机械超痛和神经性疼痛特质在全膝关节置换术后带来慢性术后疼痛的风险
Andrew D Vigotsky1,2, Olivia Cong1,3, Camila B Pinto1,3
1Center for Translational Pain Research, Northwestern University Feinberg School of Medicine. Chicago, IL. 60610, USA.
medRxiv : the preprint server for health sciences
|January 31, 2024
概括
在手术前的针刺超痛和神经病痛症状预测了全膝关节置换 (TKR) 后的慢性疼痛. 识别这些预测因素可以改善患者的治疗结果和TKR后的疼痛管理策略.
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
- 神经学 神经学
背景情况:
- 全膝关节置换 (TKR) 是治疗末期膝关节关节炎 (KOA) 疼痛的常见手术.
- 有相当数量的患者经历了慢性术后疼痛,尽管TKR.
- 预测这种慢性疼痛对于患者管理至关重要,但之前的研究已经产生了不一致的结果.
结论:
- 手术前的定量感官测试,特别是针刺痛过敏症,是全膝关节置换术后慢性疼痛的重要预测因素.
- 通过PainDETECT问卷识别的神经病痛症状也显示了持续的术后疼痛的预测价值.
- 这些发现表明,将QST和PainDETECT纳入手术前评估可能有助于识别患有TKR后慢性疼痛风险的患者,从而实现有针对性的干预.
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