肌筋膜疼痛综合征病人生活质量及影响因素研究

THE QUALITY OF LIFE IN PATIENTS WITH MYOFASCIAL PAIN SYNDROME AND ITS INFLUENCING FACTORS

目的:探讨肌筋膜疼痛综合征(myofascial pain syndrome,MPS)病人生活质量及影响因素。方法:选择2012年1月至2016年12月我院收治的80例MPS病人作为观察组,采用自拟一般资料问卷调查病人基本信息,并采用简氏Mc Gill疼痛问卷(Jane's Mc Gill Pain Questionnaire,SF-MPQ)、简氏健康相关生活质量问卷(Jane's Health-related Quality of Life Questionnaire,SF-12)、贝克抑郁自评问卷(Beck Depression Self-rating Questionnaire,BDI)、贝克焦虑自评问卷(Beck Anxiety Self-rating Questionnaire,BAI)、匹兹堡睡眠质量指数表(Pittsburgh Sleep Quality Index,PSQI)评估其疼痛、生活质量、情绪及睡眠状态,并与同期来我院体检的80例正常健康人(对照组)进行对照,筛选影响MPS病人生活质量的相关因素。结果:(1)观察组疼痛部位、激痛点数目多超过3个,疼痛频次每周5.98±1.54次,每周疼痛持续时间长达12.35±15.25 h。(2)观察组SF-MPQ总分、视觉模拟量表(visual analogue scale,VAS)、BDI表、BAI表、PSQI表评分均高于对照组,差异有统计学意义(P<0.05)。(3)观察组SF-12表各维度评分均低于对照组(P<0.05)。(4)MPS病人SF-12与疼痛部位、激痛点数目、SF-MPQ总分、VAS评分、BDI、BAI、PSQI评分呈负相关(P<0.05)。(5)多元逐步回归分析显示:疼痛部位、激痛点数目、SF-MPQ总分、VAS、BDI、PSQI均为影响MPS病人生活质量的相关因素。结论:MPS病人生活质量水平低下,以躯体疼痛维度生活质量最差,病人疼痛程度、抑郁状态、睡眠质量均为其生活质量的影响因素。

Objective:To investigate the quality of life in patients with myofascial pain syndrome(MPS)and its influencing factors.Methods:Eighty patients with MPS treated in our hospital from January 2012 to December 2016 were selected as the observation group.The essential information of patients was investigated by general data questionnaires.Pain,quality of life,emotion and sleep state were evaluated with the Short-form McGill Pain Questionnaire(SF-MPQ-2),the Short-form Health Related Quality of Life Questionnaire(SF-12),the Beck Depression Inventory(BDI),the Beck Anxiety Questionnaire(BAI)and Pittsburgh Sleep Quality Index(PSQI),and the results were compared with those of 80 normal healthy people(control group).Factors influencing the quality of life of patients with MPS were screened.Results:In the observation group,there were more than 3 pain sites and pain spots,the frequency of pain was 5.98±1.54 times per week,and the duration of pain was 12.35±15.25 hours per week.The total score of SF-MPQ,scores of visual analogue scale(VAS),BDI,BAI and PSQI in the observation group were higher than those in the control group(P<0.05).The scores of different dimensions of SF-12 in the observation group were lower than those in the control group(P<0.05).SF-12 correlated negatively with the number of pain sites,the number of pain spots,the total score of SF-MPQ,VAS score,BDI score,BAI score and PSQI score in patients with MPS(P<0.05).Multivariate stepwise regression analysis showed that pain sites,the number of pain spots,the total score of SF-MPQ,VAS score,BDI score and PSQI score were related factors influencing the quality of life of patients with MPS.Conclusion:The quality of life of patients with MPS is low,and the quality of life of patients with physical pain is the worst.The pain degree,depression and sleep quality are the factors influencing the quality of life.