Department of Physiatry, Balneology and Rehabilitation of the Slovak Medical University, F. D. Roosevelt Teaching Hospital, Banská Bystrica, Slovakia.
Faculty of Arts, Department of Physical Education and Sports, Matej Bel University, Tajovského 40, Banská Bystrica, 974 01, Slovakia.
BMC Musculoskelet Disord. 2023 Apr 19;24(1):310. doi: 10.1186/s12891-023-06424-8.
Lower back pain is a common issue, but little is known about the prevalence of pain in patients with liver cirrhosis during hospitalisation. Therefore, the objective of this study was to determine lower back pain in patients with liver cirrhosis.
The sample consisted of patients with liver cirrhosis (n = 79; men n = 55; women n = 24; mean age = 55.79 ± 12.52 years). The hospitalised patients were mobile. The presence and intensity of pain were assessed in the lumbar spine during hospitalisation. The presence of pain was assessed using the visual analogue pain scale (0-10). The range of motion of the lower spine was assessed using the Schober and Stibor tests. Frailty was measured by Liver Frailty Index (LFI). The condition of liver disease was evaluated using The Model For the End-Stage Liver Disease (MELD) and Child-Pugh score (CPS) and ascites classification. Student's t test and Mann-Whitney test were used for analysis of the difference of group. Analysis of variance (ANOVA) with the Tukey post hoc test was used to test differences between categories of liver frailty index. The Kruskal-Wallis test was used to test pain distribution. Statistical significance was determined at the α-0.05 significance level.
The prevalence of pain in patients with liver cirrhosis was 13.92% (n = 11), and the mean intensity of pain according to the visual analogue scale was 3.73 (± 1.90). Lower back pain was present in patients with ascites (15.91%; n = 7) and without ascites (11.43%; n = 4). The prevalence of lower back pain was not statistically significant between patients with and without ascites (p = 0,426). The base of Schober's assessment mean score was 3.74 cm (± 1.81), and based on Stibor's assessment mean score was 5.84 cm (± 2.23).
Lower back pain in patients with liver cirrhosis is a problem that requires attention. Restricted spinal mobility has been reported in patients with back pain, according to Stibor, compared to patients without pain. There was no difference in the incidence of pain in patients with and without ascites.
下腰痛是一种常见问题，但关于肝硬化患者住院期间疼痛的发生率知之甚少。因此，本研究旨在确定肝硬化患者的下腰痛情况。
样本包括 79 例肝硬化患者（男性 55 例，女性 24 例；平均年龄 55.79 ± 12.52 岁）。住院患者可移动。在住院期间评估腰椎的疼痛存在和强度。使用视觉模拟疼痛量表（0-10）评估疼痛的存在。使用 Schober 和 Stibor 测试评估下脊柱的活动范围。使用肝脏脆弱指数（LFI）测量脆弱性。使用终末期肝病模型（MELD）和 Child-Pugh 评分（CPS）和腹水分类评估肝病状况。采用 Student's t 检验和 Mann-Whitney 检验分析组间差异。采用方差分析（ANOVA）和 Tukey 事后检验测试肝脏脆弱指数类别之间的差异。采用 Kruskal-Wallis 检验测试疼痛分布。以α-0.05 显著性水平确定统计学意义。
肝硬化患者疼痛的发生率为 13.92%（n=11），视觉模拟量表评估的疼痛平均强度为 3.73（±1.90）。有腹水的患者（15.91%；n=7）和无腹水的患者（11.43%；n=4）均存在下腰痛。有腹水和无腹水的患者的下腰痛发生率无统计学差异（p=0.426）。Schober 评估的平均基线分数为 3.74cm（±1.81），Stibor 评估的平均基线分数为 5.84cm（±2.23）。
肝硬化患者的下腰痛是一个需要关注的问题。据 Stibor 报道，有腰痛的患者脊柱活动受限，而无腰痛的患者则没有。有腹水和无腹水的患者疼痛发生率无差异。
