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中老年外周神经病患者疼痛病因的回顾性分析。

A Retrospective Analysis of Pain Etiology in Middle-Aged Patients with Peripheral Neuropathy.

机构信息

Department of Neurology, Medical University of Lublin, ul. Jaczewskiego 8, 20-954 Lublin, Poland.

出版信息

Medicina (Kaunas). 2021 Jul 31;57(8):787. doi: 10.3390/medicina57080787.

Abstract

: Correct assessment and a multidisciplinary approach appear to be extremely important in preventing peripheral neuropathy and its complications. The purpose of this study was to find the correlations and dissimilarities between different types of peripheral neuropathy, the occurrence of pain, and laboratory results. : This retrospective study assessed 124 patients who were hospitalized in our neurology department due to various types of sensory or motor disturbances. The patients were eventually diagnosed with peripheral neuropathy, based on the electrophysiological study, anamnesis, physical examination, and laboratory results. The whole group was subjected to statistical analysis. : The mean age of patients was over 56 years, with a slight woman predominance. A statistically significant ( < 0.05) relationship between the place of residence and gender was seen, where more men than women live in the rural area, while more women than men live in the urban area. Most often we observed symmetric, sensorimotor, demyelinating, inflammatory, and chronic neuropathy. More than 40% of patients reported pain. A statistically significant correlation between the evolution/severity and the occurrence of pain was seen in subacute type ( < 0.05) and small fibre neuropathy ( < 0.01). : A higher incidence of peripheral neuropathy in middle-aged people will become essential in the aging society with lifestyle and chronic disorders. Peripheral neuropathy is slightly more common in women than men and its occurrence may be influenced by work performed or internal and external factors. In the study group, more than 40% of patients reported pain, therefore the pain measurement for each patient should be implemented and repeated at every visit. An assessment of sodium level and, in women, markers of neuroinflammation level in the various types of peripheral neuropathy may be an interesting direction for the future.

摘要

正确的评估和多学科方法似乎对于预防周围神经病变及其并发症极其重要。本研究的目的是发现不同类型的周围神经病变、疼痛发生与实验室结果之间的相关性和差异。

本回顾性研究评估了 124 名因各种类型的感觉或运动障碍而在我院神经科住院的患者。根据电生理学研究、病史、体格检查和实验室结果,最终诊断为周围神经病变。对整组患者进行了统计分析。

患者的平均年龄超过 56 岁,女性略占优势。居住地和性别之间存在显著的(<0.05)关系,农村地区的男性多于女性,而城市地区的女性多于男性。我们最常观察到对称的、感觉运动的、脱髓鞘的、炎症的和慢性的神经病。超过 40%的患者报告有疼痛。在亚急性类型(<0.05)和小纤维神经病(<0.01)中,观察到疾病的演变/严重程度与疼痛发生之间存在显著的相关性。

随着生活方式和慢性疾病的影响,中年人群中周围神经病的发病率将会升高,这在老龄化社会中变得至关重要。周围神经病在女性中略多于男性,其发生可能受到所从事工作或内外因素的影响。在研究组中,超过 40%的患者报告有疼痛,因此应针对每位患者实施疼痛测量,并在每次就诊时重复测量。在各种类型的周围神经病变中评估钠水平,以及女性的神经炎症标志物水平可能是未来的一个有趣方向。

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本文引用的文献

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Diagnosis of peripheral neuropathy.周围神经病变的诊断
Neurol Res Pract. 2020 Jul 15;2:20. doi: 10.1186/s42466-020-00064-2. eCollection 2020.
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Muscle Nerve. 2021 Jan;63(1):22-30. doi: 10.1002/mus.27014. Epub 2020 Jul 28.
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Therapeutic Approaches for Peripheral and Central Neuropathic Pain.外周和中枢神经性疼痛的治疗方法。
Behav Neurol. 2019 Nov 21;2019:8685954. doi: 10.1155/2019/8685954. eCollection 2019.

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