Cardenas Diana D, Bryce Thomas N, Shem Kazuko, Richards J Scott, Elhefni Hanaa
Department of Rehabilitation Medicine, University of Washington, Seattle 98195, USA.
Arch Phys Med Rehabil. 2004 Nov;85(11):1774-81. doi: 10.1016/j.apmr.2004.04.027.
To examine gender and minority differences in the prevalence and severity of pain in people with traumatic-onset spinal cord injury (SCI) during follow-up, and to determine the relation of those differences to demographic characteristics, etiology of injury, and level and extent of the lesion.
Survey and analysis of cross-sectional data using case-control methodology and multiple regression methods.
Model Spinal Cord Injury Systems (MSCIS).
A total of 7379 individuals with traumatic-onset SCI from 16 MSCIS entered in the National Spinal Cord Injury Statistical Center database between 1998 and 2002.
Not applicable.
Prevalence and severity of pain as reported in follow-up surveys.
Pain prevalence remained fairly stable over time, ranging from 81% at 1 year postinjury to 82.7% at 25 years. Pain was no more common in women than in men, nor did pain severity scores differ significantly. However, pain prevalence was significantly lower among nonwhites, although they tended to report a higher average pain severity score when pain was present. Also, people with SCI who were employed when injured, who had more than a high school education, and who were not tetraplegic reported a higher prevalence of pain. Pain interfered with work more often for women and nonwhites during some, but not all, follow-up years, and for those who were not employed at the time of interview, for those whose SCI was caused by violence, for those with paraplegia, and for those with incomplete SCI.
Pain is a common and significant problem for the majority of people with SCI. It may interfere less frequently with work over time, which suggests that an adaptive process may be occurring. Gender differences in the pain experience did not emerge, but nonwhites tended to have a lower prevalence of pain. If pain was present, nonwhites tended to report more severe pain than did whites. Further research is needed to delineate the possible psychosocial and biomedical causes of these findings.
研究创伤性脊髓损伤（SCI）患者随访期间疼痛患病率及严重程度的性别和少数群体差异，并确定这些差异与人口统计学特征、损伤病因、损伤水平和范围之间的关系。
采用病例对照方法和多元回归方法对横断面数据进行调查和分析。
脊髓损伤示范系统（MSCIS）。
1998年至2002年间，16个MSCIS的7379例创伤性SCI患者进入国家脊髓损伤统计中心数据库。
不适用。
随访调查中报告的疼痛患病率和严重程度。
疼痛患病率随时间保持相当稳定，从受伤后1年的81%到25年的82.7%。女性疼痛并不比男性更常见，疼痛严重程度评分也无显著差异。然而，非白人的疼痛患病率显著较低，尽管他们在疼痛时往往报告平均疼痛严重程度评分较高。此外，受伤时就业、受过高中以上教育且非四肢瘫痪的SCI患者报告的疼痛患病率较高。在部分但并非所有随访年份中，疼痛对女性和非白人的工作干扰更多，对于访谈时未就业的患者、SCI由暴力引起的患者、截瘫患者以及不完全性SCI患者也是如此。
疼痛是大多数SCI患者常见且重要的问题。随着时间推移，它对工作的干扰可能会减少，这表明可能正在发生适应性过程。疼痛体验中的性别差异未出现，但非白人的疼痛患病率往往较低。如果存在疼痛，非白人往往比白人报告更严重的疼痛。需要进一步研究来阐明这些发现可能的社会心理和生物医学原因。
