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患者报告结局测量信息系统在慢性盆腔痛中的应用。

Application of Patient-Reported Outcomes Measurement Information System to chronic pelvic pain.

机构信息

Pelvic Pain Specialty Center, Department of Obstetrics and Gynecology, Summa Health System, Akron, Ohio 44304, USA.

出版信息

J Minim Invasive Gynecol. 2011 Mar-Apr;18(2):189-93. doi: 10.1016/j.jmig.2010.12.001. Epub 2011 Feb 3.

DOI:10.1016/j.jmig.2010.12.001
PMID:21295528
Abstract

STUDY OBJECTIVES

To apply the Patient-Reported Outcomes Measurement Information System (PROMIS) recently developed by the National Institutes of Health in patients with chronic pelvic pain. Secondary objectives included evaluation of individual pain categories and of the effect of the occurrence of myofascial abdominal wall and pelvic floor muscle pain.

DESIGN

Retrospective study (Canadian Task Force classification III).

SETTING

Chronic pelvic pain multidisciplinary referral center.

PATIENTS

A total of 149 consecutive patients with chronic pelvic pain provided evaluable results.

INTERVENTIONS

As part of a comprehensive evaluation, patients were assigned diagnoses based on standard criteria, and completed the 96-item short-form PROMIS.

MEASUREMENTS AND MAIN RESULTS

Pain-related and global PROMIS scores were significantly worse than in the reference population (p <.05). The presence of myofascial pain was also associated with worse PROMIS scores.

CONCLUSION

Chronic pelvic pain is associated with impaired quality of life regardless of the diagnosis, including myofascial pain.

摘要

研究目的

将美国国立卫生研究院(NIH)最近开发的患者报告结局测量信息系统(PROMIS)应用于慢性盆腔疼痛患者。次要目的包括评估各个疼痛类别以及腹直肌筋膜和盆底肌肉疼痛发生的影响。

设计

回顾性研究(加拿大工作队分类 III)。

地点

慢性盆腔疼痛多学科转诊中心。

患者

共有 149 名慢性盆腔疼痛患者提供了可评估的结果。

干预措施

作为综合评估的一部分,患者根据标准标准进行诊断,并完成了 96 项短式 PROMIS。

测量和主要结果

与参考人群相比,疼痛相关和总体 PROMIS 评分明显更差(p<.05)。肌筋膜疼痛的存在也与较差的 PROMIS 评分相关。

结论

无论诊断如何,包括肌筋膜疼痛,慢性盆腔疼痛都会导致生活质量受损。

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