Serrie A, Thurel C
Département de diagnostic et de traitement de la douleur, hôpital Lariboisière, Paris.
Rev Prat. 1994 Sep 15;44(14):1892-7.
Recent data indicate that 25 to 30% of the population in industrialized countries suffers from benign chronic pain. Among these patients, 50 to 75% are professionally incapable for varied lengths of time, from a few days to some weeks or months, or even definitively. The aetiology and clinical presentation of chronic benign pain are enormously varied because this definition includes such different pathologies as headache, pain of rheumatologic, postsurgical, organic, and post-zoster origin, lombalgia, radiculalgia, post-amputation pain, neuropathologic pain, causalgia, algoneurodystrophic pain, psychosomatic and idiopathic pain. Since these syndromes and causes of pain could not be discussed individually, they have been grouped according to their neurophysiology and pathophysiology.
近期数据表明,工业化国家25%至30%的人口患有慢性良性疼痛。在这些患者中,50%至75%在不同时长内无法工作,短则几天,长则数周、数月,甚至永久无法工作。慢性良性疼痛的病因和临床表现极为多样,因为这一定义涵盖了多种不同的病症,如头痛、风湿性疼痛、术后疼痛、器质性疼痛、带状疱疹后疼痛、腰痛、神经根痛、截肢后疼痛、神经病理性疼痛、灼痛、神经萎缩性疼痛、心身性疼痛和特发性疼痛。由于无法逐一讨论这些综合征和疼痛原因,故根据其神经生理学和病理生理学进行了分类。