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首页> 外文期刊>Annals of Indian Academy of Neurology >Pain Assessment in Indian Parkinson's Disease Patients Using King's Parkinson's Disease Pain Scale
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Pain Assessment in Indian Parkinson's Disease Patients Using King's Parkinson's Disease Pain Scale

机译：印度帕金森病患者疼痛评估使用国王帕金森病疼痛量表

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Background: Pain is a common symptom in Parkinson's disease (PD) patients. Scales to rate pain in PD are marred by several flaws, either not being available in other languages or not specific for PD. Objectives: To assess the frequency of pain among bilingual Indian PD patients using “King's Parkinson's disease pain scale” (KPPS) and to validate it. Methods: We randomly administered KPPS in Hindi/English to all consecutive bilingual persons with PD. The results were appropriately analyzed. Results: A total of 119 PD patients were enrolled with a mean age of 64.34 (± 9.57) years. Median Hoehn and Yahr stage was 2 (42.85%). Pain was present in 62 (52.1%) PD patients. The most common type was musculoskeletal (74.19%). The mean total KPPS score was 16.02 ± 10.57. KPPS score was significantly higher in women and correlated positively with unified Parkinson's disease rating scale (UPDRS) part 2 and 4 scores (r = 0.27 and r = 0.25). Risk factors for pain were female gender, higher H and Y stage, total UPDRS score, and individual UPDRS part 3 and 4 scores. Difficulty falling asleep ( P = 0.01), frequent awakenings ( P = 0.01), diminished smell sensation ( P = 0.003), diminished speech volume ( P = 0.02), gait freezing ( P = 0.03), and falls ( P = 0.001) correlated with the presence of pain. The interclass correlation coefficient between the Hindi and English versions of KPPS was 0.835, while Bland–Altman analysis showed 96.7% agreement suggesting excellent correlation and validation. Conclusions: KPPS is an easy tool for characterization, scoring, and follow-up of pain in PD patients. The Hindi version has good agreement with the original English version.
机译：背景：疼痛是帕金森病（PD）患者的常见症状。通过几种缺陷造成PD的疼痛的尺度，无论是不可用其他语言还是不具体的PD。目标：使用“key的帕金森病痛尺度”（KPPS）评估双语印度PD患者疼痛的频率并验证。方法：我们随机向印地语/英语中的KPPS在所有连续的双语中携带PD。结果分析了结果。结果：共注册了119例PD患者，平均年龄为64.34（±9.57）年。中位Hoehn和Yahr阶段为2（42.85％）。 62例（52.1％）PD患者中存在疼痛。最常见的类型是肌肉骨骼（74.19％）。平均总KPPS得分为16.02±10.57。 KPPS评分在女性中显着高，与统一的帕金森病评定量表（UPDRS）部分2和4分数相关（r = 0.27和r = 0.25）。疼痛的危险因素是女性性别，高于H和Y阶段，总updrs评分，以及个人updrs第3部分和4分。难以入睡（P = 0.01），频繁觉醒（P = 0.01），味道减少（P = 0.003），语音减少（P = 0.02），步态冻结（P = 0.03），下降（P = 0.001）与疼痛的存在相关。 KPPS的印地语和英语版本之间的杂交相关系数为0.835，而Bland-Altman分析显示96.7％的协议，表明具有出色的相关性和验证。结论：KPPS是PD患者疼痛的表征，评分和随访的简单工具。印地语版本与原始英语版本吻合良好。

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