Xiao Tian, Zhou Xianfeng, He Yun, Chen Yue, Qiu Hua, Zhang Sheng, Wei Xianglin, Wu Kang, Ruan Xiaonan, Wang Na, Fu Chaowei
Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Pudong Institute of Preventive Medicine, Fudan University.
Department of Chronic Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, China.
J Pain Res. 2017 Sep 15;10:2247-2252. doi: 10.2147/JPR.S141940. eCollection 2017.
Chronic obstructive pulmonary disease (COPD) is a great public health burden worldwide. Few studies have focused on pain problems in patients with mild and moderate COPD in Chinese community settings.
A cross-sectional study of 283 patients with mild and moderate COPD was conducted in six communities that were randomly sampled in Pudong New Area of Shanghai, China, in 2016. A face-to-face interview was conducted to collect data on personal characteristics and health conditions. The short form McGill Pain Questionnaire and the COPD assessment test (CAT) were applied to evaluate pain problems and health status, respectively.
Among 283 subjects, more than one third (37%) had pain problems indicated by the present pain intensity (PPI) scale. COPD patients aged <65 years with exacerbation in the past 12 months or a CAT score of ≥10 had a significantly higher score in affective dimension. Female sex, COPD severity, and length of disease were significantly related to higher scores of the sensory dimension. Those with moderate COPD or a CAT score of ≥10 had significantly higher scores of visual analog scale than those with mild COPD or a CAT score <10. Patients with moderate COPD had a higher rank of PPI than those with mild COPD.
Pain was common in patients with mild and moderate COPD in the community settings of Shanghai, China. Severity of COPD and CAT score were significantly related to the prevalence of pain. Intervention measures should be developed to improve pain problems for COPD patients.
慢性阻塞性肺疾病（COPD）是全球范围内一项重大的公共卫生负担。在中国社区环境中，很少有研究关注轻度和中度COPD患者的疼痛问题。
2016年在中国上海浦东新区随机抽取的6个社区对283例轻度和中度COPD患者进行了一项横断面研究。通过面对面访谈收集个人特征和健康状况数据。分别应用简式麦吉尔疼痛问卷和COPD评估测试（CAT）来评估疼痛问题和健康状况。
在283名受试者中，超过三分之一（37%）的人根据当前疼痛强度（PPI）量表显示存在疼痛问题。过去12个月内有病情加重或CAT评分≥10的65岁以下COPD患者在情感维度上得分显著更高。女性、COPD严重程度和病程与感觉维度得分较高显著相关。中度COPD患者或CAT评分≥10的患者视觉模拟量表得分显著高于轻度COPD患者或CAT评分<10的患者。中度COPD患者的PPI排名高于轻度COPD患者。
在中国上海的社区环境中，轻度和中度COPD患者中疼痛很常见。COPD严重程度和CAT评分与疼痛患病率显著相关。应制定干预措施以改善COPD患者的疼痛问题。
