SARS恢复期患者足跟痛的临床研究  

A clinical study on heel pain in SARS patients in the recovery stage

作　　者：王宁华[1] 黄真[1] 兰云[1] 李民[1] 

机构地区：[1]北京大学第一医院物理医学康复科,100034

出　　处：《中国康复医学杂志》2003年第12期731-733,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：探讨SARS患者恢复期足跟痛的程度和性质及可能原因。方法:12例有足跟痛症状的恢复期SARS患者分别接受视觉类比评级法(VAS)和McGill疼痛问卷调查表的评估。其中7例患者和7例正常人进行骨密度的测定。所有SARS患者包括12例足跟痛和7例无足跟痛患者接受血钙和肌酸激酶的测定。结果:12例足跟痛SARS患者表现为中等程度的疼痛(VAS为5.1±1.6),并且VAS与McGill疼痛问卷调查表的PRI成正性线性相关,相关系数为0.62,P<0.05,VAS与躯体因素评分成更高的正性线性相关,相关系数为0.71,P值为0.01。疼痛的性质:50%为酸痛,41.7%为压榨样痛、锐痛、钝痛和触痛。SARS足跟痛患者与正常人在年龄、性别、身高、体重和足长匹配的情况下,骨密度、与成人均值和年龄比值无明显差异。无足跟痛和足跟痛SARS患者的血钙、肌酸激酶和最大激素用量无明显差别。结论:SARS患者中等程度的足跟痛,可能是深部组织的病变造成。Objective:To explore the degree and characteristics of heel pain in SARS patients,so as to understand the possible mechanism of heel pain.Method:Twelve SARS patients with heel pain received assessment with Visual Analogue Scale and McGill questionnaire.Furthermore,the bone intensity was evaluated by using Bone Quality Index(BQI)in7patients and7normal people.The blood calcium and CK were measured in all SARS patients.Result:The heel pain intensity was moderate in SARS cases,with VAS=5.1±1.6.There was a linear correlation between VAS and present rating index(PRI),with r=0.62,P<0.05,a further linear correlation between VAS and somatic scales was found,with r=0.71,P=0.01.The50%patients reported sore,41.7%reported crushing,sharp,dull and tender.No significant difference in the BQI was found between SARS patients and normal people.There was no significant difference in the blood calcium and CK between patients with heel pain and no pain patients.Conclusion:The possible mechanism of heel moderate pain in SARS patients is related to deep tissue disorders.

关 键 词：SARS 恢复期 足跟痛 临床研究 骨密度 肌酸激酶 视觉类比评级法 

分 类 号：R511.9[医药卫生—内科学]