全域疼痛管理诊疗策略的构成与实施探讨  

Discussion on the composition and implementation of diagnosis and treatment strategies for whole field pain management strategy

作　　者：纪运 马冰洁[1] 郭琇茜 董海平 马柯[1] Ji Yun;Ma Bingjie;Guo Xiuqian;Dong Haiping;Ma Ke(Department of Pain Management,Xinhua Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200090,China)

机构地区：[1]上海交通大学医学院附属新华医院疼痛科,上海200090

出　　处：《中华医学杂志》2023年第39期3083-3087,共5页National Medical Journal of China

摘　　要：疼痛是第五大生命体征,慢性疼痛是严重影响健康水平的一大类疾病。目前慢性疼痛发病率高,但整体治疗满意度低,需要不断优化疼痛诊疗策略,提升疼痛管理内涵。依据本疼痛中心临床实践,结合相关文献资料,本文提出应从感觉、情绪、认知、行为四个维度进行全域疼痛管理的诊疗策略。采用虚拟现实/混合现实及脑机接口等创新数字化的疼痛诊疗技术进行情绪、认知、行为调节和改变生活方式、康复理疗、药物、微创介入治疗等方法一起构成全域疼痛管理的诊疗策略,以期探寻未来进一步完善慢性疼痛管理新的发展方向。Pain is the fifth major vital sign,and chronic pain is a large category of diseases that affects health seriously.At present,the incidence of chronic pain is high,but the overall treatment satisfaction is low.It is necessary to continuously optimize pain diagnosis and treatment strategies and improve the connotation of pain management.Based on the clinical practice of our pain center,combined with relevant literature,the article proposes a diagnosis and treatment strategy of"whole field pain management"should be carried out from the four dimensions of feeling,emotion,cognition,and behavior.Innovative digital pain diagnosis and treatment technologies such as VR/MR and brain-computer interface are used to regulate emotional,cognitive,and behavioral regulation,and combined with lifestyle changes,rehabilitation physiotherapy,drugs,and minimally invasive interventional therapy to constitute a"whole field pain management strategy"to explore the new development direction of further improving the management of chronic pain.

关 键 词：疼痛 慢性 全域疼痛管理 虚拟现实 混合现实 维度 

分 类 号：R402[医药卫生—临床医学]