疼痛的新定义及慢性疼痛的分类

2021-08-20 李永超 Spine脊柱

2020年7月16日,国际疼痛学会对"疼痛" 定义进行了修改,并在线发表在其会刊《PAIN》杂志上。这是IASP对自1979年开始在全世界使用的疼痛定义的首次修订。

2020年7月16日,国际疼痛学会(The International Association for the Study of Pain, IASP) 对"疼痛"(Pain) 定义进行了修改,并在线发表在其会刊《PAIN》杂志上。这是IASP对自1979年开始在全世界使用的疼痛定义的首次修订

 

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1979年版与2020年版疼痛定义的区别

 

《中国疼痛医学杂志》的翻译:疼痛是一种与实际或潜在的组织损伤相关的不愉快的感觉和情绪情感体验,或与此相似的经历。

疼痛新定义的六条附加说明(Notes):

  • 疼痛始终是一种主观体验,同时又不同程度地受到生物学、心理学以及社会环境等多方面因素的影响;
  • 疼痛与伤害性感受不同,纯粹生物学意义上的感觉神经元和神经通路的活动并不代表疼痛;
  • 人们可以通过生活经验和体验学习、感知疼痛并认识疼痛的实际意义;
  • 个体对自身疼痛的主诉应该予以接受并尊重;
  • 疼痛通常是一种适应性和保护性感受,但疼痛同时也可对身体机能、心理健康和社会功能产生不利影响;
  • 语言描述仅仅是表达疼痛的方式之一,语言交流障碍并不代表一个人或动物不存在疼痛感受。
 

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2020年版(最新)疼痛定义句型结构解析

 
 

世界卫生组织 (WHO) 于2018年重新修订了国际疾病分类 (ICD-11)。慢性疼痛首次作为独立的疾病被列入分类目录慢性疼痛是指持续或者反复发作超过 3 个月的疼痛ICD-11还制定了一套全新实用的慢性疼痛分类方法,并将慢性疼痛分为慢性原发性疼痛慢性癌症相关性疼痛慢性术后和创伤后疼痛慢性继发性肌肉骨骼疼痛慢性继发性内脏痛慢性神经病理性疼痛慢性继发性头痛或颌面痛七大类。

1. 慢性原发性疼痛(Chronic primary pain, CPP) 是指发生在身体的一个或多个部位的慢性疼痛,其特征是显著的情绪情感异常(焦虑、愤怒/沮丧或抑郁情绪)或功能障碍(日常活动受到影响,社会活动参与减少)。慢性原发性疼痛涉及生物、心理和社会等多种因素。

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慢性原发性疼痛分类的总体框架
1
级和 2 级诊断是 ICD-11 版本中的一部分;3 级诊断已加入基础层。根据ICD-11中多母级 (multiple parenting) 的新概念,一个诊断结果可能隶属于多个诊断类别。

2. 慢性癌症相关性疼痛 (Chronic cancer related pain, CCRP) 是指由原发癌症本身或肿瘤转移所致的疼痛(慢性癌痛)或癌症治疗引起的疼痛(慢性癌症治疗后疼痛)。不同于由共病(comorbid disease)引起的疼痛,疼痛很可能是由癌症本身或有关治疗引起的。如果该疼痛起源不明确,考虑使用“慢性原发性疼痛”章节中的代码。  

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慢性癌症相关性疼痛分类的总体框架

3. 慢性术后或创伤后疼痛(Chronic postsurgical or post traumatic pain, CPSP, CPTP) 是指在组织损伤(包括烧伤在内的各种创伤)后发生发展或加剧的疼痛,并且在愈合后持续存在(即手术或组织创伤后持续存在至少3个月)。疼痛部位常位于创伤区域,或投射到位于该区域神经的支配区域,特别是躯体深部或内脏组织损伤后。需要排除其他原因引起的疼痛(包括感染、恶性肿瘤等)以及既往已经存在并持续至今的疼痛。

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慢性术后或创伤后疼痛的整体框架

4. 慢性继发性肌肉骨骼疼痛 (Chronic secondary musculoskeletal pain, CSMSP) 是指源于骨骼、关节、肌肉、椎骨、肌腱或相关软组织的慢性疼痛。是一组异质性(heterogeneous)的慢性疼痛,起源于关节、骨骼、肌肉、椎骨、肌腱和相关软组织的持续伤害感受性刺激,具有局部和全身性病因,也与躯体深部病变有关。疼痛可能是自发的或由运动引起的。

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慢性继发性肌肉骨骼疼痛的总体框架

5. 慢性继发性内脏痛(Chronic secondary visceral pain, CSVP) 是指源于头颈部以及胸部、腹部和盆腔区域的内脏器官疼痛,具有持续性或反复发作性。使用该分类代码时应确定疼痛源于内脏,若不确定,应考虑使用“慢性原发性疼痛”章节中的代码。

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慢性继发性内脏痛的总体框架

6. 慢性神经病理性疼痛(Chronic neuropathic pain, CNP) 是指由躯体感觉神经系统病变或疾病引起的慢性疼痛。此类疼痛可能是自发性的或诱发性的。慢性神经病理性疼痛表现为对疼痛刺激的反应增强(痛觉过敏 Hyperalgesia)或对正常非疼痛刺激产生痛觉反应(痛觉超敏 Allodynia))。诊断为慢性神经病理性疼痛需要病人有神经系统损伤或疾病的病史,并且疼痛具有神经解剖学的分布合理性。

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慢性神经病理性疼痛的整体框架

7. 慢性继发性头痛或口面部疼痛 (Chronic secondary headache or orofacial pain, CSH, CSOFP) 是指包括所有有潜在病因的头痛和口面部疼痛疾病。这种疼痛在3个月或更长时间内有一半以上的天数发作,每天疼痛至少持续2小时。

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慢性继发性头痛或口面部疼痛的整体框架

 

参考文献:(关注公众号回复“疼痛新定义”获取下述参考文献)

1. 中国疼痛医学杂志,2021,27(01):2-8.
2. 中国疼痛医学杂志,2020,26(09):641-644.
3. Pain. 2020;161(9):1976-1982.
4. Pain. 2019;160(1):53-59.
5. Pain. 2019;160(1):60-68.
6. 中国疼痛医学杂志,2021,27(02):81-86.
7. 中国疼痛医学杂志,2021,27(03):161-165.
8. 中国疼痛医学杂志,2021,27(04):241-245.
9. 中国疼痛医学杂志,2021,27(05):323-326.
10. 中国疼痛医学杂志,2021,27(6):401-405.

作者简介

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    2022-04-21 星晓

    非常好的总结

    0

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    2021-11-01 ms9000000319892203

    很有意义

    0

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    2021-08-21 1203e569m06(暂无昵称)

    值得多学习几遍

    0

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    2021-08-21 121f5596m18暂无昵称

    学习了。

    0

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    2021-08-20 仓央嘉措

    整整40年

    0

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    2021-08-20 1460f802m92暂无昵称

    已收藏,值得学习

    0

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    2021-08-20 十二弦风鸟

    学到了

    0

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有没有这样的经历,在搬家传递重物时或是跑步、打球时,扭动的幅度大了或是步子跨的大了,除了腰痛,有时候还会出现屁股和腹股沟疼痛,这种疼痛会导致日常生活困难重重,上下楼梯和弯腰系鞋带都困难。

BJOG:无张力阴道吊带术(TVT)后10-20年的主观和客观治愈率、满意度和疼痛

无张力阴道吊带术(TVT)在术后10年和20年均具有较高的主客观治愈率,两组之间无显著差异。虽然有3%-5%的患者经历过持续性疼痛,但大多数患者对TVT手术感到满意。肥胖与较低的治愈率相关。

引起手部疼痛之购物袋综合征

当一个塑料袋装满了重物后提手通常会被拉成细带状,如果这时握在手中或者是用手指拎提塑料袋,提手细带形成的巨大压强会对手指血管神经束造成卡压。

关于印发疼痛综合管理试点工作方案的通知

中华人民共和国国家卫生健康委员会 · 2023-01-04