Ravenscroft A, Ahmed Y S, Burnside I G
Department of Spinal Injuries, Pinderfields General Hospital, Wakefield, Yorkshire, UK.
Spinal Cord. 2000 Oct;38(10):611-4. doi: 10.1038/sj.sc.3101073.
A survey of chronic pain experience after spinal cord injury.
To investigate the prevalence, severity and impact of chronic pain amongst spinal cord injury (SCI) patients in our region, and assess the need for additional resources to address the problem.
A postal questionnaire was sent to 216 spinal cord injury patients (10% of the Yorkshire regional spinal injury database).
Yorkshire region, UK.
A response was received from 67% of the patients. Seventy-nine per cent of patients said they presently suffered with pain, with 39% describing it as severe. Comparison of pain and non-pain groups using chi-squared analysis showed that complete injury was significantly more likely than incomplete injury to result in chronic pain (P<0.05), and increased severity of pain (P<0.05). 43% of patients with pain said they required further treatment for it. Chronic pain had a significant impact on daily activities and was a major factor in causing unemployment (18%) and depression (39%).
The study confirms that pain is a major problem in SCI patients which is not currently being adequately addressed. A multidisciplinary approach to management and prospective studies of treatments are required in order to reduce the prevalence and severity of pain in these patients. Spinal Cord (2000) 38, 611 - 614.
脊髓损伤后慢性疼痛经历的调查。
调查本地区脊髓损伤（SCI）患者中慢性疼痛的患病率、严重程度及影响，并评估解决该问题所需的额外资源。
向216名脊髓损伤患者（占约克郡地区脊髓损伤数据库的10%）邮寄了问卷调查表。
英国约克郡地区。
67%的患者回复了问卷。79%的患者表示他们目前患有疼痛，其中39%称疼痛严重。使用卡方分析对疼痛组和非疼痛组进行比较，结果显示完全性损伤比不完全性损伤更易导致慢性疼痛（P<0.05），且疼痛严重程度更高（P<0.05）。43%的疼痛患者表示他们需要针对疼痛进行进一步治疗。慢性疼痛对日常活动有显著影响，是导致失业（18%）和抑郁（39%）的主要因素。
该研究证实疼痛是SCI患者中的一个主要问题，目前尚未得到充分解决。需要采用多学科管理方法和前瞻性治疗研究，以降低这些患者疼痛的患病率和严重程度。《脊髓》（2000年）第38卷，611 - 614页。
