国际疼痛学会对世界卫生组织ICD-11慢性疼痛分类的修订与系统化分类

THE INTERNATIONAL ASSOCIATION FOR THE STUDY OF PAIN (IASP) REVISION AND SYSTEMATIC CLASSIFICATION OF CHRONIC PAIN FOR WHO ICD-11

摘要:

2018年世界卫生组织（WHO）在国际疾病分类第11版（ICD-11）目录中首次收录了慢性疼痛并做了分类标注，但由于仍以症状为主，分属不同母系目录，为大规模流调、临床疼痛诊治和预后评估等实践应用造成困难。为此，国际疼痛学会（IASP）有关专家组对ICD-11版慢性疼痛分类的标注内容进行了补充修订，并制订了一个系统的分级诊断分类目录。本文在总结《疼痛》杂志（2019年160卷1期）ICD-11叙述专栏文章的基础上，制作了一个中文版IASP修订的ICD-11版慢性疼痛4级诊断分类目录和评估标准。期待慢性疼痛4级诊断分类目录在今后大规模人口流调、临床疼痛专科和其它相关科室诊治与预后评估工作中有章可循并发挥重要作用。

Abstract:

Chronic pain has been classified and coded for the first time by the 11th edition of International Classification of Diseases (ICD-11) which was published by the World Health Organization (WHO) in 2018, however, the use of ICD-11 classification of chronic pain is still difficult in practice including epidemiological investigation, clinical diagnosis and treatment, and assessment of prognosis, mainly due to problems of symptoms-oriented and multiple 'parenting' coding. To provide a more practical one, the International Association for the Study of Pain (IASP) Working Group collaborating with WHO has developed a grading system for classification of chronic pain based upon revision of ICD-11. Based upon the publications of Narrative Reviews in the journal Pain (2019, volume 160, issue No. 1), here we provided with a Chinese version of 4-level diagnosis grading system for IASP classification of chronic pain for ICD-11. Hopefully, the Chinese 4-level diagnosis grading system would play very important roles in epidemiological investigations, diagnosis, treatment, and prognosis assessment of chronic pain in both pain specialties and other clinical settings.