[1]杨明智,韩玉东,宗龙泽△.腰椎间盘突出症患者手部疼痛敏感度与术后结局的关系[J].中国中医骨伤科杂志,2018,26(11):32-36.
　YANG Mingzhi,HAN Yudong,ZONG Longze.The Association between Hand Pain Sensitivity and Post-surgery Outcomes in Patients with Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(11):32-36.
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腰椎间盘突出症患者手部疼痛敏感度与术后结局的关系()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年11期
页码:
32-36
栏目:
临床论著
出版日期:
2018-10-30

文章信息/Info

Title:
The Association between Hand Pain Sensitivity and Post-surgery Outcomes in Patients with Lumbar Disc Herniation
文章编号:
1005-0205(2018)11-0032-05
作者:
杨明智1; 韩玉东1; 宗龙泽2△
1陕西延安市人民医院骨科(陕西 延安,716000) 2延安大学附属医院关节外科
Author(s):
YANG Mingzhi1; HAN Yudong1; ZONG Longze2
1Department of Orthopedics, Yan'an People's Hospital, Yan'an 716000, Shaanxi China; 2Department of Joint Surgery, Affiliated Hospital of Yan'an University, Yan'an 716000,Shaanxi China.
关键词:
椎间盘突出症;  脊柱手术;  广泛性疼痛;  定量感觉测试
Keywords:
disc herniation;  spinal surgery;  widespread pain;  quantitative sensory testing
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨腰椎间盘突出症患者术前疼痛敏感性与术后患者自报告的功能、疼痛、健康状况之间的关系。方法:选取2016年1月至2018年5月在本院行椎间盘切除术的腰椎间盘突出症患者96例,采用定量感觉测试(QST)法检测术前手部压力痛阈(PPT)、冷痛阈(CPT)和热痛阈(HPT)。术前和术后3个月通过Oswestry功能障碍指数(ODI)、视觉模拟评分法(VAS)、医院焦虑抑郁量表(HADS)、欧洲五维健康量表(EQ-5D)和自我效能感量表(SES)评估患者功能、疼痛、健康状况,线性回归分析PPT,CPT和HPT与患者术前术后功能、疼痛、健康情况的关系。结果:椎间盘突出患者PPT与术前术后ODI、术后HADS评分呈负相关(P<0.05),与术前术后SES呈正相关(P<0.05); CPT与术前术后ODI、术后腰腿部VAS呈正相关,与SES呈负相关(P<0.05)。椎间盘突出患者手部HPT与术前及术后功能、疼痛、健康相关评分均无相关性(P>0.05)。结论:作为腰椎间盘突出症患者术前广泛性疼痛的标志,术前手部压痛和冷痛与术后较高的疼痛程度及较低的功能和自我效能相关。
Abstract:
Objective:To investigate the relationship between preoperative hand pain sensitivity and postoperative self-reported function, pain and health status in patients with lumbar disc herniation. Methods:A prospective cohort study was conducted in 96 patients with lumbar disc herniation who underwent discectomy in our hospital from January 2016 to May 2018.The preoperative pain threshold(PPT), cold pain threshold(CPT)and heat pain threshold(HPT)of hand was detected by quantitative sensory testing(QST).Oswestry dysfunction(ODI), visual analogue scale(VAS), hospital anxiety and depression scale(HADS), europeanfive-dimensional health scale(EQ-5D), and self-efficacy scale(SES)were used to assess all patients' function, pain and health conditions before and 3 months after surgery. The association between PPT, CPT, and HPT and preoperative and postoperative function, pain, and health conditions were analyzed by linear regression. Results:PPT in patients with the disc herniation was negatively correlated with preoperative and postoperative ODI and postoperative HADS(P<0.05). It was positively correlated with preoperative and postoperative SES(P<0.05). CPT was positively correlated with preoperative and postoperative ODI, postoperative back and leg pain VAS, and was negatively correlated with postoperative SES(P<0.05). There were no correlation between hand HPT with preoperative and postoperative function, pain, and the other health related scores(P<0.05). Conclusion:As a marker of preoperative widespread pain in patients with disc herniation, preoperative hand tenderness and cold pain were associated with postoperative higher pain severity, lower limb function and self-efficacy.

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备注/Memo

备注/Memo:
△通信作者 E-mail:longz618@163.com
更新日期/Last Update: 2018-10-10