《PAIN》：疼痛新定义的前世今生

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The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises

国际疼痛学会对疼痛定义的修订：概念，挑战与妥协

Abstract

摘要

The current International Association for the Study of Pain (IASP) definition of pain as “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” was recommended by the Subcommittee on Taxonomy and adopted by the IASP Council in 1979.

目前，国际疼痛学会（IASP）对疼痛的定义为“与实际的或潜在的组织损伤（或描述的类似损伤）相关的不愉快的感觉和情感体验”，该定义由分类学小组委员会推荐，并在1979年由IASP委员会采纳。

This definition has become accepted widely by health care professionals and researchers in the pain field and adopted by several professional, governmental, and nongovernmental organizations, including the World Health Organization.

该定义被疼痛领域的医疗保健专业人员和研究人员广泛接受，并被包括世界卫生组织在内的数个专业组织，zf和非zf组织采用。

In recent years, some in the field have reasoned that advances in our understanding of pain warrant a reevaluation of the definition and have proposed modifications.

近年来，一些本领域的专家认为，我们对疼痛的理解不断进展，因此有必要对该定义进行重新评估，并提了出修改建议。

Therefore, in 2018, the IASP formed a 14-member, multinational Presidential Task Force comprising individuals with broad expertise in clinical and basic science related to pain, to evaluate the current definition and accompanying note and recommend whether they should be retained or changed.

因此，IASP在2018年成立了一个由14名成员组成的跨国会长特别工作组。该小组由在疼痛相关的临床和基础科学领域具有广泛专业知识的人员组成，以评估当前的定义和随附的注释，并对保留还是更改它们提出建议。

This review provides a synopsis of the critical concepts, the analysis of comments from the IASP membership and public, and the committee’s final recommendations for revisions to the definition and notes, which were discussed over a 2-year period.

本文展示了关键概念的提纲，包括IASP成员和公众的评论分析，以及委员会对定义和注释的最终修订建议。为了得出该建议，有关人员和机构进行了为期两年的论证。

The task force ultimately recommended that the definition of pain be revised to “An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage,” and that the accompanying notes be updated to a bulleted list that included the etymology.

工作组最终建议将疼痛的定义修订为“与实际或潜在的组织损伤相关或类似的令人不愉快的感觉和情感体验”，并将随附的注释更新为包括词源的带标记列表。

The revised definition and notes were unanimously accepted by the IASP Council early this year.

修订后的定义和注释在今年年初被IASP理事会一致接受。