探索血液透析患者的慢性疼痛:基于ICD-11新IASP分类的观察性研究
Vittorio Schweiger1, Martina Cacciapuoti2, Marta Nizzero1
1Department of Surgery, Section of Anaesthesia, Intensive Care and Pain Therapy, University of Verona, Verona, Italy.
Pain and therapy
|January 4, 2025
概括
慢性疼痛影响了31%的血液透析患者,主要是有感觉性. 这项研究强调了国际疼痛研究协会 (IASP) 对这些复杂患者的分类中的差距.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 疼痛医学 医学 疼痛医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 慢性疼痛在血液透析 (HD) 患者中非常普遍,影响33-82%.
- 危险因素包括老年,长期透析史,并发病症和营养不良.
- 疼痛医学专家对疼痛的评估很少发生,这会影响诊断和治疗的准确性.
研究的目的:
- 用国际疼痛研究协会 (IASP) 病理生理学分类和ICD-11来识别和描述HD患者的慢性疼痛.
- 用简短的疼痛清单工具来评估疼痛的严重程度.
- 评估IASP ICD-11分类在这个患者群体中的适用性.
主要方法:
- 在第三级HD中心进行观察性,横截面研究.
- 分析2021年5个月内由疼痛医学专家评估的HD患者的数据.
- 应用IASP定义和ICD-11慢性疼痛分类.
主要成果:
- 在213人中,65人 (31%) 患有HD的患者经历了慢性疼痛.
- 主要的疼痛类型是感觉性疼痛 (53.9%),其次是神经病和混合性疼痛 (22.1%).
- 在IASP ICD-11分类中,缺乏针对常见疾病的具体类别,例如消除动脉疾病和糖尿病足后的疼痛.
结论:
- 慢性疼痛是HD患者的一个重要问题,主要是感知性疼痛.
- 目前的IASP ICD-11分类在捕捉HD患者常见的疼痛状况方面存在局限性.
- 疼痛医生和病学家之间的合作对于管理慢性疼痛的复杂HD患者至关重要.
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