疼痛的客观评估方法新进展  

Advances in the method of objective pain assessment

作　　者：李肇端[1] 周汾[1] 余剑波[1] 李文硕[2] 

机构地区：[1]天津市南开医院麻醉科,300100 [2]天津医科大学总医院麻醉科

出　　处：《国际麻醉学与复苏杂志》2012年第4期266-270,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：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。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. Cimtent 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.

关 键 词：疼痛 感觉 评估 

分 类 号：R614[医药卫生—麻醉学]