中风后中枢性疼痛：尼日利亚卡诺中风幸存者中的情况
Central Poststroke Pain: Its Profile among Stroke Survivors in Kano, Nigeria.
作者信息
Bashir Abdulbaki Halliru, Abdullahi Auwal, Abba Muhammad Aliyu, Mukhtar Naziru Bashir
机构信息
Department of Physiotherapy, Bayero University Kano, Kano, Nigeria.
出版信息
Behav Neurol. 2017;2017:9318597. doi: 10.1155/2017/9318597. Epub 2017 Sep 19.
BACKGROUND
Central poststroke pain (CPSP) caused by sensory dysfunction of central origin is a disabling condition that significantly affects the quality of life of stroke patients.
AIM
The aim of this study is to determine the clinical profiles and pattern of CPSP among stroke patients in Kano, Nigeria.
METHODS
The study was a cross-sectional design involving stroke survivors who were ≥18 years old and with no significant cognitive impairment approved by the Research Ethics Committee of Aminu Kano Teaching Hospital. Participants were assessed using diagnostic criteria form, the douleur neuropathique 4 questions (DN4 questionnaire), and Leeds assessment of neuropathic symptoms and signs (LANNS).
RESULTS
A total of 120 stroke patients participated in the study, in which 6 (5%) were diagnosed with CPSP occurring within the first 3 months in 50% of the participants. The pain characteristics were mainly moderate (83.3%), burning (62.5%), and continuously experienced (66.7%). The frequently affected parts were extremities or occurring as hemisyndrome.
CONCLUSION
Prevalence of CPSP following stroke is low. The clinical features are variable and can occur at a varied time and different intensities and locations. However, it majorly occurs within the first few months post stroke.
背景
中枢性卒中后疼痛（CPSP）由中枢性感觉功能障碍引起，是一种致残性疾病，严重影响卒中患者的生活质量。
目的
本研究旨在确定尼日利亚卡诺市卒中患者中CPSP的临床特征和模式。
方法
本研究为横断面设计，纳入年龄≥18岁、无明显认知障碍的卒中幸存者，研究经阿明努·卡诺教学医院研究伦理委员会批准。采用诊断标准表、神经病理性疼痛4个问题（DN4问卷）和利兹神经病理性症状和体征评估（LANNS）对参与者进行评估。
结果
共有120例卒中患者参与本研究，其中6例（5%）被诊断为CPSP，50%的参与者在发病后3个月内出现。疼痛特征主要为中度（83.3%）、灼痛（62.5%）和持续性疼痛（66.7%）。最常受累部位为四肢或表现为偏侧综合征。
结论
卒中后CPSP的患病率较低。其临床特征多样，可在不同时间、以不同强度和部位出现。然而，它主要发生在卒中后的头几个月内。
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