慢性疼痛患者精神状态及睡眠质量的临床分析

Clinical analysis of mental state and sleep quality of patients with chronic pain

目的:观察慢性疼痛患者精神状态及睡眠质量,了解其相互关系及影响。方法:对入选病例分别采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)及匹兹堡睡眠质量指数(PSQI)进行测评,并通过t检验对结果进行统计学分析。结果:慢性疼痛患者与健康对照者的HAMD、HAMA和PSQI评分比较,差异有显著性(P<0.05),说明慢性疼痛患者焦虑及抑郁程度明显高于健康对照者,睡眠质量与之相比亦有差异。进一步分析慢性疼痛患者治疗前后的HAMD、HAMA及PSQI评分,结果显示慢性疼痛患者经疼痛专科治疗后精神状态明显改善,睡眠状况明显改善,治疗前后差异有显著性(P<0.05)。结论:长期的慢性疼痛不仅给患者带来身体的不适,也会影响患者的精神状态,导致焦虑和及抑郁状态出现,且影响睡眠质量,因此,对于各种病因引起的慢性疼痛应积极有效地及早进行专科治疗。

Objective：To observe the mental state and sleep quality of the patients with chronic pain.Methods：Pittsburgh Sleep Quality Index （ PSQI）,Hamilton Depression Scale （HAMD） and Hamilton Anxiety Scale （HAMA） were used to evaluate the selected patients with chronic pain, the data were analyzed by t Test.Results：Between the patients with chronic pain and the normal people,there were significant differences in HAMD, HAMA and PSQI （P〈0.05）.There were significant difference in HAMD,HAMA and PSQI before and after treatment （P〈0.05）.Conelusion：The long-term chronic pain not only brings patients physical discomfort,but also affecting the mental state of the patients, leading to anxiety and depression, and affecting the quality of sleep.Therefore, chronic pain caused by various causes should be actively and effectively treated by specialist.