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高血压与骨关节炎患者的关节疼痛严重程度相关。

Hypertension Is Associated with Joint Pain Severity Among Individuals with Osteoarthritis.

作者信息

Alenazi Aqeel M, Alkhathami Khalid M

机构信息

Department of Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Riyadh, Saudi Arabia.

Department of Health Rehabilitation, Shaqra University, Shaqra, Riyadh, Saudi Arabia.

出版信息

Pain Manag Nurs. 2023 Oct;24(5):e97-e101. doi: 10.1016/j.pmn.2023.07.005. Epub 2023 Aug 4.

Abstract

Previous studies have reported an association between hypertension (HTN) and osteoarthritis (OA). However, limited research has examined the association between HTN and symptoms, such as pain severity, in people with OA. Therefore, the aim was to investigate the prevalence of HTN in individuals with OA and the association between HTN and pain severity in this population. This study was cross-sectional and included participants aged 50 years and older from the community. Demographic data were included and self-reported history of chronic illnesses including diabetes, HTN, cardiovascular disease, dyslipidemia, anemia, osteoporosis, neurological disease, and back pain were obtained. Numerous medications and chronic diseases were included. A subsample of people who self-reported osteoarthritis was included in this study. Pain severity was measured over the past 7 days using a pain numeric rating scale. Multiple linear regression was used after adjusting for covariates. A total of 82 participants with OA were included, and the prevalence of HTN among individuals with OA was 28.91%. Hypertension was significantly associated with increased joint pain severity in this population after adjustments for covariates (B=1.81; 95% CI, 0.65, 2.97; p = .003). Hypertension is prevalent in individuals with OA and is significantly associated with pain severity in this population. Future research should consider the effect of HTN control and medication on symptoms in people with OA. Clinicians may implement screening for HTN among individuals with OA because of the association between HTN and symptoms, such as pain, in this population.

摘要

既往研究报道了高血压(HTN)与骨关节炎(OA)之间存在关联。然而,针对骨关节炎患者中高血压与疼痛严重程度等症状之间关联的研究有限。因此,本研究旨在调查骨关节炎患者中高血压的患病率以及高血压与该人群疼痛严重程度之间的关联。本研究为横断面研究,纳入了社区中50岁及以上的参与者。收集了人口统计学数据,并获取了包括糖尿病、高血压、心血管疾病、血脂异常、贫血、骨质疏松、神经系统疾病和背痛在内的慢性疾病的自我报告病史。研究涵盖了多种药物和慢性疾病。本研究纳入了自我报告患有骨关节炎的人群子样本。使用疼痛数字评定量表测量过去7天内的疼痛严重程度。在对协变量进行调整后采用多元线性回归分析。共纳入82例骨关节炎患者,骨关节炎患者中高血压的患病率为28.91%。在对协变量进行调整后,该人群中高血压与关节疼痛严重程度增加显著相关(B=1.81;95%CI,0.65,2.97;p = 0.003)。高血压在骨关节炎患者中普遍存在,且与该人群的疼痛严重程度显著相关。未来的研究应考虑高血压控制和药物治疗对骨关节炎患者症状的影响。由于高血压与该人群的疼痛等症状之间存在关联,临床医生可能应对骨关节炎患者进行高血压筛查。

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