2016年贵阳市社区中老年人慢性疼痛流行病学特征分析

发布时间：2018-01-08 02:30

本文关键词：2016年贵阳市社区中老年人慢性疼痛流行病学特征分析　出处：《现代预防医学》2017年18期 　论文类型：期刊论文

【摘要】：目的了解贵阳市社区中老年人群慢性疼痛患病情况,为社区慢性疼痛医疗卫生服务提供科学依据。方法采取多阶段分层整群随机抽样,抽取7个社区的部分中老年人,采用自制问卷进行入户面对面询问调查。结果回收有效问卷2 091份,检出慢性疼痛患者863人,患病率为41.3%,95%CI(39.0%,43.4%);中年人患病率36.9%,95%CI(34.1%,39.5%),老年人患病率48.3%,95%CI(44.9%,51.9%)。男性患病率为35.1%,95%CI(31.7%,38.4%);女性患病率为45.5%,95%CI(42.9%,48.3%)。疼痛患者的平均疼痛程度得分4分(3,6),平均疼痛时间3.5年(1.5年,10年),疼痛最常见的3个部位依次是下肢、腰骶部和颈部。慢性疼痛患者的就诊率为58.6%;治疗后疼痛完全缓解率3.6%,部分缓解率84.8%,未缓解率11.5%。社区中老年慢性疼痛知晓率为14.3%。结论贵阳市社区中老年人群慢性疼痛患病率较高,疼痛患者就诊率较低,治疗后疼痛缓解率低,慢性疼痛的知晓率低。应关注社区慢性疼痛的预防、治疗及慢性疼痛知识的宣传。
[Abstract]:Objective to investigate the elderly people in Guiyang community in the prevalence of chronic pain, chronic pain and provide scientific basis for community health services. Methods stratified random sampling, 7 community extraction part of the elderly, using self-made questionnaire for face-to-face survey. 2091 valid questionnaires were recovered, the detection of patients with chronic the pain of 863 people, the prevalence rate was 41.3%, 95%CI (39%, 43.4%); the middle-aged prevalence rate of 36.9%, 95%CI (34.1%, 39.5%), the elderly prevalence rate of 48.3%, 95%CI (44.9%, 51.9%). The prevalence rate of male was 35.1%, 95%CI (31.7%, 38.4%); the prevalence rate was 45.5%, 95%CI (42.9%, 48.3%). The average pain score of pain in patients with 4 points (3,6), the average duration of pain 3.5 years (1.5 years, 10 years), the 3 most common sites were lower limb pain, lumbosacral and neck. Patients with chronic pain treatment rate was 58.6%; after treatment the pain completely slow The solution was 3.6%, partial remission rate was 84.8%, remission rate of 11.5%. in the community elderly chronic pain awareness rate of the high prevalence of the elderly population in the community of Guiyang city 14.3%. conclusion chronic pain, the pain of patients with low rate of pain relief after treatment rate is low, chronic pain awareness rate is low. The community should pay attention to preventing chronic pain. The treatment of chronic pain and propaganda.

【作者单位】：贵州医科大学公共卫生学院社区医学教研室;贵州医科大学附属医院疼痛科;
【基金】：基金项目:贵州省科技厅〈黔科合SY字[2015]3043〉
【分类号】：R181.3;R402
【正文快照】： 慢性疼痛指疼痛持续3个月或超过一般急性病的进展,或超过受伤合理愈合时间,或与引起持续疼痛的慢性病理过程有关,或者经过数月或数年的间隔时间疼痛复发[1]。慢性疼痛会给患者带来生理和心理的负面影响[2,3]。在我国有慢性疼痛病史者可占人口的25%~30%,老年慢性疼痛患率为50%~

【相似文献】