Ehde Dawn M, Alschuler Kevin N, Osborne Travis L, Hanley Marisol A, Jensen Mark P, Kraft George H
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Disabil Health J. 2015 Jul;8(3):452-6. doi: 10.1016/j.dhjo.2015.03.001. Epub 2015 Mar 14.
Although chronic pain is common among persons with multiple sclerosis (MS), little is known about the utilization and patients' perception of the effectiveness of pain treatments in MS.
The objectives were to: (1) identify specific treatments currently used for pain relief by adults with MS; (2) examine patients' perceptions of the effectiveness of each of these treatments; and (3) examine rates of health care utilization, specifically provider and emergency department visits, for pain.
Cross-sectional survey.
One hundred twenty-five community-dwelling participants with MS and pain completed a postal survey that measured demographics, MS disease, pain, pain treatments, perceived effectiveness of treatments, and health care utilization.
The majority (89.6%) of the sample reported use of a variety of and multiple pain treatments (range = 1-19, median = 9.0, mean = 9.0, SD = 4.2); few were rated as providing pain relief. Non-prescription pain relievers were the most commonly reported treatment. Physical treatment modalities were also common. The treatments that were reported by patients to provide the greatest pain relief, such as hypnosis, nerve blocks, and marijuana, were not those that were the most frequently used. Overall, 75% reported at least one visit to a provider for pain in the past six months; participants made, on average, 9.7 visits for pain during this same time period. Emergency department visits explicitly for pain were reported by 11% of respondents.
These findings suggest that pain is inadequately treated from the perspective of persons with MS and results in a high level of health care utilization.
尽管慢性疼痛在多发性硬化症（MS）患者中很常见，但对于MS患者疼痛治疗的使用情况以及患者对其有效性的看法却知之甚少。
目标如下：（1）确定目前成年MS患者用于缓解疼痛的具体治疗方法；（2）检查患者对每种治疗方法有效性的看法；（3）检查疼痛的医疗保健利用率，特别是看医生和去急诊科就诊的频率。
横断面调查。
125名患有MS且有疼痛症状的社区居住参与者完成了一项邮寄调查，该调查测量了人口统计学、MS疾病、疼痛、疼痛治疗、治疗的感知有效性以及医疗保健利用率。
大多数（89.6%）样本报告使用了多种疼痛治疗方法（范围为1 - 19种，中位数 = 9.0，平均数 = 9.0，标准差 = 4.2）；很少有治疗方法被评为能缓解疼痛。非处方止痛药是最常报告的治疗方法。物理治疗方式也很常见。患者报告能提供最大疼痛缓解的治疗方法，如催眠、神经阻滞和大麻，并非是最常用的。总体而言，75%的人报告在过去六个月中至少因疼痛看过一次医生；在此期间，参与者因疼痛平均就诊9.7次。11%的受访者报告曾因疼痛明确去过急诊科就诊。
这些发现表明，从MS患者的角度来看，疼痛未得到充分治疗，导致医疗保健利用率很高。
