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1. Approach to the management of acute perioperative pain in infants and childrenapproach to the management of acute perioperative pain in infants and children [show details]
… postoperative pain can usually be managed with multimodal analgesia without the use of postoperative opioids. Mild pain is expected after many ambulatory procedures, including dental extractions,… A primary goal of perioperative pain management is to have the child comfortable upon awakening from anesthesia, with a smooth transition from post-anesthesia care to the…
2. 成人における非がん性慢性疼痛管理へのアプローチapproach to the management of chronic non cancer pain in adults [show details]
… management of chronic non-cancer pain, and an overview of nonpharmacologic therapies. Pharmacologic management of chronic pain, and evaluation of chronic non-cancer pain are discussed separately. The …
3. 頭蓋顔面痛の概要overview of craniofacial pain [show details]
… treatment of PHN are discussed in detail separately. Painful post-traumatic trigeminal neuropathy is characterized by unilateral facial or oral pain that occurs after traumatic injury of the trigeminal …
4. 癌性疼痛症候群の概要overview of cancer pain syndromes [show details]
…Well-defined pain syndromes may occur after the surgical excision of cancer. The best characterized include postmastectomy pain syndrome, post-radical neck dissection pain syndrome, postthoracotomy pain syndrome …
5. 急性疼痛患者への初めてのオピオイド鎮痛薬処方prescription of opioids for acute pain in opioid naive patients [show details]
… Mild pain can be expected after sprains, nonspecific low back pain, dental extraction, and headaches. Opioids should not be required to adequately treat minor pain.… to guide post procedure prescribing, based on current data. The following is a reasonable strategy for opioid prescription based on the expected level of pain. The strategy for pain control…

Japanese Journal

6. 心身医学的治療が奏効した抜歯後疼痛症の1例(第21回日本心身医学会東北地方会演題抄録)

中島七月,鈴木仁一,桃生寛和,杉田敬,福土審
心身医学 26(6), 525, 1986
NAID 110001126683

ドライソケット治療薬(D.S.Dressing)の抜歯後疼痛症に対する使用経験

新田泉 [他]
歯学 70(3), p511-517, 1982-10
NAID 40001504520

Related Pictures

3）リスク患者の管理（MAC ついに挫折か？～線維筋痛症医薬品買取・通販なら奈良市で痛みがとれない方は歯科口腔外科親知らず顎関節九品寺（くほんじ）健康塾抜歯した後はテルプラグを入れ骨造成促進作用（抜歯後等

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関連記事	「疼痛」「抜歯」「症」

「疼痛」

　　[★]

英: pain, dolor
同: 痛み
関: 痛覚 pain sensation

疼痛

疼痛の伝達

Aδ線維
C線維

疼痛の調節

ゲートコントロール：Aδ線維とC線維による痛みはAβ線維による入力で中枢伝達細胞のレベルで抑制される。
下行性疼痛抑制系神経系：下行性疼痛抑制系神経系による入力で中枢伝達細胞のレベルで抑制される。

下行性疼痛抑制系神経系は中脳水道周辺灰白質からの脊髄への入力からなる。具体的には大縫線核(セロトニン作動性)、巨大細胞網様核・傍巨大細胞網様核(ノルアドレナリン作動性)がの2系統が起点となる。抗うつ薬はこれらの神経伝達物質の再吸収を妨げ鎮痛作用を発揮する。

痛みと異常知覚の命名法

Adams and s Principles of Neurology, Ninth Edition Allan Ropper. table 8-2より抜粋

dysesthesia : Any abnormal sensation described as unpleasant by the patient.
hyperalgesia : Exaggerated pain response from a normally painful stimulus; usually includes aspects of summation with repeated stimulus of constant intensity and aftersensation.
hyperpathia : Abnormally painful and exaggerated reaction to a painful stimulus; related to hyperalgesia.
hyperesthesia (hypesthesia) : Exaggerated perception of touch stimulus.
allodynia : Abnormal perception of pain from a normally nonpainful mechanical or thermal stimulus; usually has elements of delay in perception and of aftersensation.
hypoalgesia (hypalgesia) : Decreased sensitivity and raised threshoid to painful stimuli.
anesthesia : Reduced perception of all sensation, mainly touch.
pallanesthesia : Loss of perception of vibration.
analgesia : Reduced perception of pain stimulus.
paresthesia : Mainly spontaneous abnormal sensation that is not unpleasant; usually described as "pins and needles".
causalgia : Buming pain in the distribution of one or more peripheral nerves.