中枢性卒中后疼痛的频率及其对生活质量的影响

S. Ösken, A. Içağasioğlu, B. Durmuş, S. Sağ, E. Madenci
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引用次数: 0

摘要

目的:本研究旨在确定卒中患者中枢性卒中后疼痛(CPSP)的发生频率,并探讨CPSP与患者临床/人口学特征、疼痛强度、功能状态和生活质量之间的关系。方法:研究对象为150例18岁及以上的中风患者。记录患者的人口学资料、发病时间、病因、脑损伤部位、受累侧、行走状况和Brunnstrom分期。采用双重神经病4题(DN4)评估CPSP的存在。疼痛强度采用视觉模拟量表(VAS),行走功能量表(FAS),功能状态采用Barthel指数(BI),生活质量采用脑卒中影响量表(SIS)。结果:患者平均年龄67±11.5岁,男性占54.7%,女性占45.3%。15.3%的患者进行了CPSP评估。CPSP状态与患侧患者的年龄、性别、发病时间、BI评分、行走情况比较,差异无统计学意义(p>0.05)。SIS子参数得分与CPSP存在差异无统计学意义(p>0.05)。在相关分析中,Barthel指数与除记忆和情绪外的所有SIS域均呈显著相关(p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Frequency of Central Post-Stroke Pain and Its Impact on Quality of Life
Objective: This study aims to determine the frequency of central post-stroke pain (CPSP) in a patient population with stroke as well as investigating the relationship between CPSP and patients' clinical/demographic characteristics, pain intensity, functional status, and quality of life. Methods: The study included 150 patients, who had a stroke and were aged 18 years and above. Demographic data of the patients, time since onset, and etiology, localization of the cerebral lesion, affected side, ambulation status, and Brunnstrom stages were recorded. Douleur neuropathique 4 questions (DN4) were used to assess the presence of CPSP. Visual Analog Scale (VAS) was used for pain intensity, functional ambulation scale (FAS) was used for ambulation status, Barthel Index (BI) was used for functional status, and the stroke impact scale (SIS) was used for quality of life. Results: The mean age of the patients was 67±11.5 years, 54.7% was male, and 45.3% was female. CPSP was evaluated in 15.3% of patients. There was no significant difference between the affected side of the body and age, gender, time since onset, BI scores, and ambulation status of patients according to their CPSP status (p>0.05). There was no statistically significant difference between SIS sub-parameter scores and the presence of CPSP (p>0.05). In correlation analysis, a significant relationship was found between Barthel Indexes and all SIS domains except memory and emotion (p
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