疼痛的诊断和治疗（英文）

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1、DiagnosisandtreatmentofPainLiuHuiAnesthesiologyDepartment,WestChinaHospital,SichuanUniversity.l疼痛学l【目的要求】：l1.掌握术后镇痛重要性及病人自控镇痛应用l2.掌握慢性疼痛治疗的基本方法及治疗原则l3．掌握癌痛药物治疗的三阶梯原则l4.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；l5.了解疼痛的简史、分类、机理和测量评估l【讲授内容】：l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）l慢性疼痛的治疗方法及

2、原则，神经阻滞治疗疼痛的机理及适应症、禁忌症l癌痛治疗方法l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；l病人自控镇痛：定义、方法、分类及适应症、基本术语及意义。l【重点难点】：l难点：疼痛的发病机理及传导通路；l重点：1.疼痛的恶性循环及神经阻滞治疗疼痛的机理；l2.慢性疼痛的治疗方法及癌痛的三阶梯药物治疗；l3.术后疼痛对机体的影响及术后镇痛的意义。l四、【讲授时数】：2~3学时l五、【参考书】：疼痛诊疗学第一版lIntroductionØComeasyoubebornIntroductionØAccompanyw

3、ithyouallyourlifeIntruduction◆Everypersonmayexperiencepainatsometime,insomeextent,forsomereason.◆Painisoneofthemostimportantpartofoursensation,whichwarnusofkindsofinjuries/riskssothatwecanavoidordealwiththeseinjuries/risks.◆Painalsocauseusunpleasantfeeling,influenceonou

4、rphysiologicalfunctionandlifequality,eventhreatonourlives.Thismakepainanimportantproblemtobetreatedclinically.◆Itisnecessaryforusmedicalstudentstohaveagoodunderstandingofpain.Intruductionl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

5、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Thedevelopmentofpainmanagement3500DCEgyptianusedopioidAdvanceinthefieldofpainlBasicresearchlMoretargeting,lesstoxicdrugslPCAlMicroinvasivetechniques国际疼痛研究会和WHO提出：l疼痛是人体第五大生命体征;l慢性疼痛是一种疾病；l解除疼痛是患者的基本权利。ThehistoryofpainmanagementDefiniti

6、onofPainlpainas"anunpleasantsensoryandemotionalexperienceassociatedwithactualorpotentialtissuedamage,ordescribedintermsofsuchdamage."TeachingOutlinelClinicalaspectlBasicaspectlEffectonbodylClassificationlAnatomylPainassessmentandlInjuryandpaindiagnosislProcessingofpainl

7、PaintreatmentlAdvancementinpainmanagement13BasicaspectofPainInjuryandpainINFECTIONTUMORTRAUMADEGENERATIONSURGERYINTOXICATIONPOTENTIALINJURYASIC/BNCTheModelofPainbyDescartesTeachingOutlinelClinicalaspectlBasicaspectlClassificationlAnatomylEffectonbodylInjuryandpainlPaina

8、ssessmentandlProcessingofpaindiagnosislPaintreatmentlAdvancementinpainmanagement22classificationlGoodgainpain：