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首页> 外文期刊>Pain. >Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic.
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Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic.

机译:割伤和推力:参加慢性疼痛诊所的患者之前的手术和创伤。

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摘要

Surgery and trauma are recognised as important causes of chronic pain, although their overall contribution has not been systematically studied. This paper reports on the contribution of surgery and trauma to chronic pain among 5130 patients attending 10 outpatient clinics located throughout North Britain. Surgery contributed to pain in 22.5% of patients, and was particularly associated with the development of pain in the abdomen and with anal, perineal and genital pain. Trauma was a cause of pain in 18.7% of patients, and was most common in pain in the upper limb, the spine and the lower limb. Patients with chronic pain associated with trauma are on average younger than those with chronic post-surgical pain. Further, and unusually for pain conditions, the trauma patients show an excess of males over females. These findings indicate that it can be unhelpful for pain classification systems to combine surgery and trauma in a single category. The results also point to areas for potentially fruitful research into the aetiology of chronic pain. In particular, studies are needed to identify the operative procedures associated with the development of pain so that preventive measures can be implemented.
机译:手术和创伤被认为是造成慢性疼痛的重要原因,尽管它们的整体作用尚未得到系统的研究。本文报道了在北英国10家门诊就诊的5130名患者中,手术和创伤对慢性疼痛的影响。手术导致22.5%的患者疼痛,尤其与腹部疼痛的发展以及肛门,会阴和生殖器疼痛有关。创伤是造成18.7%患者疼痛的原因,并且最常见于上肢,脊柱和下肢的疼痛。与创伤相关的慢性疼痛患者平均比患有慢性术后疼痛的患者年轻。此外,对于疼痛状况而言,这是不寻常的,创伤患者表现出的男性多于女性。这些发现表明,疼痛分类系统将手术和创伤结合在一个类别中可能无济于事。结果还指出了对慢性疼痛的病因学进行潜在富有成果的研究的领域。特别是,需要进行研究以识别与疼痛发展相关的手术程序,以便可以采取预防措施。

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