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[成人疼痛的患病率及不同的疼痛治疗方法]

[The prevalence of pain and different pain treatments in adults].

作者信息

Kuru Tuğba, Yeldan Ipek, Zengin Ayşe, Kostanoğlu Alis, Tekeoğlu Anil, Akbaba Yildiz Analay, Tarakçi Devrim

机构信息

İstanbul University, School of Physical Therapy and Rehabilitation, İstanbul, Turkey.

出版信息

Agri. 2011 Jan;23(1):22-7. doi: 10.5505/agri.2011.40412.

DOI:10.5505/agri.2011.40412
PMID:21341149
Abstract

OBJECTIVES

The aim of this study was to determine prevalence of pain (p) in adults and their preference for pain treatment, by using questionnaire.

METHODS

First 7 questions of "Brief Pain Inventory-Short Form" and "Cornell Musculoskeletal Discomfort Questionnaire" were applied to 250 participants in face to face interview. A hundred eighty of the individuals were women (38.3±14.0 years old) and 70 were men (36.6±13.2 years old). Data analysis were performed using SPSS, version 10.

RESULTS

Eighteen individuals (7.2%) had no pain and 232 (92.8%) of them had pain in different parts of the body. A hundred fourty five individuals had lowback p, 116 neck p, 101 dorsal p, 152 shoulder p, 69 upperarm p, 66 forearm p, 75 wrist p, 59 hip p, 69 upper leg p, 98 knee p, 81 crus pain. Their mean pain score was 3.6±1.8, mean pain score at its worst in the last 24 hours was 4.4±2.6. Thirty three percent of individuals had used non-steroidal anti-inflammatory and/or analgesic drugs to relieve pain, 22.7% had physical therapy, 4.1% had other pain-relief methods, 1.2% had surgery, and 38% had nothing.

CONCLUSION

Our results showed that 92.8% adults had pain. Although shoulder has highest pain prevalance, severe pain was mostly described in lowback area. Knee pain was largely interfered work ability. An important percent of persons experiencing pain has recieved no treatment and first preference for treatment was drug. Inspite of high pain prevalence in our study, slightly uncomfortable pain severity and no need for treatment can be explain a result of individual differences in pain perception.

摘要

目的

本研究旨在通过问卷调查确定成年人疼痛(p)的患病率及其对疼痛治疗的偏好。

方法

将“简明疼痛评估量表简表”和“康奈尔肌肉骨骼不适问卷”的前7个问题应用于250名参与者,进行面对面访谈。其中180人为女性(38.3±14.0岁),70人为男性(36.6±13.2岁)。使用SPSS 10.0版进行数据分析。

结果

18人(7.2%)无疼痛,232人(92.8%)身体不同部位有疼痛。145人有下背痛,116人有颈部疼痛,101人有背部疼痛,152人有肩部疼痛,69人有上臂疼痛,66人有前臂疼痛,75人有手腕疼痛,59人有臀部疼痛,69人有大腿上部疼痛,98人有膝盖疼痛,81人有小腿疼痛。他们的平均疼痛评分为3.6±1.8,过去24小时内最严重时的平均疼痛评分为4.4±2.6。33%的人使用过非甾体抗炎药和/或镇痛药来缓解疼痛,22.7%接受过物理治疗,4.1%采用过其他止痛方法,1.2%接受过手术,38%未采取任何措施。

结论

我们的结果显示92.8%的成年人有疼痛。虽然肩部疼痛患病率最高,但严重疼痛大多出现在下背部区域。膝盖疼痛对工作能力的干扰较大。很大一部分疼痛患者未接受治疗,治疗的首选是药物。尽管本研究中疼痛患病率较高,但轻微不适的疼痛严重程度和无需治疗可能是个体疼痛感知差异的结果。

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