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卒中后中枢性神经痛影响因素

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目的 分析卒中后中枢性神经痛(CPSP)的影响因素。方法 前瞻性研究选择2021年4月—2022年10月收治的急性脑梗死或脑实质出血患者187例为研究对象,随访1个月、3个月、6个月、12个月,统计CPSP发生情况以及疼痛VAS评分情况,对患者一般资料统计,经单因素与多因素Logisitc回归分析,探讨CPSP发生的相关危险因素。结果 共计发生26例(14。23%)CPSP,随访1个月、3个月、6个月、12个月患者疼痛VAS评分分别为(4。12±0。56)分、(3。88±0。48)分、(3。91±0。49)分、(4。01±0。47)分。经单因素分析与多因素Logistic回归分析,结果表明高脂血症、心律失常、肾功能异常、NIHSS评分高均是CPSP发生的独立危险因素。结论 CPSP同高脂血症、心律失常、肾功能、NIHSS评分高等因素相关,应采取合理的方式进行防范,降低发生风险。
Influencing Factors of Central Neuropathic Pain after Stroke
Objective To analyze influencing factors of central neuropathic pain(CPSP)after stroke.Methods The paper chose 187 cases of acute cerebral infarction or cerebral parenchymal hemorrhage from April 2021 to October 2022 as study subjects for prospective study,with follow up for 1/3/6/12 months,and analyzed incidence of CPSP and pain VAS scores statistically,to explore relevant risk factors for CPSP incidence based on data analysis of general patients with single and multiple factor logistic regression analysis.Results There were 26 cases(14.23%)of CPSP,pain VAS scores were(4.12±0.56),(3.88±0.48),(3.91±0.49),and(4.01±0.47)respectively for follow up of 1 month,3 months,6 months and 12 months.Univariate analysis and multivariate logistic regression analysis showed,hyperlipidemia,arrhythmia,renal function,and NIHSS scores were all independent risk factors for incidence of CPSP.Conclusion CPSP is associated with factors of hyperlipidemia,arrhythmia,renal function and NIHSS scores.Reasonable measures should be taken to prevent and reduce risks of occurrence.

StrokeCentral neuralgiaInfluencing factors

朱晓菁、陈燕灵

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潮州市人民医院 神经内科,广东 潮州 521000

脑卒中 中枢性神经痛 影响因素

潮州市卫生健康局科研项目

2021045

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(5)
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