小榄地区慢性疼痛流行病学调查

Epidemiological Investigation of Chronic Pain in Xiaolan Region

目的了解小榄地区慢性疼痛疾病的流行病学特点。方法 2009年2月-2012年2月间,对小榄地区常住人口,年龄在40-70岁间进行整群多级抽样,随机取样。采用调查员入户问卷调查的方法收集资料3226份。结果疼痛患病率为53.60%,其中男性患病率为42.97%,女性为57.03%,女性多于男性。慢性疼痛患者常见的疼痛区域分别是腰、颈、膝关节和三叉神经。67.3%慢性疼痛患者由于缺乏目的性分布在非疼痛专科门诊就诊,32.7%就诊于疼痛专科。慢性疼痛与患者焦虑、抑郁呈正相关关系,影响患者生活质量。结论小榄地区慢性疼痛发病率较高,导致许多患者焦虑、抑郁。疼痛和负面情绪严重影响着患者生活质量,但干预措施有限,地区性疼痛专科医疗服务还需积极建设。

Objective To investigate the epidemiological characters of chronic pain in Xiaolan re- gion. Methods From February 2009 to February 2012,among the permanent resident population in Xiaolan region, aged from 40 to 70 years, the multistage cluster sampling and random sampling were performed. The household questionnaire survey was adopted and 3226 papers of data were collected. Results The morbidity was 53.60% ,of which,there was 42.97% in male and 57.03% in female. The resuh in female was higher than that in male. Chronic pain was commonly seen in lumber region, neck, knee joint and trigeminal nerve. 57.03% of the patients of chronic pain visited the other specific clinics rather than pain clinic for treatment and 32.7% of them visited pain clinic. The positive correlation presented between chronic pain and anxiety and depression in the patients, which affected the life quality of patients. Conclusion The morbidity of chro- nic pain was quite high in Xiaolan region. Chronic pain leads to many cases of anxiety and depression in the patients. Pain and negative emotion seriously affect the life quality of patients. Due to the limited intervention on the disease, it is urgent to set up the regional pain specific medical service.