Pöllmann W, Feneberg W, Erasmus L-P
Marianne-Strauss-Klinik, Berg.
Nervenarzt. 2004 Feb;75(2):135-40. doi: 10.1007/s00115-003-1656-5.
We evaluated the 1-year prevalence of pain syndromes and quality of care among 157 consecutive multiple sclerosis (MS) inpatients (90 f, 67 m) aged 19-85 years, with extended disability status scores of 1.0-8.5 and clinically definite MS. In a standardized questionnaire, only severe pain (pain intensity on visual analog scale of at least 4/10) was documented and classified which had occurred more often than three times or lasted longer than 1 week within the last year. Of 157 patients, 61% reported 176 pain syndromes: most frequent were headaches (40%), dysesthetic limb pain (19%), back pain (17%), and painful spasms (11%). Twelve percent of the pain syndromes were classified as worst symptom of MS, and in 68% insufficient care by the physicians consulted was reported. This was even true for the most frequent pain, migraine, in which clear treatment recommendations exist. There is thus an urgent need for physicians to keep this problem in mind when treating MS patients.
我们评估了157例年龄在19 - 85岁之间、扩展残疾状态评分在1.0 - 8.5且临床确诊为多发性硬化症（MS）的连续住院患者（90名女性，67名男性）的疼痛综合征1年患病率及护理质量。在一份标准化问卷中，仅记录并分类了严重疼痛（视觉模拟量表上疼痛强度至少为4/10），即在过去一年中出现次数超过三次或持续时间超过1周的疼痛。在157例患者中，61%报告了176种疼痛综合征：最常见的是头痛（40%）、感觉异常性肢体疼痛（19%）、背痛（17%）和疼痛性痉挛（11%）。12%的疼痛综合征被归类为MS最严重的症状，68%的患者报告所咨询的医生护理不足。对于最常见的疼痛——偏头痛而言亦是如此，尽管针对偏头痛存在明确的治疗建议。因此，医生在治疗MS患者时迫切需要牢记这一问题。
