共病

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医学領域,共病[1][2](comorbidity)又译合并症[註 1],是与原发疾病同时病發的一种或多种疾病。生理和心理上均會出現共病。在心理健康方面,如同時罹患抑郁症和焦虑症就屬於共病的表現。

共病可以表示与另一病症同时並發但並沒因果聯繫的病症,也可以表示有所聯繫的同時病發的病症。有時同時病發的多種疾病因果關係也未必能搞清,無法確定是受其他疾病誘發還是沒有聯繫[4]。此時依舊可以用共病症來形容這一狀況[5]。后者的含义与併發症的概念有一些重叠[6]

备注

  1. “合并症”此称呼有疑义或歧义,属于“非推荐名词”,在《汉英医学大词典》中,“合并症”与“并发症”英文译词均为“complication”[3]

参考文献

  1. 共病. 樂詞網. 國家教育研究院. (繁體中文)
  2. 徐祖龙. 对"并发症""合并症""共病"用法的商榷. 中华皮肤科杂志. 2022, 55 (10): 935.
  3. Valderas, Jose M.; Starfield, Barbara; Sibbald, Bonnie; Salisbury, Chris; Roland, Martin. Defining Comorbidity: Implications for Understanding Health and Health Services. Annals of Family Medicine. 2009, 7 (4): 357–63. PMC 2713155可免费查阅. PMID 19597174. doi:10.1370/afm.983.
  4. Comorbidity and multimorbidity in medicine today: challenges and opportunities for bringing separated branches of medicine closer to each other. Psychiatr Danub. June 2013,. 25 Suppl 1 (25 Suppl 1): 18–28. PMID 23806971.
  5. Maj, M, 'Psychiatric comorbidity': an artefact of current diagnostic systems?, Br J Psychiatry, 2005, 186 (3): 182–84, PMID 15738496, doi:10.1192/bjp.186.3.182.

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