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[作为一种疾病的慢性疼痛:《国际疾病分类第11版》中疼痛诊断概述]

[Chronic pain as a disease: An overview of pain diagnoses in ICD-11].

作者信息

Bäckryd Emmanuel

机构信息

docent, överläkare, Smärt- och rehabiliteringscentrum, Region Östergötland; Linköpings universitet.

出版信息

Lakartidningen. 2023 Oct 24;120:23109.

Abstract

Pain is a symptom that can be associated with dangerous diseases such as cancer. Hence, to avoid delay in diagnosis of an underlying serious condition, it is important to be thorough when assessing pain. However, all pains are not symptoms of an underlying disease. Instead, many chronic pain conditions can be viewed as diseases in their own right. Indeed, sometimes the pain is the disease - such is for instance the case for fibromyalgia, painless fibromyalgia being a contradiction in terms. The new classification of chronic pain conditions according to the eleventh version of International Classification of Diseases (ICD-11) is presented and discussed. It is argued that the classification makes pain medicine visible as an academic discipline; that it may contribute to a legitimization process in which the suffering of pain patients is recognized semantically and taxonomically; and that it opens up new research possibilities in the chronic pain field.

摘要

疼痛是一种可能与癌症等危险疾病相关的症状。因此,为避免延误对潜在严重疾病的诊断,在评估疼痛时进行全面检查很重要。然而,并非所有疼痛都是潜在疾病的症状。相反,许多慢性疼痛状况本身就可被视为疾病。事实上,有时疼痛就是疾病——例如纤维肌痛就是这种情况,无痛性纤维肌痛在语义上就是自相矛盾的。本文介绍并讨论了根据《国际疾病分类》(ICD - 11)第十一版对慢性疼痛状况的新分类。有人认为,该分类使疼痛医学成为一门学术学科;它可能有助于一个合法化过程,在这个过程中,疼痛患者的痛苦在语义和分类学上得到认可;并且它为慢性疼痛领域开辟了新的研究可能性。

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