疼痛敏感度和与基线因子的关联在患有远距离半径骨折的老年患者中:一个横截面研究
Héctor Gutiérrez-Espinoza1, Felipe Araya-Quintanilla2, Rodrigo Gutiérrez-Monclus3
1Escuela de Fisioterapia, Universidad de las Americas, Quito, Ecuador.
概括
患有远端半径骨折的老年人中,有很高的百分比在去除件后经历疼痛敏感化. 确定基线因素,如伤害严重程度和心理状态,可以帮助管理这种情况.
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
- 老年病的医生 老年病的医生
背景情况:
- 距离半径骨折 (DRF) 在老年人中很常见.
- 保守治疗经常用于额外关节性DRF.
- 疼痛敏感性 (PS) 可以影响骨折后的康复和生活质量.
研究的目的:
- 为了确定60岁以上DRF患者在保守治疗后疼痛敏感化 (PS) 的患病率.
- 在这个患者群体中确定与PS相关的基线因素.
主要方法:
- 一项横截面研究,涉及220名60岁以上的患者,患有关节外DRF.
- 疼痛敏感性问卷 (PSQ) 用于评估PS (得分大于7表示阳性).
- 收集的基线数据2周后的除包括社会人口统计学,临床,心理和功能性措施.
主要成果:
- 72.3%的患者表现出PS.
- PSQ分数与占优势的手,高损伤能量,碎骨,睡眠质量差,动态恐惧症,疼痛灾难化和更高的疼痛分数相关.
- PSQ分数与身体活动水平和握力相反相关.
结论:
- 显著的大多数DRF的老年人在去除体后两周显示PS.
- 基线因素,如伤害特征和心理状态与PS相关.
- 这些发现可以指导临床医生识别有风险的患者,并为PS管理量身定制治疗策略.
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