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情绪困扰对射频剥离反应的影响

Andrea Nikolis¹, Louis Nikolis¹, Zan Wynia²

¹Department of Physical Medicine & Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

|April 7, 2025

概括

情绪上的痛苦会影响脊椎疼痛的射频除 (RFA) 结果. 较高的基线痛苦与RFA后较少的疼痛减轻相关,这表明综合治疗方法.

科学领域:

疼痛医学医学疼痛医学
干预性疼痛管理干预性疼痛管理
精神病体医学是一种精神病体医学.

背景情况:

射频除 (RFA) 是面介导脊柱疼痛的常见程序.
在RFA后不充分的疼痛缓解可能源于未解决的生物心理社会因素.
情绪上的痛苦是一个重要的生物心理社会因素,可能会影响治疗结果.

研究的目的:

为了研究基线情绪困扰对RFA治疗脊柱疼痛的有效性的影响.
为了确定情绪困扰是否影响RFA治疗后疼痛强度的减少.

主要方法:

从2021年1月到2023年7月的患者数据的回顾性审查.
利用患者报告结果测量系统 (PROMIS) 测量疼痛强度,抑郁和焦虑的T分数.
分析了基线情绪困扰和疼痛强度作为RFA后6周,3个月和6个月的疼痛预测指标.

主要成果:

154名参与者提供了基线数据;可用于最多83名参与者的后续数据.
较高的基线情绪压力 (P=0.04) 和疼痛强度 (P=0.01) 与更严重的后续疼痛有关.
没有发现任何显著的相互作用效应,但趋势表明随着时间的推移,痛苦的影响越来越大.

结论:

升高的基线情绪困扰与RFA后疼痛减轻的减少有关,独立于基线疼痛水平.
患有严重情绪困扰的患者可能需要综合护理,以解决疼痛和情绪健康.
与RFA一起考虑情绪困扰可能会优化患者脊柱疼痛的结果.

关键词:

焦虑焦虑是一种焦虑.生物心理社会方法生物心理社会疼痛管理慢性疼痛是一种慢性疼痛.抑郁症抑郁症抑郁症情绪上的痛苦情绪上的痛苦干预性疼痛是一种干预性疼痛.疼痛疼痛疼痛疼痛无线电频率剥离法无线电频率剥离法

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