Risk factors for neuropathic pain after a spinal cord injury: A retrospective study
10.3760/cma.j.issn.0254-1424.2022.03.002
- VernacularTitle:脊髓损伤患者并发神经病理性疼痛危险因素的回顾性研究
- Author:
Mulan XU
1
;
Xiaolong SUN
;
Xiangbo WU
;
Miaoqiao SUN
;
Hong WANG
;
Yani ZHANG
;
Mi GAO
;
Xu HU
;
Hui CAO
;
Wei SUN
;
Chenguang ZHAO
;
Hua YUAN
Author Information
1. 空军军医大学第一附属医院（西京医院）康复医学科，西安 710032
- Keywords:
Spinal cord injury;
Neuropathic pain
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(3):199-203
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the risk factors for neuropathic pain (NP) after a spinal cord injury (SCI).Methods:A total of 115 patients with a SCI were analyzed retrospectively. They were divided into an NP group of 53 and a non-NP group of 62 according to the occurrence of NP. Gender, age, length of stay, occupation, level of education, cause of injury, spinal fracture, degree of SCI, the injury′s plane and complications at admission (diabetes, hypertension, anemia, venous thrombosis, pressure sores, urinary tract infection or hypoproteinemia) were recorded. T-tests and chi-squared tests were used to compare those factors between the two groups, and multivariate logistic regressions were evaluated to identify the risk factors for NP.Results:Twenty-three of the 53 cases of NP (43%) had developed within 1 month of the SCI. Thirty-seven (75%) experienced pain below the plane of the SCI. The main features reported were squeezing (34%) and numbness (26%). The multivariate logistic regression showed that the occurrence of NP was most strongly related to gender (women being particularly at risk) and venous thrombosis at admission.Conclusions:Women are at particular risk of feeling NP after an SCI, and venous thrombosis is an independent risk factor. NP should be diagnosed and treated quickly to reduce the negative impact on patients′ life quality.
