机械疼痛是晚期膝关节关节炎患者的主要疼痛类型
Qiyao Li1, Chenchang He1, Rui Huang2
1The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Pain research & management
|December 3, 2025
概括
机械疼痛在晚期膝关节关节炎 (KOA) 中很常见. 女性性别和较高的疼痛分数是关键的风险因素,指导KOA患者的个性化疼痛管理策略.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛医学 医学 疼痛医学
- 类风湿病学 类风湿病学
背景情况:
- 膝关节骨关节炎 (KOA) 是一种普遍存在的退行性关节疾病.
- 机械疼痛显著影响KOA患者的生活质量.
- 了解晚期KOA的疼痛表型对于有效管理至关重要.
研究的目的:
- 为了确定在晚期膝关节骨关节炎中机械疼痛的患病率.
- 为了确定与KOA患者不同类型的疼痛相关的风险因素.
- 为开发有针对性的疼痛管理策略提供见解.
主要方法:
- 一项对920名患有晚期KOA的患者进行的横截面研究.
- 数据收集包括人口统计,膝盖参数和验证的疼痛评分 (WOMAC,NRS).
- 使用painDETECT和WOMAC.疼痛被分为简单机械,混合机械和可能的神经病痛 (NP).
主要成果:
- 机械疼痛是普遍存在的,43.48%的人经历了简单的机械疼痛,33.48%的人经历了混合的机械疼痛.
- 在疼痛组之间发现了WOMAC得分,运动范围和NRS的显著差异.
- 女性性别与较高的WOMAC疼痛得分和严重疼痛的几率增加有关 (OR=2.462).
结论:
- 机械疼痛在先进的KOA中非常普遍.
- 女性患者和较高的数值评分表 (NRS) 评分是显著的风险因素.
- 鉴定疼痛类型和风险因素,可以为KOA提供个性化的疼痛管理.
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