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中国皮肤病相关皮肤疼痛的患病率及严重程度

Prevalence and Severity of Dermatological Condition-Associated Skin Pain in the Chinese.

作者信息

Wang Xiaohua, Lai Qingsong, Zheng Baoqing, Ye Li, Wen Si, Yan Yunling, Yang Bin, Man Mao-Qiang

机构信息

Dermatology Hospital, Southern Medical University, Guangdong 510095, People's Republic of China.

Puning City Chronic Disease Prevention and Control Center, Guangdong 515300, People's Republic of China.

出版信息

J Pain Res. 2020 May 26;13:1201-1207. doi: 10.2147/JPR.S245514. eCollection 2020.

Abstract

BACKGROUND/AIM: Although the characteristics of cutaneous sensory symptoms in the general population have been documented, dermatological condition-associated skin pain has not been characterized yet. In the present study, we aimed to characterize dermatological condition-associated skin pain in the Chinese.

SUBJECTS AND METHODS

A questionnaire was given to outpatients to identify self-proclaimed skin pain at our dermatology clinic. The severity of skin pain was assessed using pain scale 0-10. Prevalence and pain severity were compared between males and females.

RESULTS

A total of 2144 patients, including 1254 females and 890 males aged 13-94 years, were included in this study. The overall prevalence of skin pain was 9.93% in this cohort. The prevalence of skin pain varied greatly with dermatological conditions (p<0.0001). Moreover, a higher prevalence of skin pain was observed in males than in females (p<0.05). Among the dermatological conditions reported, higher skin pain scales were found in subjects with either glucocorticoid-induced dermatitis (4.20 ± 0.73) or herpes zoster (4.00 ± 0.29). While the overall pain scales were comparable between males and females (2.38 ± 0.13 versus 2.68 ± 0.13), pain scales in patients with eczematous dermatitis were higher in females than in males (p<0.05). Furthermore, pain scales correlated positively with age. However, pain scales did not differ between subjects with versus without a family history of cutaneous sensory symptoms. These results demonstrate that the prevalence and severity of dermatological condition-associated skin pain vary with dermatological conditions and gender in the Chinese.

CONCLUSION

Patients with some dermatological conditions may experience skin pain. Although the pain is moderate, it can negatively impact the quality of patients' lives. Alleviation of skin pain should be considered when treating patients with certain dermatological conditions.

摘要

背景/目的:虽然已记录了普通人群皮肤感觉症状的特征,但与皮肤病相关的皮肤疼痛尚未得到描述。在本研究中,我们旨在描述中国人中与皮肤病相关的皮肤疼痛特征。

受试者与方法

向门诊患者发放问卷,以确定在我们皮肤科诊所自称有皮肤疼痛的患者。使用0至10分疼痛量表评估皮肤疼痛的严重程度。比较男性和女性之间的患病率和疼痛严重程度。

结果

本研究共纳入2144例患者,其中女性1254例,男性890例,年龄在13至94岁之间。该队列中皮肤疼痛的总体患病率为9.93%。皮肤疼痛的患病率因皮肤病而异(p<0.0001)。此外,男性的皮肤疼痛患病率高于女性(p<0.05)。在所报告的皮肤病中,糖皮质激素性皮炎(4.20±0.73)或带状疱疹(4.00±0.29)患者的皮肤疼痛量表得分较高。虽然男性和女性的总体疼痛量表相当(2.38±0.13对2.68±0.13),但湿疹性皮炎患者中女性的疼痛量表得分高于男性(p<0.05)。此外,疼痛量表与年龄呈正相关。然而,有皮肤感觉症状家族史和无家族史的受试者之间疼痛量表无差异。这些结果表明,在中国,与皮肤病相关的皮肤疼痛的患病率和严重程度因皮肤病和性别而异。

结论

一些皮肤病患者可能会经历皮肤疼痛。虽然疼痛程度中等,但会对患者的生活质量产生负面影响。在治疗某些皮肤病患者时,应考虑减轻皮肤疼痛。

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