我国神经病理性疼痛诊疗现状初步调查:一项基于问卷的横断面研究

Preliminary Survey of Neuropathic Pain Diagnosis and Treatment in China: A Questionnaire-Based Cross-Sectional Study

摘要:

目的:通过问卷调查了解我国神经病理性疼痛（neuropathic pain, NP）诊疗现状。方法:在2023年6月1日至2023年12月1日期间依托国家疼痛质控中心及其哨点医院对疼痛科基本情况和常见NP诊疗情况开展基于问卷调查的横断面研究，分析我国不同级别医院，不同地域的NP诊疗现状。结果:共纳入27个省市145家医院，调查结果发现:三级医院及经济较为发达地区的NP接诊量更高，人口和经济因素与NP接诊量有较弱正相关性。60或65岁以上的老年组NP患者数远高于中青年组。在NP评估和治疗方面，视觉模拟评分（visual analogue scale, VAS）和数字分级评分（numerical rating, NRS）使用最为广泛，神经阻滞治疗和药物联合治疗是主要的治疗方法。不同地区的治疗方法应用存在差异。结论:我国NP在老年人中更常见。经济较为落后地区的NP诊疗水平与发达地区存在差距。

Abstract:

Objective:To examine the current state of neuropathic pain (NP) diagnosis and treatment in China through a questionnaire survey. Methods:A cross-sectional survey was conducted from June 1 to December 1, 2023. This study, relying on the National Pain Quality Control Center, assessed the basic conditions of pain departments and the diagnosis and treatment of NP cases.Results:A total of 145 hospitals from 27 provinces and cities were included. Tertiary level hospitals and regions with more developed economies had more NP patient admissions. There was a weak positive correlation between population, economic factors and the number of NP patient admissions. The number of NP patients in the elderly group (aged 60 or 65 and above) was significantly higher than the younger aged group. The most common assessment tools were the Visual Analogue Scale (VAS) and Numerical Rating Scale (NRS). Nerve block therapy and combined drug therapy were the primary treatment approaches. Moreover, there were variations in the application of treatment methods across different regions. Conclusion:NP is more prevalent among the elderly in China. There is a disparity in the level of NP diagnosis and treatment between economically underdeveloped regions and developed regions.