疼痛门诊患者一般情况及病因调查分析

The Investigation of the General Things and Etiology of the Patients in Pain Clinic

目的:了解疼痛门诊患者的一般情况,同时运用软组织外科学理论对疼痛门诊患者作病因分析,为进一步更好地服务疼痛患者提供临床依据。方法:3246例门诊疼痛患者作一般情况统计分析,同时应用软组织外科学理论根据疼痛部位寻找相应压痛点,符合软组织痛者给予相应治疗,其他诊断者按相应疾病治疗。结果:①性别:男性1418例,占43.68%,女性1828例,占56.32%;②居住地:城镇居民1123例,占34.59%,农村居民2123例,占65.41%。③年龄:小于等于20岁183例,占5.65%,21岁到30岁278例,占7.63%,31岁到40岁728例,占22.42%,41岁到50岁648例,占19.95%,51岁到60岁700例,占21.56%,61岁到70岁471例,占14.52%,71岁到80岁206例,占6.36%,大于80岁62例,占1.91%。④疼痛时间:疼痛时间在小于30天1367例,占42.14%,1个月到1年1015例,占32.36%,大于1年不满3年388例,占11.97%,大于3年不满10年350例,占10.76%,大于10年90例,占2.76%。⑤病因:痛风、PHN、HZ、三叉神经痛、类风湿、股骨头坏死、强脊、残肢痛、面瘫、肋骨折、外伤、FBSS、压骨折、CA共255例,占7.86%。有相应压痛点,诊断为慢性软组织损害者共2991例,占92.14%;⑥疼痛部位:其中头面痛278例,占8.56%,颈肩上肢痛609例,占18.78%,胸背痛427例,占13.15%,腰臀腿痛1666例,占51.32%,全身痛172例,占5.29%,腹会阴痛94例,占2.9%。结论:门诊疼痛患者中女性患者多于男性患者,农村居民多于城镇居民,30岁到60岁年龄段疼痛患占大部分(63.93%),发病时间在1年以内者占大部分(74.5%),慢性软组织损害占绝大部分(92.14%),其中腰及下肢痛占1半以上(51.32%)。

Objective： To investigate the general things of the patients in the pain clinic,meaning while find the etiology of the patients under the guide of the soft tissue surgery theory and provide reference for better service to the patients.Methods： One thousand and two hundred and forty-six out-patients were investigated on the general things including sex,age,occupation,resident site,the time of pain,the site of pain and were diagnosed by the soft tissue surgery theory,finding the pain point by pressing deeply,the patients with deep-pressed pain points were treated accordingly,the patients without deep-pressed pain point were treated according with their diagnosis.Results： ①Sex： There were 1418 male patients,account for 43.68%;1828 female patients,account for 56.32%.②Resident site： There were 1123 patient living in city and town,account for 34.59%,2123 living in the country,account for 65.41%.③Age： There were 183patients less than 20 years old,account for 5.65%;278 patients during the age of 21 to 30 years,account for 7.63%;728 patients during the age of 31 to 40,account for 22.42%;648 patients during the age of 41 to 50 years,account for 19.95%;700 patients during the age of 51 to 60 years,account for 21.56%;471 patients during the age of 61 to 70 years,account for 14.52%;206 patients during the age of 71 to 80 years,account for 6.36%;62 patients more than 80 years old,account for 1.91%.④Time of pain： There were 1367 patients suffering from pain less than 30 days,account for 42.14%;1015 patients suffering from pain more than 30days and less than 1 year,account for 32.36%;388 patients suffering from pain more than 1 year and less than 3 years,account for 11.97%;350 patients suffering from pain more than 3 years and less than 10 years,account for 10.76%;90 patients suffering from pain more than 10 years,account for 2.76%.⑤Etiology： There were 255 patient with gout,post-herpse neuralgia（PHN）,herpse zosters（HZ）,primary trigeminal neuralgia（TN）,rheumatoid disease,necrosis of the femoral head,ankylosing spondylitis,pain on the amputation stump,facial paralysis,costal fracture,trauma,failure back surgery syndrome（FBSS）,compression fractures,cancer pain,account for 7.86%;there were 2991 patients with deep-pressed pain points,diagnosed soft tissues damage pain,account for 92.14%;⑥Pain site： There were 278 patients with pain on the headand face,account for 8.56%;609 patients with pain on the neck,shoulder and upper limb,account for 18.78%;427 patients with patients on the chest and back,account for 13.15%;1666 patients with pain on the low back,hip and leg,account for 51.32%;94 patients with pain on the abdomen and perineal region,account for 2.9%;172 patients with pain on more 3 sites on the body,account for 5.29%.Conclusion： In the pain clinic,there were more female patients than male patients;those who live in the country were more than those who live in the city and town;the patients during the age of 30 to 60 years account for 63.93%;the patients who suffering pain less than 1 year account for 74.5%;the patients diagnosed chronic soft tissue damage pain account for 92.14%;the patients with pain on the low back,hip and leg account for 51.32%.