关键词: Gonarthrosis Knee osteoarthritis Neuropathic pain Osteoarthritis Quality of life

Mesh : Humans Female Middle Aged Aged Aged, 80 and over Male Osteoarthritis, Knee / complications epidemiology surgery Quality of Life Prevalence Cross-Sectional Studies Pain Measurement / methods Neuralgia / epidemiology etiology

来  源:   DOI:10.1016/j.clinsp.2023.100287   PDF(Pubmed)

Abstract:
With the aging of the population, more patients have complained of pain due to knee Osteoarthritis (OA), and the number of arthroplasties has also increased. The objective of this study is to evaluate the prevalence of the neuropathic pain component in candidates for Total Knee Replacement and the effects of this component on their quality of life.
In this cross-sectional study, patients with OA candidates for knee arthroplasty in the present institution were evaluated using the pain detection questionnaire and the Visual Analog Pain (VAS) scale to measure the pain index and the presence of associated neuropathic pain. In addition, evaluation of the quality of life and functionality using the EQ5D and SF12 questionnaires and their relationship with cases of neuropathic pain were performed.
One hundred twenty-six patients were evaluated, and 71.4 % were female. The age ranged from 46 to 85 years, and about 70 % of the patients had some associated clinical comorbidity. Neuropathic pain was present in 28.6 % of the patients evaluated. Patients with neuropathic pain presented worse results in the VAS evaluation, in the care, pain, and anxiety domains of the EQ5D, and in the physical and mental scores of the SF12.
Neuropathic pain was present in 28.6 % of the patients with knee OA who are candidates for arthroplasty. Patients with associated neuropathic pain present a higher level of pain and worse quality of life scores. Recognizing this type of pathology is extremely important in fully monitoring gonarthrosis.
摘要:
随着人口老龄化,更多的患者抱怨膝关节骨关节炎(OA)引起的疼痛,关节置换术的数量也有所增加。这项研究的目的是评估全膝关节置换术候选人中神经性疼痛成分的患病率以及该成分对其生活质量的影响。
在这项横断面研究中,使用疼痛检测问卷和视觉模拟疼痛(VAS)量表对在本机构进行膝关节置换术的OA患者进行评估,以测量疼痛指数和相关神经性疼痛的存在.此外,使用EQ5D和SF12问卷评估患者的生活质量和功能及其与神经性疼痛病例的关系.
对126名患者进行了评估,71.4%为女性。年龄从46岁到85岁,约70%的患者有一些相关的临床合并症。28.6%的患者出现神经性疼痛。神经性疼痛患者在VAS评估中表现较差,在护理中,疼痛,和EQ5D的焦虑域,以及SF12的身心得分。
28.6%的膝关节OA患者存在神经性疼痛,这些患者是关节成形术的候选人。患有相关神经性疼痛的患者表现出更高水平的疼痛和更差的生活质量评分。认识到这种类型的病理对于全面监测膝关节病是极其重要的。
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