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用不同的评估工具评估下肢伤口中神经病痛的评估:一个横截面研究
Lubna Sabah1, Finn Borgbjerg Moltke1, Christine J Moffatt1,2,3
1Department of Dermato-Venereology & Wound Healing Center, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
概括
神经病痛在下肢伤口中很常见,影响29%的患者. 动脉伤口类型,年轻年龄和吗啡使用与这种疼痛有关,这凸显了需要更好的评估工具的需要.
科学领域:
- 疼痛医学 医学 疼痛医学
- 伤口护理 伤口护理
- 神经学 神经学
背景情况:
- 下肢伤害经常导致神经病痛.
- 没有经过验证的工具专门测量与伤口有关的神经病痛.
- 下肢伤口中神经病痛的患病率和相关因素需要调查.
研究的目的:
- 评估下肢伤口中神经病痛的患病率.
- 确定与神经病痛相关的因素.
- 比较不同的评估工具与伤口相关的神经病痛.
主要方法:
- 对130名患有下肢伤害的患者进行横截面研究.
- 通过临床检查,麦吉尔短形式疼痛问卷-2 (SF-MPQ-2) 和神经病痛4个问题 (DN4) 评估的神经病痛.
- 使用视觉模拟尺度 (VAS) 测量疼痛强度.
主要成果:
- 29%的患者有神经性疼痛 (DN4评分≥4).
- 75%的人在SF-MPQ-2上报告了神经病痛描述因素,特别是"轻触引起的疼痛" (59%) 和"刺痛或针刺痛" (49%).
- 动脉创伤类型 (风险增加5倍),年轻年龄和吗啡消费与神经病痛有显著的关联.
结论:
- 神经病性伤口疼痛很普遍,其检测取决于评估工具.
- 动脉伤口类型,年轻年龄和吗啡消费是与神经病性伤口疼痛相关的关键因素.
- 需要进一步的研究来开发和验证与伤口相关的神经病痛的特定工具.
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