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帕金森病患者的疼痛特征。

Pain characterization in patients with Parkinson's disease.

机构信息

Centro Universitário Augusto Motta, Rio de Janeiro, Brazil.

Universidade Veiga de Almeida, Cabo Frio-Rio de Janeiro, Brazil.

出版信息

Pain Pract. 2024 Jun;24(5):786-797. doi: 10.1111/papr.13352. Epub 2024 Jan 31.

Abstract

BACKGROUND

Patients with Parkinson's disease (PD) often report chronic pain, which is one of the most complex non-motor symptoms. Therefore, this study aims to review the literature on the characteristics of pain in patients with PD.

METHODS

A systematic literature review was conducted following MOOSE recommendations. Observational studies reporting pain in patients with PD were included. No time restrictions were applied, but studies in Portuguese, Spanish, and English were considered. The search was performed in PubMed®, LILACS, and SciELO databases.

RESULTS

Twenty-six articles of observational studies were identified, reporting an average pain prevalence of 67.36%, emphasizing the significance of this symptom in the PD population. Pain was reported in various body regions, including lower limbs, upper limbs, lumbar spine, cervical spine, and other joints. Pain classification varied, encompassing musculoskeletal pain, PD-related pain, neuropathic pain, and dystonic pain, among others.

DISCUSSION

Pain in patients with PD is a prevalent and multifactorial condition, significantly impacting patients' quality of life.

CONCLUSION

Heterogeneity in data across included studies was observed, highlighting the need for additional research to elucidate the underlying mechanisms of pain in patients with PD and develop effective therapeutic strategies to address this symptom and improve the quality of life for individuals living with the disease.

摘要

背景

帕金森病(PD)患者常报告慢性疼痛,这是最复杂的非运动症状之一。因此,本研究旨在综述 PD 患者疼痛特征的相关文献。

方法

按照 MOOSE 建议进行系统文献回顾。纳入报告 PD 患者疼痛的观察性研究。未对时间进行限制,但仅考虑发表于葡萄牙语、西班牙语和英语的研究。在 PubMed®、LILACS 和 SciELO 数据库中进行检索。

结果

确定了 26 篇观察性研究文章,报告疼痛的平均患病率为 67.36%,强调了该症状在 PD 人群中的重要性。疼痛发生在下肢、上肢、腰椎、颈椎和其他关节等多个身体部位。疼痛分类多样,包括肌肉骨骼疼痛、PD 相关疼痛、神经性疼痛和肌张力障碍性疼痛等。

讨论

PD 患者的疼痛是一种普遍存在且多因素的疾病,严重影响患者的生活质量。

结论

纳入研究的数据存在异质性,这突出表明需要进一步研究以阐明 PD 患者疼痛的潜在机制,并制定有效的治疗策略来解决该症状,改善患者的生活质量。

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