腰椎间盘突出症患者手部疼痛敏感性与手术前后患者功能、疼痛、健康状况的关系

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Abstract Objective To investigate the relationship between hand pain sensitivity and function, pain and health status before and after operation in patients with lumbar intervertebral disc herniation. Methods Eight-seven patients with lumbar intervertebral disc herniation who were admitted to Panyu Hospital of Chinese Medicine in Guangzhou from February 2016 to October 2018 were prospectively selected for the study. Quantitative sensory test (QST) was used to detect the hand pain sensitivity, including heat pain threshold (HPT), cold pain threshold (CPT) and pressure pain threshold (PPT). Oswestry dysfunction index (ODI), visual analogue scale (VAS), hospital anxiety and depression scale (HADS), European five-dimensional health scale (EQ-5D) (including EQ-5D, EQ-VAS), self-efficacy scale (SES) was used to evaluate patients' function, pain and health status before and 3 months after operation. Results The ODI, waist pain intensity VAS, leg pain intensity VAS, HADS anxiety scale and HADS depression scale of patients with lumbar intervertebral disc herniation after operation were lower than those before operation (P ＜ 0.05), while EQ-5D, EQ-VAS and SES were higher than those before operation (P ＜ 0.05). There was no significant correlation between hand HPT and function, pain, health status before and after operation in patients with lumbar intervertebral disc herniation (P ＞ 0.05). CPT in hand of patients with lumbar intervertebral disc herniation was positively correlated with pre-and post-operative function and pain, and negatively correlated with SES (P ＜ 0.05), however, there was no correlation with preoperative pain, health status, postoperative HADS, EQ-5D and EQ-VAS (P ＞ 0.05). PPT in hands of patients with lumbar intervertebral disc herniation was negatively correlated with preoperative ODI, HADS anxiety scale, HADS depression scale and post-operative ODI (P ＜ 0.05), but positively correlated with pre-and post-operative SES (P ＜ 0.05). Conclusion CPT and PPT in hand pain sensitivity are correlated with higher postoperative pain degree and lower self-efficacy and function.

Key words： Lumbar intervertebral disc herniation Pain sensitivity Function Pain Health status

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	LIN Sixin ZENG Qiao CHEN Bingquan

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LIN Sixin ZENG Qiao CHEN Bingquan. The relationship between hand pain sensitivity and the function, pain and health status before and after operation in patients with lumbar intervertebral disc herniation[J]. 中国医药导报, 2019, 16(24): 91-94.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I24/91

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