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肌肉骨骼系统慢性疼痛管理专家共识

Expert consensus on chronic pain management in the musculoskeletal system

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【作者】 康鹏德； 黄泽宇； 李庭； 罗芳； 鲍红光； 许鹏； 陈继营； 林进； 田华； 杨静； 周勇刚； 陈绍辉； 韩永台； 何农； 金群华； 廉永云； 林鹏； 吕松岑； 马远征； 孙天胜； 吴新宝； 邱贵兴； 裴福兴；

【Author】 KANG Pengde;HUANG Zeyu;LI Ting;LUO Fang;BAO Hongguang;XU Peng;CHEN Jiying;LIN Jing;TIAN Hua;YANG Jing;ZHOU Yonggang;CHEN Shaohui;HAN Yongtai;HE Nong;JIN Qunhua;LIAN Yongyun;LIN Peng;LV Songcen;MA Yuanzheng;SUN Tiansheng;WU Xinbao;QIU Guixing;PEI Fuxing;Department of Orthopaedics, West China Hospital, Sichuan University;Department of Orthopaedics,Beijing Jishuitan Hospital;Department of Anesthesiology, Beijing Tiantan Hospital;Department of Anesthesiology, Nanjing First Hospital;Department of Joint Surgery, Xi’an Red Cross Hospital, Xi’an Jiaotong University School of Medicine;Department of Orthopaedics Chinese PLA General Hospital;Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Orthopaedics, Peking University Third Hospital;Department of Orthopaedics, West China Hospal, Sichuan University;Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Orthopaedics, The Third Hospital of Hebei Medical University;Department of Anesthesiology, Beijing Friendship Hospital;Department of Orthopaedics, General Hospital of Ningxia Medical University;Department of Orthopaedics, The Fourth Affiliated Hospital of Harbin Medical University;Department of Anesthesiology, Beijing Sino-Japanese Friendship Hospital;Department of Orthopaedics, The Second Affiliated Hospital of Harbin Medical University;Department of Orthopaedics, The Ninth Medical Center of PLA;Department of Orthopaedics, The Seventh Medical Center of PLA;

【通讯作者】 孙天胜;吴新宝;邱贵兴;裴福兴;

【机构】 四川大学华西医院骨科； 北京积水潭医院骨科； 北京天坛医院麻醉科； 南京市第一医院麻醉科； 西安交通大学医学院附属红会医院关节外科； 中国人民解放军总医院骨科； 中国医学科学院北京协和医学院北京协和医院骨科； 北京大学第三医院骨科； 中国医学科学院北京协和医学院北京协和医院麻醉科； 河北医科大学第三医院骨科； 北京友谊医院麻醉科； 宁夏医科大学总医院骨科； 哈尔滨医科大学附属第四医院骨科； 中日友好医院麻醉科； 哈尔滨医科大学附属第二医院骨科； 解放军总医院第八医学中心骨科； 解放军总医院第七医学中心骨科；

【摘要】 肌肉骨骼系统慢性疼痛是临床最常见的慢性疼痛。目前,国内外医师对慢性疼痛的认识、临床实践环境、镇痛药物种类/使用经验/了解程度、医保药品收录均有差异,故有效、规范化的慢性疼痛管理显得尤为必要。因此,亟待制定完善的、基于生物-心理-社会医学等因素的跨学科慢性疼痛管理共识,提高广大医务人员对慢性疼痛的认识与重视、规范指导慢性疼痛的管理,提高医疗质量、降低医疗成本,消除患者感觉、情感、认知和社会维度的痛苦体验,在治疗患者原发疾病的同时,改善患者的心理需求和社会功能需求。通过查阅文献,本共识专家组遵循循证医学原则,经过反复讨论和通信修改,对肌肉骨骼系统慢性疼痛管理达成共识,供广大骨科医师在临床工作中参考。

【Abstract】 Chronic pain in the musculoskeletal system is the most common form of clinical chronic pain. Effective and standardized chronic pain management is particularly necessary because of the differences in the understanding of chronic pain of doctors at home and abroad, clinical practice environments, types and use of analgesic drugs, and drugs covered by medical insurance in different regions of China. Therefore, it is urgent to make a comprehensive consensus on interdisciplinary chronic pain management based on biological psychological social medicine and other factors, to improve the awareness and attention of medical staffs on chronic pain, to standardize and guide the management of chronic pain, to improve medical quality and reduce medical costs, to eliminate the painful experience of the patient’s sensory, emotional, cognitive and social dimensions,and to improve the patient’s psychological needs and social function requirements while treating the patient’s primary diseases.By consulting the literatures and following the principles of evidence-based medicine, after repeated discussions and communication revisions, a consensus has been reached on the management of chronic pain in the musculoskeletal system as a reference for orthopaedic surgeons in clinic.

【关键词】 肌肉骨骼系统； 慢性疼痛； 加速康复；
【Key words】 Musculoskeletal System； Chronic Pain； Enhanced Recovery After Surgery；
  • 【文献出处】 中华骨与关节外科杂志 ,Chinese Journal of Bone and Joint Surgery , 编辑部邮箱 ,2020年01期
  • 【分类号】R685
  • 【被引频次】25
  • 【下载频次】1902
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