疼痛敏感性在类风湿性关节炎患者中真正预测了什么?
Aysegül Altun Güvenir1, Aslı Çalışkan Uçkun2, Fatma Gül Yurdakul3
1Department of Physical Medicine and Rehabilitation, Malatya Park Hospital, Malatya, Türkiye.
概括
风湿性关节炎 (RA) 患者的压力-疼痛值 (PPT) 与对照人群没有差异,但女性RA患者的PPT较低与抑郁症相关,这表明PPT可能检测疼痛-抑郁症重叠.
科学领域:
- 类风湿病学 类风湿病学
- 疼痛医学 医学 疼痛医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性炎症性疾病.
- 疼痛敏感性及其在RA中的预测因素需要进一步调查.
- 纤维肌痛可以使RA的疼痛评估复杂化.
研究的目的:
- 在RA患者中比较压力-疼痛值 (PPT) 与慢性腰部疼痛对照.
- 评估PPT作为RA疾病活动的潜在预测因子.
- 研究PPT与心理因素之间的关系.
主要方法:
- 横截面观察性研究比较RA患者和没有纤维肌痛的对照组.
- 使用视觉模拟量表 (VAS),疲劳严重程度量表 (FSS),疼痛灾难化量表 (PCS),健康评估问卷 (HAQ),医院焦虑和抑郁量表 (HADS) 和疾病活动评分 (DAS28).
- 测量PPT使用疼痛计在指甲床,手腕和梯形肌.
主要成果:
- 整体而言,在RA和对照组之间没有发现PPT的显著差异.
- 女性RA患者在手腕和梯形上表现出明显较低的PPT,这表明疼痛敏感度增加.
- 医院焦虑和抑郁量表-抑郁症得分是所有测量点中PPT的唯一重要决定因素.
结论:
- 在RA患者中,较低的PPT与抑郁症状有关.
- 压力算法可以作为一种有价值的工具,用于识别RA疼痛和抑郁症之间的重叠.
- PPT评估可以提高RA患者的综合评估.
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