Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients.
Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients.
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DOI：
10.2147/jpr.s36386
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发表时间：
2013
影响因子：
2.7
通讯作者：
Lattig F
中科院分区：
文献类型：
--
作者：
Artner J;Cakir B;Spiekermann JA;Kurz S;Leucht F;Reichel H;Lattig F
近几十年来，慢性腰痛（CLBP）和慢性颈痛（CNP）已成为严重的医学和社会经济问题。患有慢性疼痛的患者似乎有更高的睡眠障碍患病率。计算CLBP和CNP患者睡眠剥夺的患病率，并评估可能导致睡眠障碍的因素。这项研究是一项回顾性评价1016例CNP和CLBP患者咨询骨科在一所大学医院。评估的因素包括性别、年龄、诊断、睡眠剥夺程度、疼痛强度、慢性化程度和移民背景。Pearson卡方检验用于计算这些因素与睡眠剥夺程度之间的关系。对睡眠剥夺程度与年龄、疼痛强度、慢性化程度的相关性进行回归分析。在CNP和CLBP患者中，即使服用镇痛药，睡眠剥夺的患病率也很高（42.22%）。约19.88%的患者报告严重睡眠障碍（即每晚睡眠<4小时）。睡眠剥夺程度与性别、年龄分布无关。睡眠剥夺程度与疼痛强度、背部手术失败综合征和有移民背景的患者之间存在显著关系。与椎间盘疾病中度相关，与椎管狭窄无关。治疗CNP或CLBP患者时，应评估睡眠障碍，尤其是疼痛强度较高、背部手术失败综合征和有偏头痛背景的患者。需要进一步的研究来探索睡眠障碍和慢性疼痛的复杂关系。
Chronic low back pain (CLBP) and chronic neck pain (CNP) have become a serious medical and socioeconomic problem in recent decades. Patients suffering from chronic pain seem to have a higher prevalence of sleep disorders. To calculate the prevalence of sleep deprivation in patients with CLBP and CNP and to evaluate the factors that may contribute to sleep impairment. This study was a retrospective evaluation of 1016 patients with CNP and CLBP who consulted an orthopedic department at a university hospital. Factors assessed were gender, age, diagnosis, grade of sleep deprivation, pain intensity, chronification grade, and migrational background. Pearson’s chi-squared test was performed to calculate the relationship between these factors and the grade of sleep deprivation. Regression analysis was performed to explore the correlation between the grade of sleep deprivation and age, pain intensity, and chronification grade. A high prevalence of sleep deprivation (42.22%) was calculated in patients with CNP and CLBP, even when analgesics had been taken. About 19.88% of the patients reported serious sleep impairments (ie, <4 hours of sleep per night). The grade of sleep deprivation did not correlate with the gender or age distribution. A significant relationship was found between the grade of sleep deprivation and pain intensity, failed back surgery syndrome, and patients with a migrational background. There was a moderate relationship with intervertebral disc disease and no relationship with spinal stenosis. Sleep disturbance should be assessed when treating patients with CNP or CLBP, especially in patients with higher pain intensity, failed back surgery syndrome, and a migrational background. Further research is needed to explore the complex relationship of sleep disturbance and chronic pain.