慢性腰腿痛患者抑郁性障碍与痛觉阈值的相关研究  

Research between the relationship of depressive or anxiety and pain perception threshold on chronic pain pateint

作　　者：巢金林[1] 孙剑 王焕林 童立苗[1] 潘俊[1] 

机构地区：[1]解放军102医院骨科 [2]解放军全军心理卫生中心,江苏常州213003

出　　处：《颈腰痛杂志》2009年第6期518-520,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探索慢性腰腿痛病人抑郁障碍和焦虑障碍的严重程度与痛知觉阈值改变的相关性。方法比较40例慢性腰腿痛病人与40例正常对照组的躯体感觉阈(SPT)、痛觉阈(PPT)及相对痛觉阈(RPPT),同时对病人组评定汉密顿抑郁量表(HAMD)及状态—特质焦虑量表(STAI)。结果慢性疼痛病人SPT和PPT明显高于正常对照组(P<0.005=;SPT、PPT、RPPT值与HAMD总分和各因子分之间无明显相关(P>0.05);SPT、PPT、RPPT值与状态焦虑分(SAI)无明显相关(P>0.05);痛觉阈值与病程无关(P>0.05)。结论无论是功能性的还是器质性的慢性疼痛,其与抑郁性障碍和/或焦虑性障碍三者的病理基础可能是同源的。Objective To explore the correlation among depressive and /or anxiety disorder and pain perception threshold on chronic pain patients. Methods Somatosensory perception threshold （SPT）,pain perception threshold（PPT） and the relative pain perception threshold （RPPT） were assessed in 40 patients with chronic low back pain,compared with the findings in a control group and related to the psychopathological state evaluated by means of the Hamilton Depression Scale （HAMD） and the State-Trait Anxiety In-ventory （STAI）. Results SPT,PPT were increased in the patients （P〈0.005）;SPT,PPT,RPPT,and HAMD or HAMD subscores,and STAI,and the course of disease were not significantly correlated with each other （P〉0.05）. Condnsions The pathological base among functional or organic chronic pain and the depressive and/or anxiety disorder may be of the same source.

关 键 词：痛觉阈 感觉阈 慢性疼痛 抑郁性障碍 焦虑性障碍 

分 类 号：R388.3[医药卫生—医学寄生虫学]