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在椎手术后,与中心敏感相关的症状和与疼痛相关的残疾之间的关系:结构方程模型

Yu Kondo¹, Daisuke Higuchi², Takahiro Miki³

¹Department of Rehabilitation, Sapporo Maruyama Orthopedic Hospital, Sapporo, Japan.

Pain management nursing : official journal of the American Society of Pain Management Nurses

|January 25, 2024

概括

中央敏感性 (CS) 症状在椎脊椎手术后疼痛如何导致残疾方面发挥着作用. 了解这种联系可以帮助识别患有较高残疾风险的患者.

科学领域:

整形外科整形外科整形外科
疼痛医学医学疼痛医学
神经外科神经外科

背景情况:

中枢敏感化 (CS) 在椎脊椎手术后残疾发展中的作用尚不清楚.
研究CS相关症状对于理解手术后疼痛-残疾关系至关重要.

研究的目的:

检查中央敏感化 (CS) 症状在椎脊椎手术后疼痛和残疾之间的关联中的调解作用.
阐明通过疼痛影响患者群体残疾的途径.

主要方法:

在第三级护理脊柱手术中心进行了一项横截面研究.
评估了患者报告的结果,包括疼痛 (数值评分表),残疾 (部残疾指数) 和CS症状 (中央敏感化库存的简短形式).
使用结构方程建模来测试疼痛,CS症状和残疾之间的关系的假设模型.

主要成果:

疼痛,包括部和上肢疼痛,显著影响了中央敏感化 (CS) 症状.
疼痛直接影响残疾,也通过CS相关的症状间接介导.
引导式分析证实了疼痛通过CS症状对残疾的显著间接影响 (p = .04).

结论:

部和上肢疼痛通过中央敏感性 (CS) 症状直接和间接地导致残疾.
生物心理社会方法可能对部脊柱手术后患残疾高风险的患者有益,特别是那些有显著CS症状的患者.
需要进一步的研究来评估针对该群体的CS症状的干预措施.

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