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1、SPECIALARTICLESAnesthesiology2010;112:810–33Copyright©2010,theAmericanSocietyofAnesthesiologists,Inc.LippincottWilliams&WilkinsPracticeGuidelinesforChronicPainManagementAnUpdatedReportbytheAmericanSocietyofAnesthesiologistsTaskForceonChronicPainManagementandtheAmericanSocietyofRegionalAnesthesiaandP
2、ainMedicine*PRACTICEGuidelinesaresystematicallydevelopedrecom-Methodologymendationsthatassistthepractitionerandpatientinmak-A.DefinitionofChronicPainingdecisionsabouthealthcare.TheserecommendationsmayFortheseGuidelines,chronicpainisdefinedaspainofanybeadopted,modified,orrejectedaccordingtoclinicalne
3、edsandetiologynotdirectlyrelatedtoneoplasticinvolvement,asso-constraintsandarenotintendedtoreplacelocalinstitutionalciatedwithachronicmedicalconditionorextendingindu-policies.Inaddition,PracticeGuidelinesdevelopedbytherationbeyondtheexpectedtemporalboundaryoftissuein-AmericanSocietyofAnesthesiologis
4、ts(ASA)arenotintendedasjuryandnormalhealing,andadverselyaffectingthefunctionstandardsorabsoluterequirements,andtheirusecannotguar-orwell-beingoftheindividual.anteeanyspecificoutcome.PracticeGuidelinesaresubjecttorevisionaswarrantedbytheevolutionofmedicalknowledge,B.PurposesoftheGuidelinestechnology,
5、andpractice.TheyprovidebasicrecommendationsThepurposesoftheseGuidelinesareto(1)optimizepainthataresupportedbysynthesisandanalysisofthecurrentliter-control,recognizingthatapain-freestatemaynotbeattain-ature,expertandpractitioneropinion,openforumcommen-able;(2)enhancefunctionalabilitiesandphysicalandp
6、sy-tary,andclinicalfeasibilitydata.chologicwell-being;(3)enhancethequalityoflifeofpa-Thisdocumentupdatesthe“PracticeGuidelinesfortients;and(4)minimizeadverseoutcomes.ChronicPainManagement,”adoptedbytheASAin19961andpublishedin1997.C.FocusTheseGuidelinesfocusontheknowledgebase,skills,and*Developedbyth
7、eAmericanSocietyofAnesthesiologistsTaskForceonChronicPainManagement:RichardW.Rosenquist,M.D.rangeofinterventionsthataretheessentialelementsofeffec-(Chair),IowaCity,Iowa;HonorioT.Benzon,M.D.,Chicago,Il
