课件：重视疼痛的评估及规范化治疗.ppt

国内疼痛治疗的新方法 射频 臭氧 PLDD 等离子 椎管内输注系统 脊髓电刺激 硬膜外腔镜 Sometimes to heal Often to support Always to comfort Good pain management, we still have a long way to go. 规范化疼痛治疗-任重道远. 谢谢大家的关注! THANK YOU SUCCESS * * 可编辑 The persistence of pain for more than 3 to 6 months is one criterion for classifying pain as chronic versus acute. Traditionally, acute pain is defined as pain lasting less than 3 to 6 months. Most pain specialists view chronic pain as a pain response that persists for at least 3 to 6 months after the initial insult has resolved. In addition, the pain experienced between 1 month post-injury and less than 6 months post-injury is considered to be subacute pain. Thus, the pain associated with the blisters that occur in patients with an acute herpes zoster infection is an example of acute pain. However, in patients who develop postherpetic neuralgia, pain persists after the blistering has resolved. However, chronic pain can involve components of persistent nociceptive pain in response to ongoing nociceptive stimuli. An example of this is a chronic inflammatory disease such as osteoarthritis (OA). Chronic neuropathic pain is the result of plastic nervous system changes involving either the peripheral or central nervous system. References: Cole BE. Pain management: classifying, understanding, and treating pain. Hospital Physician. 2002;38:23-30. Merskey H, Bogduk N, eds. In: Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. 2nd ed. Seattle, Wash: IASP Press; 1994:209-212. Pain sensation is a symptom of an underlying problem. Pain can be broadly classified into 2 types: nociceptive (normal) and neuropathic (pathologic). Nociceptive pain is an appropriate physiologic response that occurs when specific receptors (called nociceptors) are exposed to a noxious stimulus; that is, a stimulus that could damage normal tissue if the exposure were prolonged. Nociceptive pain has a positive, protective role because it