摘要
目的 通过对腰椎间盘突出症患者疼痛的病例对照研究 ,对腰椎间盘突出症患者的疼痛及其后果进行评价。方法 采用McGill疼痛调查表对 94名腰椎间盘突出症患者和 3 98名对照者进行疼痛调查。结果 腰椎间盘突出症患者感觉性疼痛总分值为 ( 5 2 2± 2 2 2 )分 ,情感性疼痛评分值为 ( 2 68± 0 81)分 ,VAS评分值为 ( 7 79± 1 42 )分 ,均高于对照组 ,P <0 0 1,差异有极显著性。典型相关分析结果表明疼痛的强度与日常生活自理能力受损程度有正相关 ,r=0 762 96,P <0 0 1。结论 腰椎间盘突出症患者疼痛非常严重 ,且疼痛的强度与患者日常生活能力受损有关 ,情感性疼痛评分值和VAS评分值越高 。
Objective To assess the intensity of the pain and its negative impact on patients with protrusion of lumbar intervertebral disc (PLID) through using a case-control study. Methods 94 patients with PLID and 398 control individuals were enrolled in this study. The pains were assessed using McGill questionnaire. Results The sensory pain score(5.22±2.22), affective pain score (2.68±0.81)and VAS score (7.79±1.42)in the patient group were significantly higher than those in the control group (P<0.01). The Canonical correlation analysis indicated that the intensity of the pain was positively associated with the severity of losing the daily life activities. Conclusion Pain associated with PLID was very severe and had obvious negative impact on the daily life of the patients. Affective pain score and VAS score were important factors affecting the daily life of the patients.
出处
《中国医师杂志》
CAS
2004年第8期1022-1024,共3页
Journal of Chinese Physician
关键词
腰椎间盘突出症
疼痛
病例分析
自理能力
手术治疗
Pain
Protrusion of lumbar intervertebral disc
Case-control study
Canonical correlation analysis