seriously and using pain assessment tool skillfully are the key to relieve pain.Content This review presented an overview on the objective pain assessment methods.Due to large individual difference of pain and various factors affecting the perception of pain,it is difficult to calculate and compare the severity of pain objectively and accurately.Moreover,given that pain brings patients injury both physically and psychologically,it is urgent to seek for more effective methods of pain assessment and pain management tools.The present documents show that there are a variety of pain assessment tools for different patients. Trend The objective pain assessment is the trend for the quantization of pain which can guide clinicians to more accurately and effectively treat pain problem.