Acute Pain最新文献

英文中文

Randomized double-blind placebo controlled crossover study of acetaminophen, ibuprofen, acetaminophen/hydrocodone, and placebo for the relief of pain from a standard painful stimulus 对乙酰氨基酚、布洛芬、对乙酰氨基酚/氢可酮和安慰剂缓解标准疼痛刺激的随机双盲安慰剂对照交叉研究

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/J.ACPAIN.2009.10.012

J. Miner

引用次数: 0

A multicenter, open-label, exploratory dose-ranging trial of intranasal hydromorphone for managing acute pain from traumatic injury 一项多中心、开放标签、探索性剂量范围试验:鼻内氢吗啡酮治疗外伤性急性疼痛

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/j.acpain.2009.10.019

D.P. Wermeling, T. Clinch, A.C. Rudy, D. Dreitlein, S. Suner, P.G. Lacouture

引用次数: 2

In search of an ideal analgesic for common acute pain 寻找一种理想的止痛剂治疗常见的急性疼痛

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/J.ACPAIN.2009.09.003

N. Moore

引用次数: 34

Contralateral limb movement modulates cold pressor pain 对侧肢体运动调节冷压迫性疼痛

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/j.acpain.2009.07.002

Eric E. Brodie , Fiona M.A. Kane , Karel Gijsbers , Catherine A. Niven

Background

Many studies investigating the attenuation of pain by psychological means have confounded cognitive factors with motoric factors. Two experiments were performed to investigate the extent to which intentional movements alone can attenuate experimental pain.

Methods

In experiment 1, tolerance and intensity of cold pressor pain administered to the non-dominant hand was measured for two movement conditions, reciprocal eye movements and reciprocal finger movements of the dominant hand. In experiment 2, tolerance and intensity was measured for two reciprocal finger movement conditions, when visual attention was directed to the dominant hand and when visual attention was directed to the location of the noxiously stimulated non-dominant hand.

Results

Reciprocal finger movements of the limb contralateral to a noxiously stimulated limb were found to result in significantly longer tolerance times and significantly lower pain intensity ratings when visual attention was directed to and away from the spatial location of the noxious stimulation.

Conclusion

These results confirm that movement of the limb contralateral to a noxiously stimulated limb attenuates experimental pain. Further research is required to ascertain whether movement alone attenuates non-experimental pain.

背景:许多通过心理手段研究疼痛减轻的研究混淆了认知因素和运动因素。我们进行了两个实验来研究有意识的运动能在多大程度上减轻实验性疼痛。方法在实验1中，测量非优势手在眼运动和手指运动两种运动条件下的冷压疼痛耐受性和强度。在实验2中，测量了视觉注意指向优势手和视觉注意指向受有害刺激的非优势手两种手指相互运动条件下的耐受性和强度。结果发现，当视觉注意力被引导到或远离有害刺激的空间位置时，对侧肢体手指的反向运动导致耐受性时间显著延长，疼痛强度评分显著降低。结论实验结果证实，对侧的肢体运动可以减轻实验性疼痛。需要进一步的研究来确定运动是否能减轻非实验性疼痛。

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引用次数: 2

Two milligrams i.v. hydromorphone is efficacious for treating pain but is associated with oxygen desaturation 静脉注射两毫克氢吗啡酮对治疗疼痛有效但会导致氧饱和度降低

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/j.acpain.2009.10.014

A.K. Chang, P.E. Bijur, A. Napolitano, J. Lupow, E.J. Gallagher

引用次数: 13

Electrical punctual stimulation (P-STIM) with ear acupuncture following tonsillectomy, a randomised, controlled pilot study 扁桃体切除术后耳针电准时刺激(P-STIM)，一项随机对照试验研究

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/j.acpain.2009.10.001

H. Kager , R. Likar , H. Jabarzadeh , R. Sittl , C. Breschan , J. Szeles

Background

We examined whether P-STIM, administered pre- and postoperatively after tonsillectomies, resulted in a lower consumption of analgesics and an improvement of pain scores compared to sham acupuncture.

Methods

This study was carried out in a randomised, double-blind, controlled fashion. Thirty-three patients were randomised into 2 groups. All patients had P-STIM applied to them beginning 30 min preoperatively. The stimulation was applied over the following 96 h. The P-STIM-Verum group received sub-threshold stimulation. No stimulation was applied in the P-STIM-Placebo group.

Premedication and anaesthesia were applied in a standardised fashion. The efficacy of P-STIM application was evaluated postoperatively using numeric and visual analogue scales at rest and with exertion and by measuring postoperative analgesic consumption.

Results

At almost all the measured time points the median pain score was less in the P-STIM-Verum group than in the P-STIM-Placebo group. The VAS scores at rest and with exertion were also significantly less in the P-STIM-Verum group at certain time points. Analgesic consumption in the P-STIM-Verum group was also less than in the P-STIM-Placebo group; however the difference did not reach statistical significance.

Conclusions

We were able to demonstrate in our study, that P-STIM applied pre- and postoperatively following tonsillectomies, is a simple method that seems to be effective and has few side-effects.

背景:与假针灸相比，我们研究了扁桃体切除术前和术后给予P-STIM是否能降低镇痛药的用量和改善疼痛评分。方法本研究采用随机、双盲、对照方法。33例患者随机分为两组。所有患者术前30分钟开始应用P-STIM。刺激持续96小时。P-STIM-Verum组接受亚阈值刺激。p - stim -安慰剂组未进行任何刺激。用药前和麻醉均按标准化方式进行。术后使用数字和视觉模拟量表评估P-STIM应用的效果，并测量术后镇痛消耗。结果在几乎所有测量时间点上，P-STIM-Verum组的中位疼痛评分均低于P-STIM-Placebo组。在某些时间点，P-STIM-Verum组休息和运动时的VAS评分也明显较低。P-STIM-Verum组的镇痛药消耗也少于P-STIM-Placebo组;但差异无统计学意义。结论在我们的研究中，我们能够证明在扁桃体切除术前后应用P-STIM是一种简单有效且副作用少的方法。

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引用次数: 14

Randomized clinical trial comparing a patient-driven titration protocol of intravenous hydromorphone with traditional physician-driven management of emergency department patients with acute severe pain 随机临床试验比较患者驱动的静脉注射氢吗啡酮滴定方案与传统的医生驱动管理急诊科急性剧烈疼痛患者

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/J.ACPAIN.2009.10.021

A. Chang, P. Bijur, M. Davitt, E. Gallagher

引用次数: 1

Bacterial contamination of PCA and epidural infusion devices 细菌污染PCA和硬膜外输液器

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/j.acpain.2009.10.005

M. Rothwell, D. Pearson, K. Wright, D. Barlow

引用次数: 0

Does the presence of psychosocial “yellow flags” alter patient–provider communication for work-related, acute low back pain? 社会心理“黄旗”的存在是否会改变与工作有关的急性腰痛的医患沟通?

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/j.acpain.2009.10.017

W.S. Shaw, G. Pransky, T. Winters, T.H. Tveito, S.M. Larson, D.L. Roter

引用次数: 6

Randomised clinical trial of the influence of local subcutaneous infiltration versus subcutaneous and deep infiltration of local anaesthetic on pain after appendicectomy 局部皮下浸润对阑尾切除术后疼痛影响的随机临床试验

Acute Pain

Pub Date : 2009-12-01 DOI: 10.1016/j.acpain.2009.10.011

J.K. Randall, A. Goede, P. Morgan-Warren, S.B. Middleton

引用次数: 0

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