分析在门诊中卒中幸存者的疼痛模式:一个回顾性,横截面,观察性研究
Deniz Dishman1, Catherine Gonzalez1, Tia S Thomas1
1Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston, Houston, TX, USA.
Journal of pain research
|July 21, 2025
概括
超过一半的中风幸存者经历疼痛,许多人报告多种类型. 很少有患者使用止痛药,这凸显了对中风后疼痛管理指南的需求.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 脑卒中后的疼痛是一种常见的并发症,但未得到充分的认可和治疗.
- 目前的管理层缺乏针对中风幸存者的标准化护理指南.
- 这项研究解决了了解中风后疼痛患病率和特征的重大差距.
研究的目的:
- 确定中风幸存者的疼痛和各种疼痛类型的患病率.
- 为了确定与中风后疼痛相关的人口和临床因素.
- 评估目前在患有中风后疼痛的患者中使用止痛药的情况.
主要方法:
- 追溯分析442个门诊中风幸存者的电子健康记录.
- 疼痛状态通过自我报告来确定,疼痛类型被分类.
- 统计分析包括双变量和多变量后勤回归,随机 forest 对缺失数据的归算.
主要成果:
- 58%的中风幸存者报告疼痛,56%的人经历了多种类型的疼痛.
- 肌肉骨疼痛 (36%),神经病痛 (22%),和头痛 (17%) 是最常见的.
- 阻塞性睡眠呼吸暂停 (OSA) 和娱乐性药物使用史是疼痛的显著预测因素 (p<0.05).
结论:
- 脑卒中后的疼痛影响了超过一半的幸存者,多种类型的疼痛发生率很高.
- 止痛药的使用率很低 (20%),表明急需有效的疼痛管理策略.
- 制定基于证据的关于中风后疼痛的指导方针对于改善患者的治疗结果至关重要.
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