帕金森病伴疼痛相关因素分析  

Analysis of Related Factors in Parkinson Disease with Pain

作　　者：郑玉敏[1] 刘娜[1] 高超[2] 罗晓光[1] 

机构地区：[1]中国医科大学附属第一医院神经内科,沈阳110001 [2]中国医科大学92期七年制

出　　处：《中国实用乡村医生杂志》2013年第8期53-55,共3页Chinese Practical Journal of Rural Doctor

摘　　要：目的评价帕金森病伴疼痛的情况，分析其相关的影响因素。方法将252例帕金森病患者分为伴疼痛组149例和不伴疼痛组（对照组）103例。用问卷调查的方式调查其性别、年龄、是否应用左旋多巴治疗、病程等，并采用赫一雅（Heohn．Yahr）分级、汉密尔顿抑郁评价量表（HAMD）、蒙特利尔认知评估（MoCA）北京版，分别对其疾病的严重程度、抑郁程度及认知功能进行评价和分析。结果帕金森病伴疼痛与性别、病程长短、MoCA评分无关（P〉0．05），而与年龄、是否接受左旋多巴治疗、Heohn—Yahr分级、HAMD评分有关（P〈0．05）。结论疼痛是帕金森病较常见的非运动症状，其发生与年龄、病情严重程度、是否接受左旋多巴治疗以及抑郁程度有关。Objective To evaluate the pain associated with Parkinson disease, and to analyze the related factors. Methods 252 cases of Parkinson disease were divided into pain group with 149 cases and control group with 103 cases. Survey method was used to investigate the general situation （gender, age, the application of L-dopa,and the course of disease）. The severity of their disease, depression level, and cognitive function were evaluated with Heohn-Yahr classification, Hamilton depression rating scale （HAMD）, Montreal Cognitive Assessment （MoCA） version of Beijing, respectively. Results The Parkinson disease with pain was independent with sex, course of disease, and MoCA score （P〉0.05）, but related with age ,L-dopa treatment, Heohn-Yahr grade,and HAMD score （P〈0.05）. Conclusion Pain is a common non-motor symptom of Parkinson disease, which is related with age, severity of illness, L-dopa treatment, and the degree of depression.

关 键 词：帕金森病 疼痛 相关因素 

分 类 号：R741[医药卫生—神经病学与精神病学]