吸烟与外伤性脊髓损伤患者疼痛严重程度和干扰程度的增加有独立关联。

Collin W Blackburn, Tyler J Moon, Nicholas U Ahn
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引用次数: 0

摘要

以往的研究表明吸烟与疼痛之间存在关系,但从未在创伤性脊髓损伤(TSCI)的情况下进行过研究。因此,本研究的目标是:(1)确定与非吸烟者相比,外伤性脊髓损伤患者吸烟是否会加重疼痛;(2)确定与非吸烟者相比,外伤性脊髓损伤患者吸烟是否会加重功能障碍。我们对国家脊髓损伤统计中心的数据库进行了回顾性分析。对美国脊柱损伤协会(ASIA)C/D 级 TSCI 患者中的 514 名非吸烟者和 124 名吸烟者的疼痛严重程度、干扰和功能结果进行了比较。与非吸烟者相比,吸烟者的疼痛严重程度和干扰程度得分更高。这些结果在多变量分析中具有重要意义。与非吸烟者相比,吸烟者的失业率也更高,但这一结果在多变量分析中并不显著。吸烟可能是导致 TSCI 情况下疼痛严重程度和干扰增加的一个独立风险因素。(外科骨科进展杂志》33(2):103-107,2024 年)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Smoking Is Independently Associated with Increased Pain Severity and Interference in Patients with Traumatic Spinal Cord Injury.

Previous studies have shown a relationship between cigarette use and pain but never in the setting of traumatic spinal cord injury (TSCI). Therefore, the objectives of this study were to (1) determine whether smokers with TSCI experience increased pain compared with nonsmokers with TSCI and (2) determine whether smokers with TSCI experience worse functional outcomes than nonsmokers with TSCI. A retrospective analysis of the National Spinal Cord Injury Statistical Center database was performed. Pain severity, interference, and functional outcomes were compared between 514 nonsmokers and 124 smokers with American Spinal Injury Association (ASIA) C/D TSCI. Smokers reported higher scores for pain severity and interference compared with nonsmokers. These findings were significant on multivariable analysis. Smokers also reported higher rates of job loss compared with nonsmokers, but this finding was not significant on multivariable analysis. Smoking may be an independent risk factor for increased pain severity and interference in the setting of TSCI. (Journal of Surgical Orthopaedic Advances 33(2):103-107, 2024).

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