原发性膝骨关节炎患者的神经性疼痛:一项横断面研究。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Romanian Journal of Internal Medicine Pub Date : 2023-07-26 Print Date: 2023-12-01 DOI:10.2478/rjim-2023-0017
Ahmed Mougui, Sara Belouaham, Imane El Bouchti
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引用次数: 0

摘要

神经性疼痛(NP)被认为是与膝骨关节炎(KO)相关的一种独特的疼痛亚型。本研究旨在确定原发性KO患者NP的患病率,并探讨其与各种因素的相关性。方法:对195例原发性KO患者进行横断面研究,这些患者没有以下情况:膝关节手术、感染、风湿性疾病、周围和中枢神经系统疾病、过去6个月接受神经性疼痛治疗的患者、糖尿病、肾功能衰竭和酒精中毒。NP采用两份标准化问卷,即Douleur neuropathque 4题(DN4)和painDETECT问卷进行评估。结果:患者以女性为主(87.5%),平均年龄59.15±7.62岁。DN4问卷和painDETECT问卷的NP检出率分别为55.9%和50.7%。DN4评分与年龄呈正相关(p=0.041;rs=0.145),视觉模拟量表(VAS)-静止疼痛(p=0.009;rs=0.188),运动时vas疼痛(p=0.017;rs=0.173)、Western Ontario and McMaster Osteoarthritis Index (WOMAC)疼痛评分(p=0.030;rs=0.157), WOMAC刚度评分(p=0.000;rs=0.253)、身体功能WOMAC评分(p=0.000;rs=0.271), WOMAC总分(p=0.000;rs=0.305), Lequesne评分(p=0.002;Rs =0.221),且与股四头肌周长呈负相关(p=0.008;rs = -0.210)。然而,painDETECT评分与vas -运动疼痛呈正相关(p=0.002;rs=0.220), WOMAC刚度评分(p=0.043;rs=0.147)、身体功能WOMAC评分(p=0.017;rs=0.172), WOMAC总分(p=0.012;rs = 0.182)。DN4 NP与股四头肌围度相关(p=0.01), painDETECT评分与VAS-运动疼痛评分相关(p=0.022), WOMAC总分相关(p= 0.001)。结论:本研究发现NP在原发性KO患者中很常见,并与更多的疼痛病理和功能损害相关。这些发现强调了在这一人群中识别和管理NP对于改善患者预后的重要性。
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Neuropathic pain in patients with primary knee osteoarthritis: A cross-sectional study.

Introduction: Neuropathic pain (NP) is believed to be a distinct subtype of pain associated with knee osteoarthritis (KO). This study aimed to determine the prevalence of NP in patients with primary KO and examine its correlation with various factors.

Methods: A cross-sectional study was conducted on 195 patients with primary KO who did not have the following conditions: knee surgery, infection, rheumatic diseases, peripheral and central neurological diseases, patients who received treatment for neuropathic pain in the past 6 months, diabetes, renal failure, and alcoholism. NP was evaluated using two standardized questionnaires, the Douleur Neuropathique 4 questions (DN4) and the painDETECT questionnaire.

Results: The majority of patients were female (87.5%), with a mean age of 59.15 ± 7.62 years. NP was detected in 55.9% of patients according to the DN4 questionnaire and in 50.7% of patients according to the painDETECT questionnaire. The DN4 score was positively correlated with age (p=0.041; rs=0.145), visual analogue scale (VAS)-pain at rest (p=0.009; rs=0.188), VAS-pain at movement (p=0.017; rs=0.173), Western Ontario and McMaster Osteoarthritis Index (WOMAC) pain score (p=0.030; rs=0.157), WOMAC stiffness score (p=0.000; rs=0.253), physical function WOMAC score (p=0.000; rs=0.271), total WOMAC score (p=0.000; rs=0.305), Lequesne score (p=0.002; rs=0.221), and negatively correlated with quadriceps circumference (p=0.008; rs=-0.210). Whereas, the painDETECT score was positively correlated with VAS-pain at movement (p=0.002; rs=0.220), WOMAC stiffness score (p=0.043; rs=0.147), physical function WOMAC score (p=0.017; rs=0.172), and total WOMAC score (p=0.012; rs=0.182). NP according to the DN4 was associated with quadriceps circumference (p=0.01), while the painDETECT score was associated with VAS- pain at movement scores (p=0.022) and total WOMAC score (P=0.001).

Conclusion: This study found that NP is common among patients with primary KO and is associated with more painful pathology and functional impairment. These findings highlight the importance of recognizing and managing NP in this population to improve patient outcomes.

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来源期刊
Romanian Journal of Internal Medicine
Romanian Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
5.30%
发文量
35
审稿时长
15 weeks
期刊介绍: Romanian Journal of Physics is a journal publishing physics contributions on the following themes: •Theoretical Physics & Applied Mathematics •Nuclear Physics •Solid State Physics & Materials Science •Statistical Physics & Quantum Mechanics •Optics •Spectroscopy •Plasma & Lasers •Nuclear & Elementary Particles Physics •Atomic and Molecular Physics •Astrophysics •Atmosphere and Earth Science •Environment Protection
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