深静脉血栓形成患者非手术治疗近期躯体疼痛变化的研究

A short-term observation of bodily pain in patients with deep vein thrombosis following non-surgical treatment

目的：探讨经非手术治疗的下肢深静脉血栓形成（DVT）患者近期躯体疼痛（BP）的变化特点。方法：采用问卷调查方法测定2009年3月—2010年10月收治并符合条件的57例DVT患者SF-36量表的BP维度分数,测定时间分别为治疗前和治疗后1,2,3和≥4（4~8）个月。将患者资料用EpiData3.1建立数据库,采用SPSS12.0统计软件分析患者BP非手术治疗近期的变化规律和弹力袜治疗的影响。结果：最终符合入库条件的患者50例,患者的年龄（P=0.997）,性别（P=0.989）,民族（P=0.477）在不同阶段并不同人次上的分布相对均衡,具有可比性;患者在规范治疗前后BP维度评分有明显差异（P〈0.001）,但治疗后各阶段间两两比较的BP维度评分差异均无统计学意义（均P〉0.05）;是否穿弹力袜对患者治疗后的BP维度评分变化趋势无明显影响。结论：DVT患者经非手术治疗后近期躯体疼痛好转并进入平台期,弹力袜治疗对其变化规律可能没有影响。

Objective： To investigate the alteration and tendency of bodily pain （BP） in patients with lower extremity deep vein thrombosis （DVT） during a short-term observation following standard non-surgical treatment. Methods： The scores of BP dimension in SF-36 scale in 57 patients admitted from March 2009 to October 2011 and fulfilled the inclusion criteria were measured by questionnaire. Measurements were performed before and 1, 2, 3 and 〉__4 （4-8） months after treatment, respectively. Information database of the patients was established by EPidata 3.1 software, and then their BP alterations as well as the influence exerted by wearing compression stockings during the short-term period after non-surgical treatment were analyzed using SPSS 12.0 statistical software.Results： Finally, 50 patients were eligible and entered the database. The distributions of age （P=0.997）, nationality （P=0.477） and sex （P=0.989） of the patients at different observation time points with different number of enrolled cases were relatively even and comparable. BP dimension scores of the patients were significantly different before and after standard non-surgical treatment （P〈0.001）, but had no significant differences were found among the different observation time points after treatment in any pairwise comparison （all P〉0.05）. Whether wearing the compression stockings or not had no obvious influence on the alteration trend of BP dimension scores of the patients after treatment. Conclusion： After the non-surgical treatment, the BP of the DVT patients is improved and transits into a stable phase, on which the wearing of compression stockings seems to exert no impact.