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急性疼痛和慢性疼痛的区别
  • 时间:2024-11-03

不同的临床实体——急性疼痛和慢性疼痛——已经被识别出来。急性疼痛是短暂的,并与肌肉组织痉挛和交感神经刺激有关;它也是由特定疾病或损伤引起的,具有益生物学功能。相比之下,慢性疾病可能代表着一种医学状况本身。慢性疼痛是持续的痛苦,超出了根据潜在疾病或损伤的性质所预期的范围。没有慢性背痛的生物学原因,而且经常没有明确的终点。疼痛,无论急性还是慢性,在美国都是一个重大的关注问题,导致了6.5亿缺勤工作周和6500万美元的损失。急性疼痛治疗的重点是消除根本原因和阻断伤害信号。慢性炎症的治疗应该是跨学科的,并包括多种治疗模式。

What are the Acute and Chronic Pain?

急性疼痛通常会迅速出现并具有明确的起源。从品质上来说,它相当尖锐。在大多数情况下,急性不适会在60天内消退。当消除引起这种不适的原始因素时,疼痛停止。持续超过六个月的疼痛被认为是慢性的,这种不适可能会在最初的受伤或疾病解决后持续很长时间。神经系统存储疼痛信号可能会在很长时间内甚至几年内被激活。即使没有最近的创伤或明显的身体伤害,一些人也会经历持续的、不可忍受的疼痛。

Difference between Acute and Chronic Pain

急性和慢性疼痛均是可以通过以下图表理解的两种不同的健康状况。

此外,所提供的表格展示了急性疼痛和慢性疼痛之间的潜在差异。

Acute Pain Chronic Pain
Pain that comes on suddenly and lasts shorter than six months is considered acute. Acute pain alerts the body that something is wrong and that its safety and wellbeing may be at risk. It s often assumed that acute pain is short-pved and not really uncomfortable. However, acute pain is much more nuanced than that. Long-term pain, or severe pain, is defined as discomfort that lasts more than six months. One in five persons in the United States suffer from this disease-state pain. Misdiagnosis of chronic pain is common due to its complexity.
A shattered bone, severe burns, or perhaps even giving birth may all induce this kind of acute agony. As once affected region is cared for, the discomfort disappears. Some sudden pain doesn t last long and is considered acute. Sometimes its effects are short-pved, but always painful. Severe pain is triggered by a deeper condition, which treatment may be able to address. Discomfort caused might undertake a number of therapies to discover one, or perhaps a mix of several, that reduced time the suffering.
Pain intensity therapy focuses on epminating the root of the problem. Nevertheless, a correct diagnosis might be difficult since the complaints can appear and go suddenly. Indications of the discomfort may remain for a few nights, some few minutes, or even only a few tenths of a second, as well as the pain itself does last 24 hours a day, seven days a week. Headaches, osteoarthritis, cancers, nerve damage, backache, as well as arthritis are just few examples of the numerous chronic pain diseases out there. The experience of pain, particularly chronic pain, may be very personal for each inspanidual. This means that anything from a topical medication to operation may be considered when attempting to alleviate severe pain.

Treatment of Acute and Chronic Pain

急性腹痛虽然突然而强烈,但缓解起来更为简单。骨折和扭伤踝等伤害需要局部治疗。当受损区域完全恢复后,疼痛会消失,您可以继续正常活动。然而,背部疾病可能更难以处理,因为其真正的根源可能无法治愈。纤维肌痛可以通过多种治疗方法来治疗,这些方法可以组合使用以实现最佳疗效。口服或局部应用抗炎和止痛药可以缓解疼痛,但这些治疗方法往往不适用于长期使用。无药物疗法更可取,因为它们可以无限期地使用,并更好地满足了生活质量。

Chronic Pain

通过使用或在药物的帮助下,日常不适可以得到缓解,包括一般的镇痛药,止痛药和乳液,但这些治疗方法不适用于长期使用。物理治疗是一种非药物治疗方法,在改善慢性疼痛患者的生活质量和减少处方药的使用方面已经得到证明。除了传统医学,针灸和经皮神经刺激(TENS)等辅助治疗方法也是有效的。与 TENS 设备连接的垫子可以对痛苦的位置进行局部电刺激,从而缓解不适。经历严重持续疼痛的个体可以从注射中获益。这些注射中包括麻醉剂和类固醇,直接注射到疼痛的位置以提供局部止痛作用。

Acute Pain

最典型的不适感是剧烈疼痛,突然发作且有明确的起因,质地锐利是正常的。急性疼痛通常在六个月内缓解,在根本问题缺失的情况下,痛苦也会消失。相反,像布洛芬和对乙酰氨基酚这样的药物,传统的物理治疗和瑜伽,以及替代性的止痛选择都是应对中度和剧烈疼痛的可行选择。在严重外伤或手术后,可能需要使用极其有效的药物或密集的治疗手段来治疗急性疼痛。

Conclusion

与慢性疼痛相比,急性疼痛常有清晰的起因,可以通过医疗手段来解决。相反,慢性不适的根本症状可能无法治疗或被少人认识。幸运的是,患有慢性疼痛的患者可以使用各种方法进行治疗。有些人对首选的疼痛药物选项有强烈的感觉,因此与您的医生讨论您的选择非常重要。考虑尝试多种方法缓解疼痛,因为您尝试的第一个可能不会起作用。多种疼痛管理方法通常比单独一种更有帮助。药物、利多卡因注射、反射疗法、电刺激、运动康复、神经反馈、心理咨询、放松练习和行为改变都可以考虑。