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慢性疼痛与残疾评定——以《永久性残损评定指南》为背景
引用本文:靳康佳,王宇聪,朱海标,王旭,杨天潼.慢性疼痛与残疾评定——以《永久性残损评定指南》为背景[J].中国法医学杂志,2021(2):208-211.
作者姓名:靳康佳  王宇聪  朱海标  王旭  杨天潼
作者单位:中国政法大学证据科学教育部重点实验室;司法文明协同创新中心
基金项目:双一流-拔尖人才培养(2011-051040);国家自然基金(81971796,81871523);北京市自然科学基金资助项目(7192121,7182022);法医学山西省重点实验室开放课题;法庭科学湖北省重点室研究(湖北警官学院)资助课题;中国政法大学青年教师学术创新团队(19CXTD04,18CXTD09)。
摘    要:疼痛是一种具有感觉、情感、认知和社会成分的不愉快经历,慢性疼痛可对个体日常生活造成影响。本文以美国《永久性残损评定指南》为背景,对慢性疼痛的概念、神经机制、生物-心理-社会模型及负面影响进行概述,并简要介绍了《永久性残损评定指南》第6版中疼痛伤残评定的原则、方法及争议等内容。以期为慢性疼痛纳入我国残疾评定体系提供方向与思考。

关 键 词:法医临床学  慢性疼痛  残疾评定  永久性残损评定指南

Chronic pain and impairment assessment-Based on guides to the evaluation of permanent impairment
Jin Kangjia,Wang Yucong,Zhu Haibiao,Wang Xu,Yang Tiantong.Chronic pain and impairment assessment-Based on guides to the evaluation of permanent impairment[J].Chinese Journal of Forensic Medicine,2021(2):208-211.
Authors:Jin Kangjia  Wang Yucong  Zhu Haibiao  Wang Xu  Yang Tiantong
Institution:(Key Laboratory of Evidence Science(China University of Political Science and Law),Ministry of Education,Beijing 100088,China;Collaborative Innovation Center of Judicial Civilization,Beijing 100088,China)
Abstract:Pain is an unpleasant experience with sensory, emotional, cognitive and social components. Chronic pain can affect an individual’s daily life. This article summarizes the concept, neural mechanisms, bio-psycho-social model and negative impact of pain, mainly in the context of Guides to the Evaluation of Permanent Impairment, and briefly introduces the principles, methods and debates of the assessment of pain-related impairment in the sixth edition of the Guides to the Evaluation of Permanent Impairment in order to provide directions and ideas for including chronic pain in China’s impairment rating system.
Keywords:Forensic clinical  Chronic pain  Impairment rating  Guides to the evaluation of permanent impairment
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