Lew Henry L, Otis John D, Tun Carlos, Kerns Robert D, Clark Michael E, Cifu David X
Physical Medicine and Rehabilitation (PM&R) Service, Department of Veterans Affairs (VA) Boston Healthcare System, 150 South Huntington Avenue, Boston, MA 02130, USA.
J Rehabil Res Dev. 2009;46(6):697-702. doi: 10.1682/jrrd.2009.01.0006.
This study examines the prevalence and coprevalence with which returning Operation Iraqi Freedom (OIF)/Operation Enduring Freedom (OEF) veterans were reporting symptoms consistent with chronic pain, posttraumatic stress disorder (PTSD), and persistent postconcussive symptoms (PPCS). The medical records of 340 OIF/OEF veterans seen at a Department of Veterans Affairs Polytrauma Network Site were comprehensively reviewed. Analyses indicated a high prevalence of all three conditions in this population, with chronic pain, PTSD, and PPCS present in 81.5%, 68.2%, and 66.8%, respectively. Only 12 of the veterans (3.5%) had no chronic pain, PTSD, or PPCS. The frequency at which these three conditions were present in isolation (10.3%, 2.9%, and 5.3%, respectively) was significantly lower than the frequency at which they were present in combination with one another, with 42.1% of the sample being diagnosed with all three conditions simultaneously. The most common chronic pain locations were the back (58%) and head (55%). These results underscore the complexity of the presenting complaints in OIF/OEF veterans and support the importance of a multidisciplinary team approach to assessment and treatment.
本研究调查了伊拉克自由行动（OIF）/持久自由行动（OEF）退伍军人回国后报告的与慢性疼痛、创伤后应激障碍（PTSD）和持续性脑震荡后症状（PPCS）相符的症状的患病率和共患病率。对在退伍军人事务部多创伤网络站点就诊的340名OIF/OEF退伍军人的病历进行了全面审查。分析表明，该人群中这三种情况的患病率都很高，慢性疼痛、PTSD和PPCS的患病率分别为81.5%、68.2%和66.8%。只有12名退伍军人（3.5%）没有慢性疼痛、PTSD或PPCS。这三种情况单独出现的频率（分别为10.3%、2.9%和5.3%）明显低于它们相互组合出现的频率，42.1%的样本同时被诊断出患有这三种情况。最常见的慢性疼痛部位是背部（58%）和头部（55%）。这些结果强调了OIF/OEF退伍军人所呈现症状的复杂性，并支持了采用多学科团队方法进行评估和治疗的重要性。
