Expert Consensus on Metabolic Disorders and Pain Management in Panvascular Diseases

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  • 1.Department of Anesthesiologya Department of Pain Medicineb Department of Cardio-Thoracic Surgeryc
    Department of Endocrinologyd the First Affiliated Hospital of Harbin Medical University Heilongjiang Harbin 150001, China
    2.Department of Massage Guangdong Province Engineering Technology Research Institude of TCM Guangdong Second Traditional
    Chinese Medicine Hospital Guangdong Guangzhou 510095, China 3.Department of Anesthesiology
    Harbin Medical University Affiliated Cancer Hospital Heilongjiang Harbin 150081, China

Received date: 2025-08-13

  Revised date: 2025-10-23

  Accepted date: 2025-12-24

  Online published: 2026-02-11

Abstract

Panvascular disease is a systemic vascular disease with atherosclerosis as the core which can involve the heart brain kidney peripheral blood vessels and other organ systems. Its pathological characteristics show a complex interaction of "vascular injury metabolic disorder and chronic inflammation". At present metabolic abnormalities such as diabetes mellitus dyslipidemia hypertension and obesity have become key factors that promote the progression of diseases. These metabolic disorders not only aggravates vascular damage through multiple mechanisms but also induces nerve sensitization and chronic pain which significantly affects the quality of life and long-term prognosis of patients. However in clinical practice the standardized management of metabolic abnormalities and the effective control of pain are often treated separately and the lack of interdisciplinary collaboration is a prominent problem. In order to optimize the quality of comprehensive diagnosis and treatment of panvascular diseases and improve the prognosis of patients the expert consensus on metabolic disorders and pain management in panvascular diseases brings together the wisdom of multidisciplinary departments such as cardiology endocrinology anesthesiology pain medicine and traditional Chinese medicine rehabilitation and proposes for the first time a trinity collaborative intervention framework of "metabolic regulation vascular repair and pain relief". Specific recommendations include ① Pay attention to the standardized assessment and management of pain while controlling metabolic risk factors and optimizing revascularization. ② Establishing a multidisciplinary collaborative treatment model clarifying the responsibilities of each specialist and realizing data sharing and intervention adjustment through a digital platform. ③ Drug therapy should take into account vascular protection metabolic regulation and precise analgesia and choose cardiovascular and metabolic drugs and analgesic drugs reasonably. ④ Non-pharmacological interventions include physical therapy rehabilitation therapy psychological intervention surgery and intervention to reduce drug side effects and improve efficacy. ⑤ TCM intervention follows the principle of syndrome differentiation and treatment which is complementary to western medicine. ⑥ Pain management in special populations needs to be highly individualized and the treatment plan should be adjusted according to the patient's condition. ⑦To build a structured patient education system to improve treatment compliance and self-management ability.


Cite this article

CHENG Lei, LUO Lin, SUN Dongguang, LI Quancheng, XU Lei, TENG Xiaodan, LIU Yang, ZHENG Xiaoyu, ZHU Xiaodan1, Pain Branch of China Medical Association of Minorities .

Expert Consensus on Metabolic Disorders and Pain Management in Panvascular Diseases

[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2026 , 28(1) : 31 -31-37 . DOI: 10.1009-0959.2025.120003

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