摘要
比较不同下肢关节慢性疼痛患者的心理状态差异。回顾性纳入2024年6至12月解放军总医院骨科医学部运动医学科病房住院的慢性髋关节、膝关节、踝关节疼痛患者各25例,其中男36例,女39例,年龄(31.6±9.5)岁。通过宗式焦虑量表(SAS)与贝克抑郁量表(BDI)评估患者的心理状况。髋关节组的SAS评分高于踝关节组(均值差异=0.101,95%CI:0.029~0.174)和膝关节组(均值差异=0.164,95%CI:0.094~0.235);髋关节组的BDI评分高于踝关节组(均值差异=2.081,95%CI:0.848~3.314)和膝关节组(均值差异=2.044,95%CI:0.866~3.222)。髋关节、膝关节、踝关节疼痛患者中,慢性髋痛患者心理障碍更加显著,应加强这部分患者心理干预支持。
This study intends to compare the differences in psychological status of patients with chronic pain in different lower extremity joints.A retrospective cross-sectional study was used to assess patients with chronic hip,knee,and ankle pain hospitalized from June to December 2024 in the Sports Medicine Ward of the Department of Orthopaedic Medicine,General Hospital of the People's Liberation Army.A total of 75 patients with chronic pain in the joints,36 males and 39 females,aged(31.6±9.5)years,were included.General information such as age,gender,and body mass index(BMI)were recorded,and the psychological status of patients was assessed by the Zong-type Anxiety Scale(SAS)and Beck Depression Inventory(BDI).A total of 25 patients each with chronic hip,knee,and ankle pain were included,and the differences in baseline data among the three groups were not statistically significant and were comparable.The results showed that the SAS scores in the hip group were higher than those in the ankle group(mean difference=0.101,95%Cl:0.029-0.174)and the knee group(mean difference=0.164,95%Cl:0.094-0.235);the BDI scores in the hip group were higher than those in the ankle group(mean difference=2.081,95%Cl:0.848-3.314)and knee group(mean difference=2.044,95%Cl:0.866-3.222).This study suggests that psychological disorders in patients with chronic hip pain are more significant compared to other lower extremity arthralgia patients,and psychological intervention support should be strengthened in this group of patients.
作者
赵衷源
贾琪
于康康
贺仰
安明扬
王耀霆
王龙
王明新
康晓琦
李春宝
Zhao Zhongyuan;Jia Qi;Yu Kangkang;He Yang;An Mingyang;Wang Yaoting;V WangLong;Wang Mingxin;Kang Xiaoqi;Li Chunbao(Department of Sports Medicine,Senior Department of Orthopedics,the Fourth Medical Center of PLA General Hospital,Beijing 100048,China)
出处
《中华医学杂志》
北大核心
2025年第29期2511-2514,共4页
National Medical Journal of China
基金
国家自然科学基金(82072517)。
关键词
关节
下肢
慢性疼痛
焦虑
抑郁
Joint
Lowerlimb
Chronic pain
Anxiety
Depression
