名老中医江育仁临床经验.doc

疼痛評估及處理(Pain Assessment and Intervention)一、前言： 吳麗彬二、疼痛的生理觀：(一)Pain transduction (疼痛傳導) 1.Fast pain (快速痛) 2.Slow pain (慢速痛)(二)Pain transmission (疼痛傳遞) 1.A-delta fibers (A-delta 纖維) 2.C fibers (C 纖維)(三)Pain modulation (疼痛調節) 1.Modulation via the dorsal horn (經由脊髓神經角調節) 2.Modulation via descending pathways (經由抑制疼痛路徑調節):如Endorphin 3.Modulation via endogenous chemicals(經由內生性化學物質調節)三、疼痛的理論：(一)Specificity theory (