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 TANG Chenming SHI Ying PANG Jian.Analysis of the Correlation Factors of Pain Degree andDysfunction of Postmenopausal Osteoporotic Back Pain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(09):32-35.





Analysis of the Correlation Factors of Pain Degree andDysfunction of Postmenopausal Osteoporotic Back Pain
汤辰明12 石瑛12△ 庞坚12△
TANG Chenming12 SHI Ying12△ PANG Jian12△
1Shi’s Traumatology Medical Center,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China; 2Institute of Orthopedics and Traumatology,Shanghai Academy of Traditional Chinese Medicine,Shanghai 201203,China.
骨质疏松症 疼痛 焦虑 抑郁 危险因素 功能障碍
osteoporosis pain anxiety depression risk factors dysfunction
目的:初步探讨骨质疏松性腰背痛程度与功能障碍的相关因素。方法:招募2019年7月至2020年9月就诊的100例骨质疏松性疼痛的患者,年龄范围在45~75岁,平均(65.78±6.98)岁,采集基本情况、疼痛VAS评分、医院焦虑抑郁情绪测量表(HADS)、腰痛功能障碍问卷表(RDQ量表)、骨密度及骨代谢,以SPSS24.0软件进行统计分析,将VAS评分及腰痛功能(RDQ评分)分别与骨密度、骨代谢及HADS量表进行相关性分析。结果:骨质疏松症中重度疼痛与焦虑、抑郁呈正相关(r=0.800,P<0.01),腰部功能障碍与焦虑、抑郁情绪正相关(r=0.660,P<0.01),且差异有统计学意义。结论:骨质疏松症中重度疼痛患者腰痛程度及功能与骨密度、骨代谢相关性不高,但有较高比例存在焦虑、抑郁情绪; 疼痛及腰部功能障碍的严重程度与焦虑、抑郁情绪正相关。
Objective:To investigate the correlation factors of pain degree and dysfunction of back pain in postmenopausal osteoporosis patients. Methods:100 patients with osteoporotic pain were selected from July 2019 to September 2020 with an average age of(65.78±6.98)years old.The basic information,pain VAS score,hospital anxiety and depression scale(HADS),Roland-Morris disability questionnaire(RDQ),bone mineral density(BMD)and bone metabolism were collected.Statistical analysis was carried out by SPSS24.0 software,and the VAS score and RDQ score were correlated with BMD,bone metabolism and HADS scale respectively.Results:The moderate-severe pain in osteoporosis was positively correlated with anxiety and depression(r=0.800,P<0.01),while lumbar dysfunction was positively correlated with anxiety and depression(r=0.660,P<0.01),and the difference was statistically significant.Conclusion:The pain degree and function of waist in osteoporosis moderate-severe pain patients are not correlated with BMD and bone metabolism,but there are a high proportion of anxiety and depression correlated with it.The pain and lumber dysfunction were positively correlated with anxiety and depression.


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基金项目:国家自然科学基金项目(81674003,81174342)上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)中医药传承创新平台建设项目(ZY(2018-2020)-CCCX-2003-05)石氏伤科流派传承工作室项目上海市慢性筋骨病临床医学研究中心项目(20MC1920600)上海市临床重点专科 “中医骨伤科学”项目(shslczdzk03901)
通信作者 E-mail:shiying1974@126.com(石瑛)lidazul@126.com(庞坚)
更新日期/Last Update: 1900-01-01