中老年和中国老年人的疼痛模式:潜伏阶级分析
Changsen Zhu1, Yiyi Xu2, Zhenping Lin1
1Department of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Pain and therapy
|October 8, 2025
概括
在45岁及以上的中国成年人中发现了四种不同的慢性疼痛模式. 宽泛的疼痛组显示出对认知,抑郁和功能障碍的风险最高,需要有针对性的干预措施.
科学领域:
- 老年学是一门学科.
- 疼痛医学 医学 疼痛医学
- 流行病学 流行病学
背景情况:
- 慢性疼痛是全球老龄化人口中残疾的重要原因.
- 中国中年和老年人的疼痛分布模式并没有得到很好的描述.
- 了解这些模式对于制定有针对性的健康干预措施至关重要.
研究的目的:
- 在45岁及以上的中国成年人中识别出明显的慢性疼痛定位模式.
- 检查这些疼痛模式与认知障碍,抑郁症状和功能限制之间的关联.
- 为了告知表型特定的疼痛管理策略.
主要方法:
- 从CHARLS 2020数据库中对9544名参与者的横截面分析.
- 隐性类分析 (LCA) 用于分类疼痛模式.
- 多变量逻辑回归用于评估与健康结果的关联.
主要成果:
- 确定了四种疼痛模式:宽度疼痛 (9.8%),肩膀-腰部疼痛 (25.4%),下肢疼痛 (26.9%),以及头--胃疼痛 (37.9%).
- 疼痛模式与性别,收入以及关节炎,情绪障碍和记忆相关疾病等并发症有关.
- 宽泛的疼痛组与认知障碍,抑郁症和日常生活活动 (ADL) 障碍有更强的联系. 下肢疼痛也与较高的ADL损伤有关.
结论:
- 在45岁以上的中国成年人中存在不同的慢性疼痛表型,每个都有不同的健康风险.
- 广泛的疼痛组需要全面的干预措施来解决疼痛,认知,情绪和功能.
- 优先考虑下肢疼痛的移动性保护,并实施表型特定的管理,可以减少残疾负担.
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