老年痴呆患者疼痛现状调查与分析

目的了解我国老年痴呆患者疼痛的现状。方法采用Doloplus-2疼痛评估表对103例中重度老年痴呆患者进行疼痛评估。结果在103例老年痴呆患者中有94例患者合并有一种或多种明确的可能引起疼痛的疾病，其中以骨关节退行性变居首位；有69例患者Doloplus-2疼痛评分大于或等于5分，疼痛发生率高达67％，不同年龄段老年人疼痛的发生率不同，且随着年龄的增长而增加；不同年龄段老年人疼痛得分差异无统计学意义。结论老年痴呆患者的疼痛应引起医务人员的重视，在疼痛评估及治疗方面还需进一步努力。

Investigation of Pain for the Elderly with Dementia

Objective To investigate the incidence of pain for the.elderly with dementia in our country.Methods The Chinese version of Doloplus-2 was used to assess pain in 103 patients with dementia.Results One or more specific diseases may cause pain in 94 patients,degeneration of bone and joint top of the list;69 patients with pain score geater than or equal to 5 points,the incidence of pain as much as 67% .Older persons in different age groups the incidence of pain is different,with the age increased the incidence of pain increased;different older age groups pain scores had no significant difference.Conclusion Pain in patients with dementia should be of great importance to the medical staff and give full play to the nursing staff in pain management.