手术室外床旁烧伤患者清创换药的疼痛治疗研究进展  

Research Progress in Bedside Pain Treatment of Debridement and Dressing Change outside Operating Room for Patients with Burn

作　　者：杨晓瑞[1] 钟坤根 胡清刚[1] 冯泽国[2] YANGXiaorui;ZHONG Kungen;HU Qinggang;FENG Zeguo(Department of Anesthesiology,the First Affiliated Hospital of PLA General Hospital,Beijing100037,China;Department of Anesthesiology,PLAGeneral Hospital,Beijing 100039,China)

机构地区：[1]解放军总医院第一附属医院麻醉科,北京100037 [2]解放军总医院麻醉科,北京100039

出　　处：《医学综述》2019年第10期2039-2043,2048,共6页Medical Recapitulate

摘　　要：烧伤患者首次切削痂后会面临多次床旁清创换药,而清创换药引起的操作性疼痛可直接影响患者的身心健康及预后,因此操作性疼痛管理是救治住院烧伤患者的重要任务之一。由于清创换药的频率高、疼痛剧烈、患者恐惧焦虑、烧伤患者机体改变、药物选择多样性及临床上医师和患者对烧伤操作性疼痛认识不足等因素,烧伤操作性疼痛的治疗现状不容乐观。目前,安全有效的操作性疼痛治疗方案多由麻醉医师在手术室内实施,占据手术室大量资源。未来,需进一步研究手术室外床旁烧伤清创换药的可行性疼痛治疗方案。Burn patients will face many times of bedside debridement and dressing change after escharectomy for the first time.Procedural pain caused by debridement and dressing change can directly affect patients′ physical and mental health and prognosis.Therefore,procedural pain management is one of the important tasks in treating burn patients in hospital. Because of the high frequency of debridement and dressing change,severe burn pain,patient ′s fear and anxiety,changes in the body of burn patients,diversity of drug selection and insufficient awareness of operational pain of burns by the physicians and patients,the current situation of treatment of procedural pain of burns is not optimistic.At present,safe and effective procedural pain treatment schemes are mostly implemented by anesthesiologists in the operating room,occupying a large number of resources in the operating room.In the future,it is necessary to further study the feasibility of pain treatment for bedside debridement and dressing change for burns.

关 键 词：烧伤 清创换药 操作性疼痛 

分 类 号：R644[医药卫生—外科学] R614[医药卫生—临床医学]