社区居住脊髓损伤患者慢性疼痛的4年回顾性研究

doi:10.3969/j.issn.1006-9771.2019.06.008

摘要/Abstract

摘要： 目的回顾性分析社区居住的脊髓损伤患者疼痛现况。方法收集绵竹市人民医院康复科2015年至2018年的国际脊髓损伤疼痛数据集进行分析总结。结果 2015年至2018年间连续随访的脊髓损伤患者共19例，所有患者(100%)主诉均有疼痛，视觉模拟评分(VAS) (5.91±0.43)分，中度及以上疼痛者占94.7% (18/19)；84.2% (16/19)患者曾经同时经历过肌肉骨骼疼痛和神经性疼痛。84.2% (16/19)患者的疼痛对日常生活等存在中度以上的干扰；68.4% (13/19)患者曾经接受过疼痛相关的治疗，治疗多为非甾体抗炎药和理疗，但其中61.5% (8/13)仅在一次调查中接受治疗。结论大部分社区脊髓损伤患者会经历中度以上多种类型的慢性疼痛；疼痛对大多数脊髓损伤患者日常生活存在中度以上干扰；绝大多数时候，脊髓损伤患者慢性疼痛未得到治疗；脊髓损伤患者慢性疼痛管理需要多学科参与。

关键词: 脊髓损伤, 疼痛, 社区

Abstract: Objective To retrospectively analyze the overall status of chronic pain in patients with spinal cord injury living in the community.Methods From 2015 to 2018, the spinal cord injury patients from rehabilitation department, hospital of Mianzhu City were enrolled; the International Spinal Cord Injury Pain Data Sets were analyzed and summarized.Results All 19 patients with spinal cord injury were followed up continuously. All patients (100%) complained of pain. The average Visual Analogue Score was (5.91±0.43), and the patients with moderate pain and above accounted for 94.7% (18/19); 84.2% (16/19) patients experienced both musculoskeletal pain and neuropathic pain at the same time. Daily life, mood and sleep etc. of 84.2% (16/19) patients were moderately or severely disturbed by pain. 68.4% (13/19) patients were treated for pain, mostly regards non-steroidal antiinflammatory drugs and physiotherapy, but 61.5% (8/13) were treated in only one survey.Conclusion Most patients with spinal cord injury in community experience moderate and above chronic pain with multiple types, which moderately or severely disturbs daily life of most of them. They do not access enough management for pain. Chronic pain management requires multidisciplinary participation.

Key words: spinal cord injury, pain, community

中图分类号:

R651.2

吴丹, 邓佩琳, 张少军, 赵正恩, 王剑雄. 社区居住脊髓损伤患者慢性疼痛的4年回顾性研究[J]. 《中国康复理论与实践》, 2019, 25(6): 657-663.

WU Dan, DENG Pei-lin, ZHANG Shao-jun, ZHAO Zheng-en, WANG Jian-xiong. Chronic Pain in Patients with Spinal Cord Injury in Community: A Four-year Retrospective Study[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(6): 657-663.

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