患有慢性脊柱疼痛和并发性失眠的患者是否有更多的中央敏感性特征? 一个案例对照研究研究
Lucas Araújo Almeida1,2,3, Thomas Bilterys1,4,5,6, Eveline Van Looveren1,4,7
1Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium.
Healthcare (Basel, Switzerland)
|December 22, 2023
概括
慢性脊柱疼痛 (CSP) 中心敏感性 (CS) 患者失眠影响感知睡眠和幸福感,但不是客观的睡眠或活动水平. 这突显了CS患者对疼痛和睡眠障碍的主观经验.
科学领域:
- 疼痛医学 医学 疼痛医学
- 睡眠医学 睡眠医学
- 神经科学是一个神经科学.
背景情况:
- 慢性脊柱疼痛 (CSP) 是一个重要的全球健康问题,经常与睡眠障碍同时发生.
- 中央敏感化 (CS) 可以加剧CSP患者患有失眠的情况.
- 了解CS对失眠的CSP患者的影响对于有效管理至关重要.
研究的目的:
- 为了比较自身报告和客观测量的临床结果在失眠的CSP患者与或没有CS症状.
- 调查CS对睡眠质量,功能和心理痛苦的影响.
主要方法:
- 采用了一种病例控制研究设计.
- 通过在线问卷收集了关于睡眠,功能和痛苦的自我报告数据.
- 客观测量包括多睡眠学,睡眠和体力活动的行为学,以及压力疼痛值 (PPT) 的数字算法学.
主要成果:
- 两组之间在客观睡眠和体育活动参数方面没有发现显著差异.
- 脑神经系统组报告睡眠质量较差,失眠严重程度更高,对睡眠的信念更具功能障碍.
- 脑神经系统患者表现出增加的疲劳,更大的心理痛苦 (焦虑,抑郁) 和较低的PPT.
结论:
- 中央敏感性症状显著影响失眠的CSP患者感知到的睡眠质量和功能健康.
- 客观的睡眠和体力活动措施似乎没有直接受到该人口中CS症状的影响.
- 这些发现强调了解决主观经验在管理CSP与伴随性失眠和CS的管理中的重要性.
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