肌肉骨骼慢性疼痛诊治专家共识

Expert Consensus on Diagnosis and Treatment of Chronic Musculoskeletal Pain

肌肉骨骼系统慢性疼痛是临床最常见的慢性疼痛。随着人口老龄化,慢性肌肉骨骼疼痛的总体负担将继续加重,对安全有效的疼痛管理的需求也将日益增加。由于文化、经济和监管因素不同,国际指南可能不完全适合中国病人。可用的国内指南大多只针对于药物治疗,且没有阐述中医药在肌肉骨骼系统慢性疼痛诊治中的重要作用。为了制定慢性肌肉骨骼疼痛的中西医结合专家共识,我们召开会议回顾并讨论近期循证医学证据、临床经验和我们目前面临的实践挑战,为慢性肌肉骨骼疼痛的全面评估和管理提供了建议。这些共识建议不是指令性的,而是作为临床实践决策的指南,慢性肌肉骨骼疼痛的最佳治疗方案应该是个性化的。

Chronic musculoskeletal pain is the most common form of clinical chronic pain.The overall burden of chronic musculoskeletal pain will continue to increase as the population ages,as will the demand for safe and effective pain management.International guidelines may not be applicable for Chinese patients due to cultural,local economic and regulatory factors.Currently,available domestic guidelines mostly focus only on pharmacotherapy and do not address the important role of traditional Chinese medicine in the management of musculoskeletal chronic pain.With the aim of developing integrated traditional Chinese and Western medicine consensus recommendations for the management of chronic musculoskeletal pain,we convened to review and discuss recent available evidence of evidence-based medicine in the article,clinical experience and current practice challenges we face.Taking these into consideration,we provided general recommendations for the overall assessment and management of chronic musculoskeletal pain.These consensus recommendations are not prescriptive,but serve as a guide for decision-making in clinical practice.The optimal management of chronic musculoskeletal pain should ultimately be individualized to each patient.