Lavand'homme Patricia
Université catholique de Louvain - Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Br J Pain. 2017 Nov;11(4):162-165. doi: 10.1177/2049463717722119. Epub 2017 Jul 21.
Chronic postsurgical pain (CPSP) has become a health priority and is scheduled to be included in the upcoming version of the International Classification of Diseases, 11th Revision (ICD-11). Recent studies on CPSP show unchanged prevalence despite progress made in fundamental research about underlying pathophysiological mechanisms. Nevertheless, clinical research has allowed better understanding of some CPSP aspects such as the development of neuropathic CPSP. Actually, some improvements are ongoing such as a refined definition and the assessment of CPSP in vulnerable populations, for example, paediatric patients. Pain after surgery, its resolution or its transition to CPSP is a dynamic process that reinforces the necessity of longitudinal assessment and management. In other words, CPSP can be called 'perioperative medicine'.
慢性术后疼痛（CPSP）已成为一项重要的健康问题，并计划被纳入即将发布的《国际疾病分类》第11版（ICD-11）。尽管在CPSP潜在病理生理机制的基础研究方面取得了进展，但近期关于CPSP的研究表明其患病率并未改变。然而，临床研究已使人们对CPSP的某些方面有了更好的理解，例如神经性CPSP的发展。实际上，目前正在进行一些改进，如对CPSP进行更精确的定义以及对弱势群体（如儿科患者）中的CPSP进行评估。手术后的疼痛、疼痛的缓解或向CPSP的转变是一个动态过程，这强化了纵向评估和管理的必要性。换句话说，CPSP可被称为“围手术期医学”。
