慢性疼痛的患病率和严重程度与中风存活率相关
Sylvia Wang1, Em Long-Mills2, Dmitry Tumin2
1Brody School of Medicine at East Carolina University, Greenville, NC, USA.
Topics in stroke rehabilitation
|October 30, 2025
概括
与普通人群相比,中风幸存者患慢性疼痛的患病率明显高. 这项研究强调了在中风康复中需要有针对性的疼痛管理策略.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 公共卫生 公共卫生
背景情况:
- 慢性疼痛是中风后经常出现的并发症.
- 关于中风幸存者疼痛患病率的现有研究通常使用小样本,缺乏一般人口比较.
研究的目的:
- 为了比较中风幸存者的慢性疼痛的患病率和严重程度与普通人群.
- 用一个庞大的,具有全国代表性的样本来进行可靠的统计分析.
主要方法:
- 分析2019-2023年国家卫生面试调查 (NHIS) 数据的横截面研究.
- 通过自我报告确定了中风幸存率;定义慢性疼痛为3个月内每天或每天经历的疼痛.
- 评估了二次结果,包括疼痛严重程度及其对生活,工作和家庭的影响.
主要成果:
- 在105,179名受访者中,3.6%的人报告有中风病史.
- 几乎一半 (48%) 的中风幸存者报告慢性疼痛,而非中风的受访者则为21%.
- 卒中幸存者患慢性疼痛的几率更高,疼痛严重程度增加,疼痛对生活的影响更大.
结论:
- 卒中幸存者经历的慢性疼痛负担要高得多.
- 对中风后疼痛机制的进一步研究对于开发有针对性的疗法至关重要.
- 建议采用综合早期康复的多学科方法来管理中风幸存者的疼痛和残疾.
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