871例门诊患者疼痛现状及其相关分析  

The pain status and correlation factors analysis of 871 outpatients

作　　者：税敏[1] 彭丽桦[1] 闵苏[1] 

机构地区：[1]重庆医科大学附属第一医院麻醉科,400016

出　　处：《重庆医学》2015年第20期2812-2814,共3页Chongqing medicine

基　　金：卫生部国家临床重点专科建设项目(财社[2011]170号);重庆市医学重点学科建设项目(渝卫科教[2007]2号)

摘　　要：目的全面评估重庆市某三甲教学医院门诊患者疼痛现状,分析易患因素,为个体化疼痛诊疗及无痛医院建设的改进提供依据。方法采用横断面研究,在统计学专家指导下设计问卷,纳入门诊内科、外科各科室及体检患者,收集患者一般情况、目前疼痛程度、持续时间等资料;并由第三方担任质控监察员,双人数据录入,限期封存数据。结果有效回收的871份问卷中,以疼痛为主诉就诊者239例(27.44%)。就诊时存在疼痛者402例(46.15%)。其中轻度疼痛306例(35.13%),中度疼痛61例(7.00%),重度疼痛35例(4.02%);急性疼痛235例(26.98%),亚急性疼痛48例(5.51%),慢性疼痛119例(13.66%)。160例体检者中27例(16.88%)有轻度疼痛,5例(3.13%)有中度疼痛;24例(15.00%)为急性疼痛,2例(1.25%)为亚急性疼痛,6例(3.75%)为慢性疼痛。疼痛高发科室以外科为主,骨科疼痛患病率最高。女性、离异者总疼痛患病率高,女性、离异、有手术史者慢性疼痛患病率较高;随年龄增加、文化程度及经济收入降低,总疼痛患病率、慢性疼痛患病率均增加。结论门诊患者疼痛患病率较高,健康体检人群也存在急性痛为主的轻中度疼痛;疼痛诊疗中应重视性别、年龄、婚姻状况、文化程度、经济收入等相关因素对疼痛的影响,制订个体化治疗方案;术后急性疼痛需有效处理,以防疼痛慢性化。Objective This cross sectional study aimed to access pain status and identify risk factors of outpatients in a major teaching hospital in Chongqing,analysis the risk factors and provide basis for individualized pain treatment and painless hospital construction. Methods The questionnaire designed by statistician were used to collect the chief complaints, degree and duration of pain from outpatients willing to participate in our study. The outpatients of internal medical departments, surgical departments, and health examination center were included. The data were entered and stored within a prescribed limit of time by independent quality supervisors during the investigation. Results The sample comprised 871 patients of whom 239 （27.44%）patients complained of pain, but 402 （46.15 % ） patients were suffering pain. Among whom 306 （35.13 % ） were mild pain, 61 （7.00 % ） were moderate pain, 35 （4.02 % ） were severe pain. There were 235 （26.98 % ） suffering from acute pain, 48 （5.51 % ） were subacute pain, 119 （ 13.66 % ） were chronic pain. Among 160 physical examination people, 27 （ 16. 88 %） were suffering mild pain, 5 （ 3. 13 %） were suffering moderate pain. 24 （15.00 % ）were acute pain, 2 （1.25 % ）were subacute pain, 6 （3.75 % ）were chronic pain. The highest prevalence of pain is de- partment of orthopedics. Women, divorcee have higher prevalence of pain. Female, divorcee and those who had surgical history have higher prevalence of chronic pain. With an increase in age, the decrease of income and educational level, the prevalence of pain or chronic pain increased gradually. Conclusion Outpatients have high prevalence of pain, physical examination people also suffer mild to moderate pain. In our clinical work,we should attach great importance to those risk factors of pain, such as gender, age, marital status,educational level and income,to formulate individual treatment strategies. We need effective postoperative analgesia to pre- vent developing to chronic pain.

关 键 词：疼痛现状 疼痛相关因素 个体化诊疗 

分 类 号：R402[医药卫生—临床医学]