Departments of Neurological Surgery and Anesthesia and Pain Medicine, University of Washington, Seattle, WA, United States.
Pain. 2022 Sep 1;163(9):1670-1674. doi: 10.1097/j.pain.0000000000002583. Epub 2022 Jan 17.
The traditional construct of acute pain vs chronic pain is arbitrary and obscures fundamental differences in clinical pain phenomena. A more powerful dichotomy between peripherally generated pain and centrally maintained pains can facilitate advances in both pain research and clinical care. We should abandon the temporally based pain classification scheme because it does not accurately reflect the underlying principles inherent in the phenomena of pain.
传统的急性疼痛与慢性疼痛的构建是任意的,掩盖了临床疼痛现象的根本差异。在周围产生的疼痛和中枢维持的疼痛之间更有力的二分法可以促进疼痛研究和临床护理的进展。我们应该放弃基于时间的疼痛分类方案,因为它不能准确反映疼痛现象所固有的基本原则。