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疼痛与临床表现:长新冠综合征新发慢性疼痛患者的横断面研究。

Pain and Clinical Presentation: A Cross-Sectional Study of Patients with New-Onset Chronic Pain in Long-COVID-19 Syndrome.

机构信息

Physiotherapy Department, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.

Nursing Department, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.

出版信息

Int J Environ Res Public Health. 2023 Feb 24;20(5):4049. doi: 10.3390/ijerph20054049.

Abstract

The aim of this study was to evaluate the characteristics of pain (i.e., pain intensity, pain interference, clinical presentation) in Long-COVID-19 patients and compare the location of pain between successfully recovered COVID-19 patients and healthy matched controls. A cross-sectional case-control study was carried out. Long-COVID-19 patients, age- and sex-matched patients with a history of COVID-19 who had successfully recovered, and healthy controls were included. Outcomes included were pain characteristics (Brief Pain Inventory and Short-Form McGill Pain Questionnaire) and clinical presentation (Widespread Pain Index and Euroqol-5 Dimensions 5 Levels Visual Analogue Scale). Sixty-nine patients with Long-COVID-19 syndrome, sixty-six successfully recovered COVID-19 patients, and sixty-seven healthy controls were evaluated. Patients with Long-COVID-19 syndrome showed greater pain intensity and interference. In addition, they showed worse quality of life and greater widespread pain, with the most frequent locations of pain being the neck, legs, and head. In conclusion, patients with Long-COVID-19 syndrome show a high prevalence of pain, characterized by widespread pain of moderate intensity and interference, with the most frequent locations being the neck, legs, and head, significantly affecting the quality of life of these patients.

摘要

本研究旨在评估 Long-COVID-19 患者的疼痛特征(即疼痛强度、疼痛干扰、临床表现),并比较成功康复的 COVID-19 患者和健康匹配对照者疼痛的部位。进行了一项横断面病例对照研究。纳入了 Long-COVID-19 患者、年龄和性别匹配的成功康复的 COVID-19 病史患者以及健康对照者。评估的结果包括疼痛特征(简明疼痛量表和简化 McGill 疼痛问卷)和临床表现(广泛性疼痛指数和 EuroQol-5 维度 5 级视觉模拟量表)。共评估了 69 例 Long-COVID-19 综合征患者、66 例成功康复的 COVID-19 患者和 67 例健康对照者。Long-COVID-19 综合征患者表现出更高的疼痛强度和干扰。此外,他们的生活质量更差,广泛性疼痛更严重,最常见的疼痛部位是颈部、腿部和头部。总之,Long-COVID-19 综合征患者疼痛发生率较高,表现为中强度广泛性疼痛且干扰严重,最常见的疼痛部位是颈部、腿部和头部,显著影响这些患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2336/10001485/bfa8a11c6c20/ijerph-20-04049-g001.jpg

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