Population Health and Genomics Division, University of Dundee School of Medicine, Ninewells Hospital and Medical School, Dundee, Scotland, UK.
Population Health and Genomics Division, University of Dundee School of Medicine, Ninewells Hospital and Medical School, Dundee, Scotland, UK.
Br J Anaesth. 2019 Aug;123(2):e273-e283. doi: 10.1016/j.bja.2019.03.023. Epub 2019 May 10.
Chronic pain is a common, complex, and distressing problem that has a profound impact on individuals and society. It frequently presents as a result of a disease or an injury; however, it is not merely an accompanying symptom, but rather a separate condition in its own right, with its own medical definition and taxonomy. Studying the distribution and determinants of chronic pain allows us to understand and manage the problem at the individual and population levels. Targeted and appropriate prevention and management strategies need to take into account the biological, psychological, socio-demographic, and lifestyle determinants and outcomes of pain. We present a narrative review of the current understanding of these factors.
慢性疼痛是一种常见、复杂且令人痛苦的问题,对个人和社会都有深远的影响。它通常是疾病或损伤的结果;然而,它不仅仅是一种伴随症状,而是一种独立的病症,有其自身的医学定义和分类。研究慢性疼痛的分布和决定因素可以帮助我们在个体和人群层面上理解和管理这个问题。有针对性和适当的预防和管理策略需要考虑疼痛的生物学、心理学、社会人口学和生活方式决定因素和结果。我们对这些因素的现有认识进行了叙述性综述。