建设中国特色疼痛康复医疗体系的探索与思考_图文.ppt

建设中国特色疼痛康复医疗体系的探索与思考Exploration and Reflection on the Establishment of Pain Rehabilitation Medical System with China Characteristics 海军总医院康复医学科暨疼痛诊疗中心 Dep. of Rehabilitation Medicine and Pain Center 康复医学科 乔晋琳 Jinlin Qiao 2016年3月27日 27 MAR 2016 目录 CONTENTS 疼痛康复医疗的需求与现状 1 疼痛康复医疗的学科架构 2 存在问题 3 促进中西医疼痛康复的发展创新 4 我们的实践与思考 5 参与医药卫生体制改革的路径 6 Discipline Architecture of Pain and Rehabilitation Medical Treatment Problems Promote the Development and Innovation of Pain and Rehabilitation Medical Treatment with Chinese and Western Medicine Our Practice and Reflection Path to Participate in the Reform of Medical and Health System Needs and Current Situation of Pain and Rehabilitation Medical Treatment IMC 一、疼痛康复医疗的需求与现状 Ⅰ. Needs and current situation of pain and rehabilitation medical treatment 慢性疼痛类疾病已成为继心脑血管病、癌症、代谢性疾病，这些严重影响人类健康的又一类“健康杀 手”：是影响工作出勤率、家庭日常生活残障率、死亡率的又一类公共健康问题！ Chronic pain diseases has been another health killer following cardio-cerebrovascular disease, cancer and metabolic disease that serious impact on human health, and also been a public health problem that affect attendance, daily life disability and mortality. 急性疼痛/Acute Pain （软组织及关节急性损伤疼痛，手术后疼痛，产科疼痛） Acute injury pain of Soft tissue and joint, postoperative pain, obstetric pain 慢性疼痛/Chronic pain （软组织及关节劳损性，椎间盘源性疼痛、神经源性疼痛） Soft tissue and joint strain, discogenic pain,neuropathic pain 顽固性疼痛/Intractable pain （三叉神经疼痛，带状疱疹后遗神经疼痛，椎间盘突出症）Trigeminal nerve pain, postherpetic neuralgia, lumbar disc herniation 1、需求巨大，覆盖疾病谱广，学科交叉趋势显著 1.The huge demand, wide coverage, significant interdisciplinary trend IMC 一、疼痛康复医疗的需求与现状 Ⅰ. Needs and current situation of pain and rehabilitation medical treatment 癌性疼痛 （晚期肿瘤痛，肿瘤转移病） cancer pain advanced cancer pain, tumor metastatic disease 特殊疼痛类 （血栓性脉管炎，顽固性心绞痛,特发性胸腹痛） Special pain thromboangiitis, intractable angina pectoris, idiopathic thoracic abdominal pain 相关学科疾病（突发性耳聋，血管痉挛性疾病） Related disciplines disease