旋转袖口撕裂患者的中心敏感综合征:患病率和相关因素
Run Peng1, Rong Yang2, Ning Ning1
1Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.
Postgraduate medicine
|July 28, 2023
概括
中央敏感综合征 (CSS) 影响了近40%的旋转手套撕裂患者,通常与慢性疼痛有关. 这种情况与年龄较大,症状持续时间较长以及焦虑和抑郁等心理因素有关.
科学领域:
- 整形外科 整形外科 整形外科
- 神经科学是一个神经科学.
- 疼痛管理 疼痛管理
背景情况:
- 轮盘裂 (RCT) 患者的慢性肩部疼痛往往与生理变化没有相关性.
- 中央敏感综合征 (CSS) 是一种神经生理过程,导致过敏.
- 之前没有研究过CSS和RCT之间的关联.
研究的目的:
- 为了确定被诊断为旋转手腕撕裂的患者中CSS的患病率.
- 为了在这个患者群体中确定与CSS相关的条件和并发症.
主要方法:
- 一项涉及404名RCT患者的横截面研究.
- 患者完成了中央敏感化清单 (CSI).
- 一个CSI分数≥40/100表示CSS的正确诊断.
主要成果:
- 在RCT患者中,CSS的患病率为39.4%.
- CSS与晚年 (51-60岁),更长的症状持续时间 (>6个月) 和非物理分娩有显著的关联.
- 其他相关因素包括双肩长头 (LHB) 异常,肩部硬,焦虑和抑郁.
结论:
- 中央敏感综合征 (CSS) 在旋转手套撕裂 (RCT) 患者中非常普遍.
- 在RCT患者中,CSS与人口统计学因素 (年龄,职业),临床特征 (症状持续时间,LHB异常,性) 和心理并发症 (焦虑,抑郁) 有关.
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