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烧伤创面疼痛是烧伤引发的主要并发症之一,疼痛治疗是烧伤科治疗烧伤患者的重要环节,近年来越来越得到重视。烧伤引起的疼痛不仅给患者带来精神上的痛苦,对创面愈合速度、质量也产生不利影响,不仅影响烧伤的预后、功能及外观,还可使孕妇子宫收缩,诱发早产等并发症,因妊娠期独特的病理、生理状态及用药安全性问题在疼痛治疗中用药受到诸多限制。针对妊娠期疼痛管理相关研究报道较少,缺乏明确指南指导临床。本文主要回顾了近10年来氧化亚氮在烧伤镇痛管理及结合氧化亚氮在分娩镇痛中的应用及研究进展,对吸入氧化亚氮在妊娠期烧伤患者疼痛管理中的应用作一综述,为临床提供参考。
Burn wound pain is one of the main complications caused by burns. The pain treatment is an important part of the treatment of burn patients in the burn department, and has drawn more and more attention in recent years. Burns caused by pain not only bring mental pain to patients on the wound healing speed, quality also have an adverse effect, not only affects the prognosis of burns, function and appearance, but also make pregnant women uterine contraction induced premature birth and other complications, due to pregnancy Period of unique pathology, physiological status and medication safety problems in the treatment of pain medication is subject to many limitations. There are few reports on pain management in pregnancy, and there is no clear guide to guide the clinical practice. This article reviews the application of nitrous oxide in the management of burn analgesia and the combination of nitrous oxide in labor analgesia in recent 10 years and the research progress. The application of inhaled nitrous oxide in pain management of patients with burns in pregnancy is reviewed. For clinical reference.