脑电疼痛指数定量评价老年患者慢性疼痛*

QUANTITATIVE EVALUATION OF ELDERLY CHRONIC PAIN WITH PAIN INDEX EXTRACTED FROM ELECTROENCEPHA-LOGRAM

摘要:

目的 使用脑电疼痛指数(Pain index, Pi)评估老年慢性疼痛病人疼痛程度的可行性。方法 数据来源于2018年4月至2021年3月在中国医科大学航空总医院疼痛中心住院治疗,年龄大于60岁的老年慢性疼痛患者,包括带状疱疹后神经痛、三叉神经痛、盆腔痛、癌痛、股骨头缺血性坏死、会阴痛、腰椎间盘突出症、颈椎病等共154例患者。老年慢性疼痛患者的疼痛程度分别采用Pi和视觉模拟量表(Visual analogue scale, VAS)两种评估方法评估,并分析两种评估方法之间的相关性。结果 老年慢性疼痛病人的Pi值和VAS评分间皮尔逊相关系数为0.714 (P < 0.001),在对疼痛性质、疼痛部位、性别和年龄进行调整后,发现VAS评分和Pi值独立相关(P < 0.001)。结论 Pi值可以用于评估老年慢性疼痛患者的主观疼痛程度,作为客观疼痛评估工具具有良好的应用价值。

Abstract:

Objective The aim of this study was to evaluate the feasibility of using Pain index (Pi) to assess pain symptoms in elderly chronic pain patients. Methods A total of 154 elderly chronic pain patients whose age greater than 60 were enrolled patients were enrolled from patients seeking treatment at Pain Medicine Center of China Medical University Aviation General Hospital from April 2018 to March 2021, such as postherpetic neuralgia, trigeminal neuralgia, pelvic pain, cancer pain, avascular necrosis of femoral head, perineal pain, lumbar disc herniation, cervical disc herniation, etc. The subjective pain symptoms in elderly chronic pain patients were evaluated by Pi and VAS scales, respectively, and the relationship between them was analyzed using single factor correlation analysis and multiple factor regression analysis. Results The correlation analysis of Pi and VAS score in elderly chronic pain patients showed that the Pearson correlation coefficient was 0.797 (P < 0.001); After adjusted for types of pain, pain sites, gender, and age, Pi was found to be independently correlated to VAS score (P < 0.001). Conclusions Pi significantly correlates with VAS score, might be used to evaluate the subjective pain symptoms in elderly chronic pain patients and has good application value as an objective pain assessment tool.