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中风后中枢性疼痛对中风患者生活质量和抑郁的影响。

The effects of central post-stroke pain on quality of life and depression in patients with stroke.

作者信息

Şahin-Onat Şule, Ünsal-Delialioğlu Sibel, Kulaklı Fazıl, Özel Sumru

机构信息

Department of Physical and Rehabilitation Medicine, Ankara Physical and Rehabilitation Medicine Training and Research Center, Turkey.

出版信息

J Phys Ther Sci. 2016 Jan;28(1):96-101. doi: 10.1589/jpts.28.96. Epub 2016 Jan 30.

Abstract

[Purpose] The aim of this study was to assess the effects of central poststroke pain on quality of life, functionality, and depression in stroke. [Subjects and Methods] Twenty-four patients with stroke having central poststroke pain (a mean age of 60.6±8.5 years; 14 males, 10 females; Group I) and 24 similar age-and gender-matched patients with stroke without central poststroke pain (Group II) were enrolled. Characteristics of pain were recorded in patients with stroke having central poststroke pain. The Visual Analogue Scale and Leeds Assessment of Neuropathic Symptoms and Signs pain scale were used to evaluate pain. The Functional Independence Measure was used to assess functionality, the 36-Item Short-Form Health Survey was used to assess quality of life (QoL), and the Beck Depression Inventory was used to assess depression. [Results] There were no significant differences in Functional Independence Measure and Beck Depression Inventory. Some of the 36-Item Short-Form Health Survey domains (physical role limitations, pain, and physical scores) in Group II were significantly higher than those in Group I. Additionally, we found that a unit increase in Leeds Assessment of Neuropathic Symptoms and Signs score led to 0.679 decrease in physical score and 0.387 decrease in mental score. [Conclusion] The physical component of the 36-Item Short-Form Health Survey is negatively affected in patient with central poststroke pain, but the mood and mental components of the scale unaffected.

摘要

[目的] 本研究旨在评估脑卒中后中枢性疼痛对脑卒中患者生活质量、功能及抑郁的影响。[对象与方法] 纳入24例患有脑卒中后中枢性疼痛的患者(平均年龄60.6±8.5岁;男性14例,女性10例;I组)和24例年龄及性别匹配的无脑卒中后中枢性疼痛的脑卒中患者(II组)。记录患有脑卒中后中枢性疼痛患者的疼痛特征。采用视觉模拟量表和利兹神经病理性症状和体征疼痛量表评估疼痛。采用功能独立性测量评估功能,采用36项简短健康调查评估生活质量(QoL),采用贝克抑郁量表评估抑郁。[结果] 功能独立性测量和贝克抑郁量表无显著差异。II组36项简短健康调查的一些领域(身体角色限制、疼痛和身体评分)显著高于I组。此外,我们发现利兹神经病理性症状和体征评分每增加一个单位,身体评分下降0.679,精神评分下降0.387。[结论] 脑卒中后中枢性疼痛患者36项简短健康调查的身体成分受到负面影响,但该量表的情绪和精神成分未受影响。

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