湖南省两所医院门诊慢性疼痛患者的流行病学特征分析  

Epidemiological characteristics analysis of outpatient patients with chronic pain in two hospitals in Hunan Province

作　　者：邓伊玲 苏梦 周飞 黄东[1] 胡蓉[1] Deng Yiling;Su Meng;Zhou Fei;Huang Dong;Hu Rong(Department of Pain,the Third Xiangya Hospital,Central South University,Changsha 410013,China;Department of Pain,Anfu Street Health Center,Linli County,Changde 415200,China)

机构地区：[1]中南大学湘雅三医院疼痛科,长沙410013 [2]临澧县安福街道卫生院疼痛科,常德415200

出　　处：《中国医师杂志》2024年第9期1285-1289,共5页Journal of Chinese Physician

基　　金：国家自然科学基金(82271512)。

摘　　要：目的探讨疼痛门诊基于国际疾病分类第11版(ICD-11)慢性疼痛分类的慢性疼痛患者的流行病学特征。方法回顾性研究2021年7月至2024年7月中南大学湘雅三医院和临澧县安福街道卫生院疼痛科门诊就诊的慢性疼痛患者,通过门诊病历了解调查对象的一般情况和慢性疼痛流行病学特征,比较两所医院在慢性疼痛构成比、性别、年龄、季节方面的差异。结果本研究共纳入15783例慢性疼痛患者。慢性疼痛患者构成比如下:慢性癌症相关性疼痛841例(5.33%),慢性继发性肌肉骨骼疼痛12781例(80.98%),慢性继发性内脏痛496例(3.14%),慢性继发性头痛或口面部疼痛205例(1.30%),慢性神经病理性疼痛801例(5.08%),慢性术后或创伤后疼痛305例(1.93%),慢性原发性疼痛354例(2.24%)。两所医院在慢性疼痛类型、性别、年龄、季节上的构成比差异有统计学意义(均P<0.001)。结论总体来看,本研究中慢性继发性肌肉骨骼疼痛构成比最高,其次为慢性癌症相关性疼痛和慢性神经病理性疼痛,性别、年龄、季节是慢性疼痛的重要影响因素,两所医院之间存在一定差异。Objective To investigate the epidemiological characteristics of chronic pain patients based on the the 11th edition of International Classification of Diseases(ICD-11)chronic pain classification in pain clinics.Methods A retrospective study was conducted on chronic pain patients who visited the pain department outpatient clinics of the Third Xiangya Hospital of Central South University and Anfu Street Health Center in Linli County from July 2021 to July 2024.The general situation and epidemiological characteristics of chronic pain of the survey subjects were understood through outpatient medical records,and the differences in chronic pain composition ratio,gender,age,and season between the two hospitals were compared.Results A total of 15783 patients with chronic pain were enrolled.The constituent ratio of patients with chronic pain was as follows:chronic cancer-related pain(5.33%,n=841),chronic secondary musculoskeletal pain(80.98%,n=12781),chronic secondary visceral pain(3.14%,n=496),chronic secondary headache or orofacial pain(1.30%,n=205),chronic neuropathic pain(5.08%,n=801),chronic postsurgical or post traumatic pain(1.93%,n=305)and chronic primary pain(2.24%,n=354).There were statistically significant differences in the constituent ratio of chronic pain classification,season,gender and age in the two hospitals(all P<0.001).Conclusions In general,chronic secondary musculoskeletal pain had the highest proportion in this study,followed by chronic cancer-related pain and chronic neuropathic pain.Gender,age,and season were important influencing factors of chronic pain.There were certain differences between the two hospitals.

关 键 词：慢性疼痛 国际疾病分类法 门诊病人 

分 类 号：R402[医药卫生—临床医学] R181.3