阅读说明:下背部疼痛的神经patic组成部分

Nasywa Maharani Yudiantara, Pagan Pambudi, Ahmad Husairi, Muhammad Welly Dafif, Dona Marisa
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引用次数: 0

摘要

腰痛是一种非常常见的健康问题,会影响生活质量。腰痛可以是痛觉性疼痛,也可以是神经性疼痛。这篇文献综述讨论了腰痛的神经性疼痛成分。本文采用叙事性的复习方法。文章检索自Science Direct、PubMed和ProQuest数据库的关键词检索,检索时间为2011-2021年,检索时间为印尼语或英语,检索内容为腰痛神经性疼痛组成部分的研究。在本文献综述中纳入的8篇文章中,腰痛中神经性疼痛的患病率为2.8% - 65.3%。使用LANSS、DN4和PDQ可以排除神经性疼痛。伴有神经性疼痛的腰痛患者有以下症状:灼烧(34.58% ~ 82.9%)、针刺(31.77% ~ 78%)、刺痛(32.71% ~ 84.8%)、麻木(42.05% ~ 97%)、电击(38.97% ~ 78%)、瘙痒(16.82% ~ 42.4%)、冷感(12.15% ~ 48.5%)、异常性痛(19.62% ~ 85.4%)、痛觉过敏(61%)、自主神经功能障碍(14.6%)、100%感觉不良、100%压痛/刺痛减轻。神经根性腰痛通常由L5或S1根压迫引起,很少由L4引起。神经性腰痛可以基于对症状概况的评估。相关的危险因素有年龄较大、女性、较高的人体测量水平、饮酒、吸烟的习惯以及既往腰椎、腹部或骨盆手术史
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LITERATURE REVIEW: KOMPONEN NYERI NEUROPATIK PADA NYERI PUNGGUNG BAWAH
Low back pain is a very common health problem and can affect the quality of life. Pain that arises in low back pain can be either nociceptive pain or neuropathic pain. This literature review discusses the neuropathic pain component of low back pain.  This review uses a narrative review method. The articles were obtained from keyword searches in the Science Direct, PubMed, and ProQuest databases with a publication range of 2011-2021 in Indonesian or English, and research on the components of neuropathic pain in low back pain. Of the eight articles included in this literature review, the prevalence of neuropathic pain in low back pain was 2.8% - 65.3%. Neuropathic pain can be ruled out using LANSS, DN4, and PDQ. Low back pain with neuropathic pain had symptoms of burning (34.58% - 82.9%), pinpricks (31.77% - 78%), tingling (32.71% - 84.8%), numbness (42.05% - 97%), electric shock (38.97% - 78%), itching (16.82% - 42.4%), cold sensation (12.15% - 48.5%), allodynia (19.62% - 85.4%), 61% hyperalgesia, 14.6% autonomic dysfunction, 100% had dysesthesia, and 100% experienced a decrease in tenderness/prickling. Radicular low back pain is often caused by L5 or S1 root compression and rarely L4. Neuropathic low back pain can be based on an assessment of the symptom profile. Associated risk factors are older age, being a female, greater anthropometric status, the habit of drinking alcohol, smoking, and history of previous lumbar, abdominal or pelvic surgery
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