Sezgin Yılmaz, Ahmedali Asliddin
Family Medicine, Istanbul Training Research Hospital, Istanbul, TUR.
Emergency Medicine, Nevşehir State Hospital, Nevşehir, TUR.
Cureus. 2021 Apr 12;13(4):e14437. doi: 10.7759/cureus.14437.
Introductıon: Dysmenorrhea attacks may be accompanied by extragenital symptoms such as nausea, vomiting, diarrhea, headache and leg pain and by emotional symptoms such as tension and irritability. Therefore, we think that dysmenorrheic symptoms may be more severe in patients with dyspeptic symptoms. The purpose of this study was to determine whether pain scores would differ between dysmenorrheic patients with or without dyspeptic symptoms.
Patients presenting to the emergency department with dysmenorrhea attacks and volunteering to participate were included in this case-control study. Subjects with dyspeptic symptoms were enrolled as the case group and those without dyspeptic symptoms were enrolled as the control group. Participants were administered the Faces Pain Scale and a questionnaire involving demographic characteristics.
Pain scores on arrival were higher in the case group than in the control group (4.20 ± 0.71, 3.70 ± 0.74, n=30, p=0.011). A significant difference was observed between pain scores on arrival and at discharge in both the control and case groups. A decrease in pain scores was determined in all the subjects in the case group, while no change was observed in three volunteers in the control group.
We conclude that pain is significantly more severe in dysmenorrheic patients with dyspeptic symptoms.
引言：痛经发作可能伴有诸如恶心、呕吐、腹泻、头痛和腿痛等生殖器外症状以及诸如紧张和易怒等情绪症状。因此，我们认为消化不良症状患者的痛经症状可能更严重。本研究的目的是确定有或无消化不良症状的痛经患者的疼痛评分是否存在差异。
本病例对照研究纳入了因痛经发作到急诊科就诊并自愿参与的患者。有消化不良症状的受试者被纳入病例组，无消化不良症状的受试者被纳入对照组。参与者接受了面部疼痛量表和一份涉及人口统计学特征的问卷。
病例组到达时的疼痛评分高于对照组（4.20±0.71，3.70±0.74，n = 30，p = 0.011）。对照组和病例组到达时与出院时的疼痛评分均存在显著差异。病例组所有受试者的疼痛评分均下降，而对照组有三名志愿者的疼痛评分未观察到变化。
我们得出结论，有消化不良症状的痛经患者的疼痛明显更严重。
