股骨头坏死患者疼痛灾难化的危险因素分析

Risk factors for pain catastrophizing in patients with osteonecrosis of the femoral head

目的:分析股骨头坏死(ONFH)患者疼痛灾难化的危险因素。方法:选择2023年7—12月河南省洛阳正骨医院(河南省骨科医院)收治的210例ONFH患者为研究对象。收集患者一般资料,记录患者Harris髋关节评分,同时完成广泛性焦虑障碍量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)及疼痛灾难化量表(PCS)评估。明确ONFH患者疼痛灾难化的现患率。采用单因素及多因素线性回归分析对ONFH患者疼痛灾难化的危险因素进行分析。结果:ONFH患者疼痛灾难化的现患率为29.0%(61/210)。单因素及多因素线性回归分析结果表明,女性、独居、ARCOⅢ期及Ⅳ期、Harris髋关节疼痛评分、GAD-7评分、PHQ-9评分是ONFH患者疼痛灾难化评分的独立危险因素。结论:ONFH患者具有较为明显的疼痛灾难化倾向,女性、独居、ARCOⅢ期及Ⅳ期、髋关节疼痛、焦虑、抑郁是ONFH患者发生疼痛灾难化的危险因素。

Objective:To analyze the risk factors for pain catastrophizing in patients with osteonecrosis of the femoral head(ONFH).Methods:This study included 210 patients with ONFH treated at the Luoyang Orthopedic Hospital of Henan Province(Henan Provincial Orthopedic Hospital)between July and December 2023.Demographic data were collected,and the Harris hip score was recorded.Psychological assessments were conducted via the Generalized Anxiety Disorder 7-item(GAD-7)scale,the Patient Health Questionnaire-9(PHQ-9),and the Pain Catastrophizing Scale(PCS).The prevalence of pain catastrophizing among ONFH patients was determined.Univariate and multivariate linear regression analyses were performed to identify risk factors for pain catastrophizing in ONFH patients.Results:The prevalence of pain catastrophizing in ONFH patients was 29.0%(61/210).Univariate and multivariate linear regression analyses revealed that being female,living alone,ARCO stagesⅢandⅣ,lower Harris hip pain scores,higher GAD-7 scores,and higher PHQ-9 scores were independent risk factors for pain catastrophizing in ONFH patients.Conclusions:ONFH patients are prone to pain catastrophizing,with significant risk factors being female,living alone,ARCO stagesⅢandⅣ,hip pain,anxiety,and depression.