摘要
烧伤休克患者的疼痛在烧伤即刻发生，恰当的镇痛不仅可以降低应激氧耗，辅助休克治疗，还可改善睡眠并促进创面愈合及康复。然而对于烧伤休克患者如何做到＂恰当镇痛＂有待深入探讨，而且这也是烧伤休克疼痛治疗的重点和难点。各种镇痛药物都有可能影响血流动力学，甚至引起血压下降加重休克，需要格外引起重视。本文结合近年来关于烧伤休克的血流动力学特点及不同治疗阶段对镇痛的不同需求展开综述，希望能为促进烧伤休克患者更恰当的镇痛治疗提供借鉴，并为进一步发挥镇痛药物的器官功能保护作用提供研究启示。
The hemodynamic state of patients with burn shock is extremely unstable. Goal-directed analgesia based on hemodynamic characteristics of different treatment phases is a key point in the treatment of burn shock. This can play active roles in reducing the stress response, decreasing the oxygen consumption, and protecting the organ function. This article reviews the hemodynamic characteristics of burn shock and its need for analgesia in different treatment phases, hoping to provide refer- ence for appropriate analgesia.
作者
于洋
李青栋
Yu Yang;Li Qingdong(Department of Foreign Languages, Dalian Medical University, Dalian 116044, China)
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2018年第5期318-320,共3页
Chinese Journal of Burns
基金
辽宁省教育厅科学研究一般项目（L2014342）
关键词
烧伤
休克
镇痛
Burns
Shock
Analgesia
