脑卒中患者疼痛与功能障碍的关系

Q2 Medicine Anesthesiology and Pain Medicine Pub Date : 2023-05-05 eCollection Date: 2023-06-01 DOI:10.5812/aapm-136330
Aryoobarzan Rahmatian, Ali Karbasfrushan, Farhad Modara
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引用次数: 0

摘要

背景:脑卒中在伊朗非常普遍,其并发症会降低患者的生活质量和心理状态。目的:探讨脑卒中患者脑卒中后疼痛(PFS)与残疾的关系。方法:对184例脑卒中患者进行病例对照研究,其中病例92例,对照组92例。数据收集工具包括人口统计问卷、视觉模拟量表(VAS)和手臂、肩膀和手的残疾(DASH)问卷。根据所有中风患者的医疗档案,通过电话邀请符合条件的患者参加研究。然后对收集到的数据进行分析。结果:有出血性卒中、吸烟史、卒中史、糖尿病史的患者致残率较高(P < 0.05)。平均±SD年龄为72.45(11.54)岁。患者的残疾程度也随着年龄的增长而增加(P = 0.000)。PFS患者的平均±SD残疾评分为78.63(6.92)分,无PFS患者的平均±SD残疾评分为54.9(10.87)分。R = 0.795, R2= 0.631表明残疾严重程度在PFS患者中具有重要意义。结论:PFS水平越高,致残率越高。因此,药物干预或康复计划可用于减少中风患者的残疾。
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Relationship Between Pain and Disability Among Stroke Patients.

Background: Stroke is prevalent in Iran, and its complications can decline patients' quality of life and psychological state.

Objectives: This study aimed to investigate the relationship between pain following stroke (PFS) and disability in stroke patients.

Methods: The current case-control study was conducted on 184 stroke patients (92 cases and 92 controls). Data collection tools included a demographic questionnaire, the Visual Analog Scale (VAS), and the Disabilities of the Arm Shoulder and Hand (DASH) questionnaire. Based on the medical files of all patients with stroke, eligible ones were invited to participate in the study via phone calls. The collected data were then analyzed.

Results: The disability rate was higher in the case group of patients with a history of hemorrhagic stroke, smoking, stroke, and diabetes (P < 0.05). The mean ± SD age was 72.45 (11.54). Also, the level of disability in patients increased with age (P = 0.000). The mean ± SD disability score was 78.63 (6.92) in patients with PFS and 54.9 (10.87) in patients without PFS. Also, R = 0.795 and R2= 0.631 indicated the significance of disability severity in patients with PFS.

Conclusions: The prevalence of disability was higher in patients with higher PFS levels. Hence, drug interventions or rehabilitation programs can be used to reduce the disability of stroke patients.

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来源期刊
Anesthesiology and Pain Medicine
Anesthesiology and Pain Medicine Medicine-Anesthesiology and Pain Medicine
CiteScore
4.60
自引率
0.00%
发文量
49
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