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a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > h2{}.products_52_wrapper li p{}.mobiles_sidebar{}.foot_contact:before{}.index_sub_title a{}.other_184_right{}.HJZF_contact_inquiry{}.hj_navbar_nav > li > a > h2:before{}.nav_li.on>a h2{}.container-fluid{}.other_184_right{}.other_184_right>.index_sub_title{}#news-44_1891 > section > div > div > div > ul > li > div > div.index_text{}.other_184_right>.con{}.other_184_pagination{}.banner_27_zyzfw{}#aboutus-23_1891 > section > div > div > div > ul > li:nth-child(4){}.main_page{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(2) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(3) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(2):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(4).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(4):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(5).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(5):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(6).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(6):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(7).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(7):hover a{}.HJZF_Z__inner_product_categroy5 ul 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img{}.runlin_banner{}.runlin_banner_left{}.runlin_banner_right{}.runliin_top_email{}.runlin_email.first{}.runlin_des + .more{}.runlin_left li{}.runlin_yiji > span h3{}.submit_runlin_search{}.nav_drop{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > div.runlin_des > b{}.hjzf2_z_products_list_left a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{flex:0 0 100%}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > 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section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, 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世界镇痛日:疼痛别硬挺,全病程管理才是正解
  2024/10/21| 阅读次数:542

疼痛,可能是每个人一生中体验最早最频繁的感受。今年的10月21日是世界镇痛日,我国将世界镇痛日所在的一周定为中国镇痛周。


疼痛不仅使患者精神痛苦、劳动力丧失、生活质量下降,长期疼痛还会使人体各器官系统的功能发生紊乱,免疫力低下而诱发各种并发症,缩短人的寿命。


所以希望通过此文让更多人了解疼痛,正确缓解疼痛。


疼痛:人类第五大生命体征


疼痛是一种与实际或潜在的组织损伤相关的不愉快的感觉和情绪情感体验,或与此相似的经历。随着现代医学的发展,疼痛已被作为人体继呼吸、脉搏、血压、体温之后的第五大生命体征。


疼痛除了会给我们带来不好的感受,还是一种警示,这种情况多见于急性疼痛。大多由器官或组织病变所触发,通常不涉及神经损伤,仅是某些疾病(如手术、创伤、组织损伤等)的附带症状。


但慢性疼痛(持续3个月以上,且难以治疗)却不再是症状和警报,而是一种疾病。《我国五区域疼痛领域调研报告》发现,颈肩腰腿痛、神经痛、癌痛、软组织痛是门诊常见的慢性疼痛,带状疱疹相关性疼痛较为常见,约占不同医院门诊的10%-40%。


人们常说“疼死了”,这句话看似普通,但真的有人因为疼痛想要放弃生命。因此我们呼吁疼痛无需忍、也不用忍。


全病程管理,解决疼痛


在疼痛的治疗过程中,实行全程管理的理念,使患者获得更大的生存获益和生活质量的提高。主要步骤为:疼痛筛查→动态评估→诊断→综合治疗→副作用处理→患者自我管理→随访。


在疼痛早期,就需要及时识别并进行疼痛评估,按照常用的数字评分法为0-10分,0为无痛,1-3分为轻度疼痛,4-6分为中度疼痛,7分以上为重度疼痛。


  • 轻度疼痛:有疼痛,但可忍受,生活正常,睡眠未收到干扰。

  • 中度疼痛:疼痛明显,不能忍受,要求服用镇痛药物,睡眠受到干扰。

  • 重度疼痛:疼痛剧烈,不能忍受,需服用镇痛药物,睡眠受到严重干扰,可伴有植物神经功能紊乱或被动体位。


对疼痛程度进行分析过后,则需要结合患者身体情况进行综合治疗。常用治疗方式有药物治疗、物理疗法、微创治疗、神经阻滞等等。


药物治疗应遵从WHO三阶梯镇痛原则,每一个阶梯使用相应的止痛药物。





第一阶梯:轻度疼痛(疼痛评分1-3分)
对于轻度疼痛的患者,一般来说可以选择两类药物:非甾体抗炎药(布洛芬、双氯芬酸、吡罗昔康等)和对乙酰氨基酚。其中非甾体抗炎药被各大指南推荐均可治疗骨关节炎、慢性肌肉骨骼疼、痛风等骨相关痛。[1]

亮克®吡罗昔康贴片,新一代选择性非甾体抗炎止痛药,具有强效抗炎镇痛的作用,对骨关节炎、肌痛、腱鞘炎、骨关节痛、外伤后引起的疼痛均有一定的疗效。

它作为局部镇痛贴剂,采用经皮给药方式,使药物经皮肤吸收快速到达疼痛组织,止痛迅速,而血药浓度仅为组织内药物浓度的1/50,降低药物的全身性副作用。[2]



第二阶梯:中度疼痛(疼痛评分4-6分)
可选用弱阿片类药物,比如曲马多、可待因和阿司可咖等,此类药物镇痛效果比非甾体抗炎药强,主要用于一些急性疼痛(偏头痛、三叉神经痛及外伤性疼痛等)、手术后疼痛及癌痛。



第三阶梯:重度疼痛(疼痛评分7-10分)
首选强阿片类药包括吗啡、羟考酮、芬太尼等,主要用于缓解创伤、烧伤、手术、癌症患者短期发作的严重剧烈疼痛,防止疼痛性休克。它们镇痛作用强,持续时间短,长期使用有成瘾性,须在医生指导下使用。

最后需要提醒大家的是,三阶梯治疗是根据患者的疼痛程度,选择对应的药物,而不是“爬阶梯”(不管什么情况,先用一阶梯,再用二阶梯,最后用三阶梯是错误的。重度疼痛可以直接上三阶梯药物)。


癌痛的药物治疗是很灵活的,需要根据患者的自身实际情况选择个体化的治疗方案,才能取得最好的效果。


疼痛是一种令人不愉快的感觉和情绪上的感受,很多人对疼痛的认识还比较片面,认为疼痛只是疾病的症状,只要疾病治好,疼痛就会消失,甚至有些人认为疼痛忍一忍就过去了。


疼痛是一种病,应该及时治疗,亮克®吡罗昔康贴片可以针对各种骨相关痛,对于生活中遇到的小病小痛很有效。


参考文献
[1]成年人非阿片类镇痛药围手术期应用专家共识[J].国际麻醉学与复苏杂志,2019,40(1):1673-4378.
[2]郭军华,黄烽,张江林,等.吡罗昔康透皮控释贴片治疗膝骨关节炎的疗效和安全性观察[J].中国新药杂志, 2008, 17(22):4.DOI:10.3321/j.issn:1003-3734.2008.22.017.

【声明】文章内容不作为临床诊疗依据,仅供交流、学习。

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