China's pain health index was first released, and citizens were the most likely to fall into six misconceptions about pain.

On the morning of October 18, 2020, World Analgesy Day? China Analgesy Week Theme Release and China-Japan Hospital Pain Medicine Week? The opening ceremony of the General Conference of Pain Specialists was held in Beijing.
Professor Han Jisheng, Fellow of the Chinese Academy of Sciences, Commissioner Guo Yanhong of the National Health And Wellness Commission, Zhou Jun, President of the Sino-Japanese Friendship Hospital, President of the Pain Physicians Branch of the Chinese Physicians Association, Professor Yu Bifa, Director of the Pain Department of the Sino-Japanese Hospital, Chairman-designation of the Pain Credit Committee of the Chinese Medical Association, First Affiliated Hospital of Nanchang University Professor Zhang Daying, Director of the Pain Department, Professor Xiong Donglin, Chairman-designated Chairman of the Pain Professional Committee of the Chinese Association of Chinese and Western Medicine, Director of the Pain Section of Nanshan Hospital in Shenzhen, Chairman of the Health Communication Branch of the Chinese Society of Preventive Medicine, and more than 200 well-known pain experts from more than 20 provinces of the country attended the conference.
conference, Han Jisheng, a member of the Chinese Academy of Sciences, released this year's theme: "Global Year Against Back Pain".
The National Pain Quality Control Center was established to promote the development of pain disciplines at the conference, the Sino-Japanese Hospital was commissioned by the National Health and Safety Commission Medical and Medical Administration to set up the National Pain Quality Control Center.
Commissioner Guo Yanhong of the National Health And Wellness Commission and Director of the China-Japan Hospital Zhou Jun pointed out that the reason for pain quality control is to promote the standardization, standardization and homogenization of pain diagnosis and treatment services in China, to narrow the gap in the quality of pain diagnosis and treatment between regions and between different medical institutions, and to better serve pain patients.
Subsequently, the President of the Conference, Professor Nie Bifa, Director of the National Pain Quality Control Center, discussed the development strategy of the future pain discipline, and launched the Blue Book of China's Strategy for Pain Prevention and Control and Health Promotion, the China Expert Consensus on The Diagnosis and Treatment of Peripheral Neuropathic Pain, and the Excellent Pain Education Program, among others, a series of cooperation projects to promote the development of the pain discipline.
China Pain Health Index: A simple and intuitive assessment of the pain health status of the Chinese population by the National Clinical Key Specialty - Pain Specialist Association, the Chinese Center for Disease Control and Prevention of Chronic Noncommunicable Diseases Prevention and Control Center, Pfizer-supported China Pain Health Index was released at this conference for the first time.
the index covers a total of 16 indicators in four areas: epidemic level, disease burden, status of diagnosis and treatment, and discipline construction.
China Pain Health Index is built to provide the government with a comprehensive understanding of China's pain health status quo, compare the severity of pain diseases in various regions, disease prevalence and control of the tool, can monitor and evaluate the pain health management capacity of the Chinese population, help improve the level of pain management.
, Shanghai and Zhejiang are currently among the top three in the country, according to a report released on the same day.
Correct understanding of pain, avoid pain mistakes Han Jisheng academician of the Chinese Academy of Sciences on-site inscription, Chinese Physicians Association Pain Physicians Branch President Yu Bifa, Chinese Society of Preventive Medicine Health Communication Branch Chairman Kong Lingzhi, Chinese Medical Association Pain Credit Committee Chairman-designated Zhang Daying, Chinese Association for the Promotion of Traditional Chinese Medicine Soft Tissue Pain Society Chairman Wang Wen, China Central Xiong Donglin, Chairman-designate of the Pain Professional Committee of the Western Medical Association, Fu Zhijian, Vice Chairman of the Pain Credit Committee of the Chinese Medical Association, and Liu Hui, Vice President of the Pain Physicians Branch of the Chinese Physicians Association jointly released the theme slogan of pain prevention and treatment of the "China Health Knowledge Communication Incentive Program" project - "Finding pain, recognizing pain, solving pain", and jointly called on the public to understand pain and correctly understand pain.
In reading the slogan, Professor Zhang Daying, Chairman-designate of the Pain Credit Committee of the Chinese Medical Association and Director of the Pain Section of Nanchang University's First Affiliated Hospital, pointed out that in 1995 the American Pain Society (APS) proposed that pain was the fifth most vital sign after breathing, pulse, blood pressure and body temperature.
re often seen as a symptom, or an accessory to a disease, and we expect it to subside as the disease heals, and we get used to "bearing it over" when dealing with it.
is the basic right of patients to eliminate pain, in the face of pain must not endure.
, according to the study, more than 70% of patients with pain "suffer from pain" do not seek medical attention, only 28% of patients for the first time pain within 1-10 days.
can be divided into acute pain and chronic pain.
Acute pain is a recent, sudden and short-lived pain, often a symptom of many diseases, associated with surgery, trauma, tissue damage, or certain conditions;
osteoarthritis, neck pain, low back pain, headache, cancer pain, etc., are common chronic pain, seriously affecting the quality of life.
ageing population, poor lifestyles and behavioural habits, and chronic diseases are factors contributing to the continued increase in pain disorders.
pain common six misunderstandings one: pain can endure, in unbearable time need to treat pain must not endure, once symptoms, should take active and effective treatment measures.
chronic pain should be seen as a disease.
pain can cause a series of pathophysiological changes, affecting the patient's mood and mental health, leading to sleep disorders, anxiety, irritability, and a decrease in the degree of coordination of various treatments.
constant pain stimulation can cause central sensitivity.
central sensitivity, the neuron's sense threshold for pain stimulation is reduced, increasing the intensity and duration of pain and greatly increasing the difficulty of pain treatment.
patients after surgery if the pain control is poor, affecting the rapid recovery after surgery.
especially after orthopaedic joint surgery, patients are afraid of pain and refuse to rehab exercise, resulting in joint stiffness, muscle atrophy, which affects the effectiveness of surgery.
patients with pain, such as osteoarthritis, rheumatoid arthritis, if the pain affects daily activities and functional exercise, will increase the risk of osteoporosis, muscle atrophy and other risks, resulting in a vicious circle.
Myth 2: Pain is not a disease, pain can be the accompanying symptoms of certain diseases, such as secondary hypertension headache, childbirth pain, etc., can also be a disease - painful diseases, such as primary trigexual nerve pain, shingles after nerve pain, chronic back pain and so on.
acute pain is mostly a symptom of certain diseases, while chronic pain is mostly a state of disease.
acute pain is based on the treatment of the cause, and chronic pain needs to be treated in combination with the cause and pathogenesis of the pain.
for acute pain, is often a signal of damage or lesions to the body, be sure to go to the hospital in a timely manner.
such as acute appendicitis caused abdominal pain, can not be delayed, otherwise it may lead to celiac infection, sepsis and other serious consequences.
for chronic pain, it worsens, becomes easier, and generalizes, causing malignant deterioration that further affects sleep, quality of life, and psychology.
Myth 3: "Close" "Cure is not cure", can not solve the fundamental problem "close" that is, closed therapy, is the local anesthetic or a small amount of hormone drugs injected into the pain point, joint sacs and other tissues.
Local anesthetics can play a rapid analgesic role, local small amounts of hormones can play a powerful anti-inflammatory role, play a role in eliminating inflammatory edema, promote inflammatory oozing absorption, relieve muscle spasms, improve the metabolism of diseased tissue, so closed therapy can not only relieve pain for a while, but also play a therapeutic effect on the disease.
Closed therapy is the use of local narcotic drugs, not opioids, generally not addictive, although long-term, repeated, high-dose use of hormones may appear dependence and osteoporosis, fem bone necrosis and other adverse reactions, but closed therapy each time the use of hormone dose is small, do not worry too much, is a safe and effective treatment.
The application of glucoticoids in pain minimally invasive interventional therapy - China Expert Consensus" published in 2017 shows that in epidural cavity, selective nerve root blocking therapy, the use of medium- and long-acting glucoticoids in 6 months not more than 3 times, short-acting not more than 5 times;
Myth 4: analgesic drugs will be addictive, try not to use what people often say "addiction" may be caused by disease dependence, because of physical or disease reasons, patients really need long-term use of analgesic drugs, such as rheumatoid arthritis patients need to take hormones for a long time.
The term "addiction" in medicine refers to mental dependence and addiction, which means that a person develops a desire to use drugs periodically or continuously, and produces compulsive drug use in order to obtain satisfaction or avoid discomfort.
resistance refers to the body's adaptive response to long-term medication, resulting in a reduction in the effect of the drug, increased dose can still play an analgesic effect.
drugs that ordinary people are afraid of, often opioids (including morphine), and drug users are prone to addiction, but addiction to pain patients is rare.
Pain significantly improves when you take analgesics and recurs as soon as you stop taking them, often because of the disease itself, such as some patients with dedefed arthritis or chronic low back pain, the pain recurs.
analgesotics, no matter what kind of painkillers, need to be applied under the guidance of a doctor.
doctors will individually select treatment drugs based on primary disease, combined disease, drug history, etc.
Myth 5: Analgesic drugs have many side effects, so try not to use clinically commonly used analgesic drugs including nonsteroidal anti-inflammatory drugs, opioid analgesics, anticonvulsants, antidepressants and other categories, the role mechanisms and adverse reactions of different drugs are different, can not be generally discussed.
Nonsteroidal anti-inflammatory drugs do have adverse reactions to the gastrointestinal tract, manifested as upper abdominal pain, nausea, indigestion, etc., serious cases can appear stomach hetero-fingered intestinal erosion, ulcers and life-threatening gastrointestinal perforation and bleeding.
Patients with corresponding high-risk factors, careful use of nonsteroidal anti-inflammatory analgesics, if the disease requires long-term use of nonsteroidal anti-inflammatory analgesics, pay attention to monitoring blood routine, stool blood, etc. , if there is discomfort, timely inform the physician.
Analgesic drugs produced adverse reactions are not only related to drug characteristics, with the human body quality, dosage, use time, and whether there are adverse reactions to the drug risk factors are also related, therefore, in the choice of analgesic drugs, need to communicate with the doctor the patient's usual health status, whether there is a history of adverse analgesic drug reactions, accompanied by diseases and drugs taken, doctors will choose the appropriate treatment drugs according to the patient's situation, the occurrence of adverse reactions to a minimum.
some analgesics have also been genetically tested to predict the risk of adverse reactions to patients taking the drug to reduce the occurrence of adverse reactions.
Myth 6: Complete elimination of pain is effective acute pain after the removal of pathogenic factors, most can be completely alleviated, but chronic pain due to complex eganology, often can not be cured, need long-term treatment, such as diabetes, primary hypertension and other chronic diseases.
treatment of chronic pain is often to treat the disease, relieve pain, improve mood, improve quality of life.
The idea that, as one medical philosopher puts it, "sometimes heals, often relieves, always comforts", trying to "cure" chronic pain with one or more treatments is not scientific and needs to be treated correctly.
many patients are unable to tolerate pain when they see a doctor, even long-term "suffering" without proper treatment.
experts called on the public to detect pain early, correctly recognize pain, and address pain early to improve quality of life.
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