头部和部癌症相关的疼痛:疼痛表型的描述性分析
Shehryar Khawaja1,2,3, Roxanne Bavarian4, Summaiya Abdul Rehman1
1Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Punjab, Pakistan.
Journal of pain research
|August 31, 2023
概括
头癌的疼痛是复杂的,通常涉及多种类型的疼痛,如肌肌关节疼痛和灼热疼痛障碍. 了解这些表型是癌症患者有效疼痛管理的关键.
科学领域:
- 在瘤学瘤学.
- 疼痛医学 医学 疼痛医学
- 临床评估 临床评估
背景情况:
- 头癌 (HNC) 由于相关的疼痛,严重影响患者的生活质量.
- 了解HNC相关疼痛的不同临床特征和疼痛表型对于有针对性的治疗策略至关重要.
研究的目的:
- 描述头癌 (HNC) 相关疼痛的临床特征.
- 为了确定与HNC相关的疼痛患者中不同疼痛表型的患病率.
主要方法:
- 一项涉及100名患有HNC相关疼痛的患者的横截面研究.
- 基于已建立的国际分类 (面部疼痛和头痛障碍) 进行全面的临床评估和分层分为疼痛表型.
主要成果:
- 这项研究包括68%的男性,平均年龄为49.71岁.
- 常见的癌症部位是舌头 (29%) 和口腔粘膜 (24%).
- 平均疼痛强度为5.88/10,常见的描述因素包括昏暗的疼痛,灼热和尖. 肌肌关节疼痛,骨疼痛和燃烧性疼痛障碍是普遍存在的,平均每名患者共存在三种表型.
结论:
- 与HNC相关的疼痛具有复杂和多样化的临床特征.
- 在HNC中的疼痛表型通常类似于初级疼痛障碍,并且经常同时发生.
- 识别这些共存的表型对于HNC患者的综合性疼痛管理至关重要.
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