疼痛的诊断和治疗（英文）.ppt

Diagnosisandtreatmentof

PainLiuHuiAnesthesiologyDepartment,WestChinaHospital,SichuanUniversity.

IntroductionComeasyoubeborn

IntroductionAccompanywithyouallyourlife

Pain:afashionabletopic…

Intruduction◆Everypersonmayexperiencepainatsometime,insomeextent,forsomereason.◆Painisoneofthemostimportantpartofoursensation,whichwarnusofkindsofinjuries/riskssothatwecanavoidordealwiththeseinjuries/risks.◆Painalsocauseusunpleasantfeeling,influenceonourphysiologicalfunctionandlifequality,eventhreatonourlives.Thismakepainanimportantproblemtobetreatedclinically.◆Itisnecessaryforusmedicalstudentstohaveagoodunderstandingofpain.

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

Thedevelopmentofpainmanagement3500DCEgyptianusedopioidHistoryofpain=historyofmedicine

AdvanceinthefieldofpainBasicresearchMoretargeting,lesstoxicdrugsPCAMicroinvasivetechniques

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。

Thehistoryofpainmanagement

DefinitionofPainpainasanunpleasantsensoryandemotionalexperienceassociatedwithactualorpotentialtissuedamage,ordescribedintermsofsuchdamage.

TeachingOutlineBasicaspectAnatomyInjuryandpainProcessingofpainPainingeneralClinicalaspectEffectonbodyClassificationPainassessmentanddiagnosisPaintreatmentAdvancementinpainmanagement13

BasicaspectofPain

InjuryandpainTRAUMAPOTENTIALINJURYINTOXICATIONSURGERYINFECTIONTUMORDEGENERATION

ASIC/BNC

TheModelofPainbyDescartes

Clinicalaspectofpain

TeachingOutlineBasicaspectAnatomyInjuryandpainProcessingofpainPainingeneralClinicalaspectClassificationEffectonbodyPainassessmentanddiagnosisPaintreatmentAdvancementinpainmanagement22

classificationGoodgainpain：physiologicalpain（‘goodpain’）“goodpain”——alarmin