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首页> 外文期刊>Italian Journal of Medicine >Prevalence of neuropathic component of pain in a cohort of patients admitted to an Internal Medicine Department for chronic pain
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Prevalence of neuropathic component of pain in a cohort of patients admitted to an Internal Medicine Department for chronic pain

机译：入组内科慢性疼痛的患者中神经痛性疼痛的患病率

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Due to the increasing age of the population the number of people suffering from chronic pain has significantly increased. People with chronic pain suffer from various diseases. Often this pain is not adequately controlled and is refractory, while its neuropathic component, which requires a different treatment, is perhaps underestimated compared to more properly nociceptive pain. The purpose of this study was to evaluate the presence of a neuropathic component in a cohort of 105 patients consecutively admitted to three Internal Medicine Units in Emilia Romagna. For the identification of the component of neuropathic pain diagnostic (DN4) questionnaire, previously validated, has been used. The average age of the patients studied was 64.4 years. The group of subjects with chronic non-cancer pain (78%) was numerically higher than the group of patients suffering from cancer pain (22%). All patients had pain and, according to the visual analogue scale (VAS), pain ranged from moderate to severe (median 7). Although without reaching statistically significant data, according to the VAS scale, cancer pain had an average higher value than non-cancer pain (7 vs 6.5). The prevalence of neuropathic component of pain was higher in patients with non-cancer pain (66% vs 57%). Instead, the recorded pain intensity in patients with neuropathic component was statistically much higher than the group in which the neuropathic component was absent (6.9 vs 6.1; P<0.05). In patients suffering from chronic pain, regardless of its nature and its etiology, the presence of a neuropathic component is significant. We must become aware of it and must search for it regularly through appropriate tools, such as the DN4 questionnaire. The presence of a neuropathic component usually makes the pain more intense and more refractory to treatments commonly used. Search for it may have therapeutic implications, suggesting that doctors use drugs active on this component. Since the majority of patients suffering from chronic pain are admitted to internal medicine wards, this awareness ought to become cultural heritage for the internist.
机译：由于人口年龄的增长，患有慢性疼痛的人数大大增加了。患有慢性疼痛的人患有各种疾病。通常，这种疼痛没有得到充分控制，并且是难治性的，而与需要适当治疗的疼痛相比，需要不同治疗的其神经性成分可能被低估了。这项研究的目的是评估在105名连续被艾米利亚·罗马涅（Emilia Romagna）的三个内科单元收治的患者中神经病理成分的存在。为了鉴定神经性疼痛诊断（DN4）的组成部分，已使用先前经过验证的问卷。研究患者的平均年龄为64.4岁。患有慢性非癌性疼痛的受试者组（78％）在数值上高于患有癌性疼痛的患者组（22％）。所有患者均有疼痛，根据视觉模拟评分（VAS），疼痛的范围为中度至重度（中位数7）。尽管没有达到统计学上的重要数据，但根据VAS量表，癌症疼痛的平均价值要高于非癌症疼痛（7 vs 6.5）。非癌性疼痛患者神经痛性疼痛的患病率较高（66％比57％）。取而代之的是，具有神经病变成分的患者所记录的疼痛强度在统计学上比没有神经病变成分的组要高得多（6.9 vs 6.1; P <0.05）。在患有慢性疼痛的患者中，无论其性质和病因如何，神经病性成分的存在都是重要的。我们必须意识到这一点，并且必须通过适当的工具（例如DN4调查表）定期进行搜索。神经病性成分的存在通常会使疼痛变得更剧烈，并且对通常使用的治疗更难治。对其进行搜索可能具有治疗意义，这表明医生使用对该成分有活性的药物。由于大多数患有慢性疼痛的患者都进入了内科病房，因此这种认识应该成为内科医生的文化遗产。

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