糖尿病患者外感觉和疼痛症状的表型特征
Inaeh de Paula Oliveira1, Victória Regina da Silva Oliveira1, Heloísa Alonso-Matielo1
1Department of Anatomy, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.
Pain practice : the official journal of World Institute of Pain
|February 13, 2024
概括
糖尿病神经病变 (DN) 疼痛影响70%的患者,影响生活质量,与焦虑和抑郁相关. 确定了三种不同的疼痛特征,突出显示了对糖尿病感官变化的长期监测的必要性.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 疼痛医学 医学 疼痛医学
背景情况:
- 糖尿病神经病变 (DN) 是一种常见的糖尿病并发症,影响大约50%的人.
- 慢性疼痛是一种关键的DN症状,涉及到对刺激的反应加剧,目前的治疗方法提供有限的缓解.
- 神经病痛综合征患者的异质性使诊断和管理复杂化.
研究的目的:
- 为了在糖尿病患者中展示不同的感觉特征.
- 调查关于DN症状的流行病学和临床数据.
- 分析疼痛特征及其对生活质量的影响.
主要方法:
- 这是一项对57名糖尿病患者进行的纵向观察性研究.
- 临床评估,疼痛/生活质量问卷和定量感官测试 (QST).
- 皮肤活检以与皮肤神经病理相关.
主要成果:
- 70%的患者经历了神经病变或感觉疼痛,对他们的生活产生了负面影响.
- 在疼痛,焦虑,抑郁和疼痛灾难化之间发现了积极的关联.
- 确定了三种疼痛特征:没有疼痛,轻度/中度疼痛和严重疼痛.
- 皮肤活检显示,由于外围纤维退化导致的感觉障碍已晚发.
结论:
- 糖尿病患者表现出多种不同的疼痛症状和感觉特征,通常伴有显著的外围神经退化.
- 糖尿病神经病变的疼痛与焦虑和抑郁等心理因素有关.
- 对糖尿病患者来说,对症状概况和外受体敏感性的长期临床监测至关重要.
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