Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic
Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic
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DOI：
10.1016/s0304-3959(98)00038-4
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发表时间：
1998-05-01
期刊：
影响因子：
7.4
通讯作者：
Macrae, WA
中科院分区：
文献类型：
--
作者：
Crombie, IK;Davies, HTO;Macrae, WA
浪涌手术和创伤被认为是慢性疼痛的重要原因，虽然他们的整体贡献还没有得到系统的研究。本文报道了英国北部10家门诊的5130名慢性疼痛患者中手术和创伤的贡献。手术导致22.5%的患者疼痛，尤其与腹部疼痛以及肛门、会阴和生殖器疼痛的发展相关。创伤是18.7%的患者疼痛的原因，最常见的是上肢、脊柱和下肢疼痛。与创伤相关的慢性疼痛患者平均比慢性术后疼痛患者年轻。此外，对于疼痛状况而言，不寻常的是，创伤患者显示男性多于女性。这些发现表明，将联合收割机手术和创伤合并为一个类别的疼痛分类系统可能是没有帮助的。这些结果也指出了慢性疼痛病因学的潜在富有成效的研究领域。特别是，需要进行研究以确定与疼痛发展相关的手术程序，以便实施预防措施。(C)1998年国际疼痛研究协会。出版社：Elsevier Science B.V.
Surge 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 he implemented. (C) 1998 International Association for the Study of Pain. Published by Elsevier Science B.V.