Treating Acute Pain in Light of the Chronification of Pain

被引：32
|
作者：
Pergolizzi, Joseph V., Jr. [1 ,2 ,3 ]
Raffa, Robert B. [4 ]
Taylor, Robert, Jr. [5 ]
机构：
[1] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA
[2] Georgetown Univ, Sch Med, Dept Anesthesiol, Washington, DC USA
[3] Temple Univ, Sch Med, Dept Pharmacol, Philadelphia, PA 19122 USA
[4] Temple Univ, Sch Pharm, Philadelphia, PA 19122 USA
[5] NEMA Res, Naples, FL USA
来源：
PAIN MANAGEMENT NURSING | 2014年 / 15卷 / 01期
关键词：
LOW-BACK-PAIN; CHRONIC NEUROPATHIC PAIN; CENTRAL SENSITIZATION; MUSCULOSKELETAL PAIN; POSTOPERATIVE PAIN; POSTSURGICAL PAIN; PRODUCTIVE TIME; RISK-FACTORS; SPINAL-CORD; MANAGEMENT;
D O I：
10.1016/j.pmn.2012.07.004
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
The progression of acute to chronic pain, also known as pain chronification, remains incompletely understood. Biologic factors involved in this transition include central sensitization, neuroplastic changes, altered pain modulation, and changes to the "neuromatrix.'' Chronic pain may involve irreversible pathophysiologic changes, so interrupting the cascade of events that allows acute pain to advance to chronic pain is of crucial importance. This involves recognition and prompt treatment of acute pain, better awareness and application of evidence-based guidelines on pain management by all clinicians (not just pain specialists), and patient education. By interrupting nociceptive input in acute pain conditions, it might be possible to prevent transition to chronic pain syndromes. (C) 2014 by the American Society for Pain Management Nursing
引用
收藏
页码：380 / 390
页数：11
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