疼痛的诊断和治疗（英文）.ppt

Diagnosis and treatment of  Pain 疼痛学 【目的要求】： 1. 掌握术后镇痛重要性及病人自控镇痛应用 2. 掌握慢性疼痛治疗的基本方法及治疗原则 3．掌握癌痛药物治疗的三阶梯原则 4. 熟悉疼痛的恶性循环及传导通路，神经阻滞治疗疼痛的机理； 5. 了解疼痛的简史、分类、机理和测量评估 【讲授内容】： 疼痛基本知识（概念、发展简史、疼痛的测定与评估、发生机理及传导通路） 慢性疼痛的治疗方法及原则，神经阻滞治疗疼痛的机理及适应症、禁忌症 癌痛治疗方法 术后镇痛：定义、术后疼痛对机体的影响、术后镇痛的意义及方法； 病人自控镇痛：定义、方法、分类及适应症、基本术语及意义。 【重点难点】： 难点：疼痛的发病机理及传导通路； 重点：1.疼痛的恶性循环及神经阻滞治疗疼痛的机理； 2.慢性疼痛的治疗方法及癌痛的三阶梯药物治疗； 3.术后疼痛对机体的影响及术后镇痛的意义。 四、【讲授时数】：2~ 3学时 五、【参考书】：疼痛诊疗学 第一版 Introduction Introduction Intruduction ◆ Every person may experience pain at some time, in some extent, for some reason. ◆ Pain is one of the most important part of our sensation, which warn us of kinds of injuries/risks so that we can avoid or deal with these injuries/risks. ◆ Pain also cause us unpleasant feeling, influence on our physiological function and life quality, even threat on our lives. This make pain an important problem to be treated clinically. ◆ It is necessary for us medical students to have a good understanding of pain. Intruduction 每一个人生命过程中会由于不同原因在不同时期不同程度受到疼痛的折磨，严重时会影响生理机能和生命质量，甚至危及生命安全。有的时候疼痛本身就是一种病（如三叉神经痛），或者引起疼痛的原发疾病已不那么重要（如晚期癌痛），使疼痛治疗成为唯一的选择 The development of pain management Advance in the field of pain Basic research More targeting,less toxic drugs PCA Microinvasive techniques 国际疼痛研究会和WHO提出： 疼痛是人体第五大生命体征; 慢性疼痛是一种疾病； 解除疼痛是患者的基本权利。 The history of pain management Definition of Pain pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Teaching Outline Basic aspect Anatomy Injury and pain Processing of pain Injury and pain The Model of Pain by Descartes  Teaching Outline Basic aspect Anatomy Injury and pain Processing of pain classification Good gain pain：physiological pain（‘good pain’） “good pain”——alarming——protection No good gain pain：pathophysiological pain（bad pain） bad pain ——except alariming，pain is of no good We would like with no pain system if we had