急诊科小儿镇静和镇痛的研究进展  

Progress of sedation and analgesia in the pediatric emergency department

作　　者：王兴磊 张蜀[1] WANG Xinglei;ZHANG Shu(Department of Emergency Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院急诊科,成都610041

出　　处：《华西医学》2020年第11期1391-1398,共8页West China Medical Journal

基　　金：四川省科学技术厅应用基础项目(2017JY0334)。

摘　　要：镇静和镇痛是急诊科工作必不可少的一部分。目前临床上对于成人镇静镇痛的评估和应用已经日趋完善。但临床医生在面对小儿患者时,多会顾虑药物相关不良反应以及各种不可控因素,从而导致减少,甚至忽略小儿的镇静和镇痛。该综述重点介绍了小儿镇静深度以及风险评估、疼痛程度评估,以及各类临床常用药物的原理、应用方式、优势和劣势等方面的研究现状和相关证据,旨在为更高质量的小儿镇静和镇痛提供一定依据。Sedation and analgesia is an essential part of the emergency work.Presently,for adults,clinical assessment and application of sedation and analgesia has been gradually perfect,but in the face of pediatric patients,clinicians would always concern drug-related adverse reactions as well as a variety of uncontrollable factors,leading to reducing and even ignoring the sedation and analgesia in children.This review focuses on the current research status and relevant evidence of pediatric sedation depth and risk assessment,pain assessment,as well as the principles,application methods,advantages and disadvantages of various commonly used clinical drugs,and the aim is to provide evidence for higher quality sedation and analgesia for children.

关 键 词：急诊科 小儿 镇静 镇痛 

分 类 号：R726.1[医药卫生—儿科]