慢性疼痛障碍患者的执行功能缺陷及其影响因素

Executive functional defects and its influencing factors in patients with chronic pain disorder

目的:评估慢性疼痛患者的执行功能,并研究执行功能与疼痛的严重程度和情绪的关系。方法:收治慢性疼痛患者63例为观察组,同时选取进行健康体检的没有疼痛的健康人66例为对照组。完成了执行功能的行为评定量表成人版本(BRIEF-A)。结果:在观察组中总体执行功能障碍上的报告显著比对照组多(P<0.001)。与对照组相比,观察组在工作记忆和情绪控制方面损害最大,得分最高(平均67.4分和67.1分)。其原因主要包括消极情绪和疼痛的干扰。结论:应该对慢性疼痛的执行功能损害特别是在工作记忆、情绪控制方面提高重视。

Objective：To evaluate the executive function of patients with chronic pain and study the relationship between executive function and the severity of pain and emotion.Methods：63 patients with chronic pain were selected as the observation group.At the same time,66 healthy person with no pain under healthy physical examination were selected as the control group.They were all completed the executive function of the behavioral rating scale adult version（BRIEF-A）.Results：The report of overall executive dysfunction in the observation group was significantly more than that of the control group（P〈0.001）.Compared with the control group,the observation group had the greatest impairment in working memory and emotional control,with the highest score（an average of 67.4 points and 67.1 points）.The main reasons include the interference of negative emotions and pain.Conclusion：We should pay more attention to the executive function damage of chronic pain,especially in working memory and emotional control.