Department of Pain Management, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Department of Pain Management, Peking University People's Hospital, Beijing, China.
Libyan J Med. 2020 Dec;15(1):1730550. doi: 10.1080/19932820.2020.1730550.
There is an extensive body of research about chronic pain and treatment in developed countries. In contrast there is a lack of research on this topic in developing countries including China. This study was aimed to estimate the prevalence of chronic pain in different regions of China. Data on pain and its treatment were collected from 9357 participants using questionnaires and telephone-based interviews, from 31 regions of China. Gathered data were then coded into electronic data acquisition system and descriptive and inferential statistical analysis was performed. Out of 9298 participants, the ratio of chronic pain was 31.54% with the proportion of male having chronic pain (33.86%) was higher than that of female (29.53%). The average age of participants with pain (45.02 ± 15.07 years) was higher than free-pain participants (36.19 ± 11.12 years). There were also significant differences between groups in occupation, education levels, and illness history. Proportion of patients with pain duration of 1 year was 12.104%, between 1 and 5 years was 60%, and over 10 years was 10.74%. There were 63.9% of patients with moderate pain and 36.1% with severe pain. About 43.042% of patients thought that pain resulted in sleep disorder, 38.99% thought that it causes anxiety, and about 33% thought depression and irritable bowel was the result of their pain. For the chronic pain, more than half of patients used naprapathy, cupping, and other physical therapies. Up to 2016, the ratio of pain incidence was over 30% in China. The location of pain was focused on back and upper limb. There has been a lack of proper treatment. Patients with pain had obvious economic burden, and their quality of life and psychology were significantly affected.
中国在慢性疼痛及其治疗方面的研究相对匮乏,而发达国家在这方面已经积累了大量的研究成果。本研究旨在评估中国不同地区慢性疼痛的患病率。研究人员通过问卷调查和电话访谈的方式,从中国 31 个地区收集了 9357 名参与者的疼痛及其治疗数据。收集到的数据被编码成电子数据采集系统,并进行了描述性和推断性统计分析。在 9298 名参与者中,慢性疼痛的比例为 31.54%,其中男性慢性疼痛的比例(33.86%)高于女性(29.53%)。有疼痛的参与者的平均年龄(45.02±15.07 岁)高于无疼痛的参与者(36.19±11.12 岁)。在职业、受教育程度和患病史方面,两组之间也存在显著差异。疼痛持续时间为 1 年的患者比例为 12.104%,1-5 年的比例为 60%,超过 10 年的比例为 10.74%。有 63.9%的患者疼痛程度为中度,36.1%为重度。约 43.042%的患者认为疼痛导致睡眠障碍,38.99%认为疼痛导致焦虑,约 33%认为抑郁和肠易激是疼痛的结果。对于慢性疼痛,超过一半的患者使用推拿、拔罐等物理疗法。截至 2016 年,中国的疼痛发病率超过 30%。疼痛部位主要集中在背部和上肢。中国在慢性疼痛治疗方面还存在不足,患者存在明显的经济负担,其生活质量和心理状况受到显著影响。