Why is there obvious
pain on the superficial burns wound in early stage and
after the removal of the blister wall, or on deep burns wound 7 to 20
days post
burns and How to treat?
Pain is the major clinical symptom for I degree and superficial II degree burns.
Pain is caused by the exposure of nerve endings and pain receptors
after the epidermal injury and also hyperalgesia and sensitivity of
sense of pains due to the production of vast amount of proinflammatory
factors and pain-producing factors.
In the early stage of deep burns (deep II degree and III degree burns),
the nerve endings and pain receptors are necrosis, causing the
hypalgesia or anodynia.
After standard treatment with MEBT/MEBO for 7- 20 days, nerve endings
and pain receptors are restored by regeneration, but burns wound is
unhealed, thus there are still pains on wound.
In that case, wound treatment should strictly follow the clinical criterion of MEBT/MEBO.
Gentle dress changing should be carried out while preventing the wound
from the irritating factors; psychotherapy can also be applied for
severe pains, with common sedatives and acesodyne applied 30 minutes before dress changing if necessary.
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