Pain and Psychological Distress: Effect of Microvascular Decompression on Sleep Disorders and Obsessions in Trigeminal Neuralgia

被引:6
作者
Wang, Yanglingxi [1 ]
Sun, Kai [2 ]
Zhang, Wenling [3 ]
Zhang, HaiTao [3 ]
Wang, Chong [4 ]
机构
[1] Jining Med Univ, Clin Coll, Ji Ning City, Shandong, Peoples R China
[2] Army Med Univ, Daping Hosp, Dept Neurosurg, Chongqing, Peoples R China
[3] Ji Ning 1 Peoples Hosp, Dept Neurosurg, Ji Ning City, Shandong, Peoples R China
[4] Shanghai Univ Med & Hlth Sci, Dept Neurosurg, Affiliated Zhoupu Hosp, Shanghai 201318, Peoples R China
关键词
trigeminal neuralgia; microvascular decompression; sleep disorders; obsessions; LOW-INCOME; DEPRESSION; ANXIETY; STRESS; WOMEN; MANAGEMENT; INSOMNIA; OBESITY;
D O I
10.1055/s-0039-3402040
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective This study was aimed to investigate the effects of microvascular decompression (MVD) on sleep disorders and obsessions in trigeminal neuralgia. Methods Clinical data from 115 patients with trigeminal neuralgia treated with MVD from August 1, 2017 to May 31, 2018 at Jining First People's Hospital were analyzed retrospectively. The preoperative and postoperative risk factors for sleep disorders and obsessions, as well as the effects of MVD on sleep disorders and obsessions, were examined. Results In 115 patients, there were significant differences in preoperative sleep disorders associated with sex, monthly household income, pain in multiple branches, visual analog scale (VAS) score, and Self-Rating Depression Scale (SDS) score ( p <0.05). Preoperative obsessions were significantly different according to age, gender, pain in multiple branches, monthly household income, VAS score, and Self-Rating Anxiety Scale (SAS) score groups ( p <0.05). A 1-year recurrence was positively correlated with sleep disturbance (odds ratio=3.829) and obsessions (odds ratio=4.507). In addition, the results revealed a negative correlation between the manipulation of trigeminal neuralgia and postoperative sleep disorders ( B >= 1.043). Moreover, there was a significant difference in sleep disorders and obsessions before and 1 year after MVD ( p <0.05). Conclusion For patients with trigeminal neuralgia, pain caused by sleep and obsession disorders should be examined early to identify an effective solution. Moreover, MVD, as a first treatment, is valuable for improving the physiological and psychological prognosis of patients.
引用
收藏
页码:E285 / E294
页数:10
相关论文
共 38 条
[1]   The Relationship Among Depression, Parenting Stress, and Partner Support in Low-Income Women From Montevideo, Uruguay [J].
Ardoino, Graciela I. ;
Queirolo, Elena I. ;
Barg, Gabriel ;
Ciccariello, Daniela A. ;
Kordas, Katarzyna .
HEALTH CARE FOR WOMEN INTERNATIONAL, 2015, 36 (04) :392-408
[2]   Trigeminal neuralgia and its management [J].
Bennetto, Luke ;
Patel, Nikunj K. ;
Fuller, Geraint .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 334 (7586) :201-205
[3]   COMORBID ANXIETY AND DEPRESSION DISORDERS IN PATIENTS WITH CHRONIC PAIN [J].
Castro, Martha ;
Kraychete, Durval ;
Daltro, Carla ;
Lopes, Josiane ;
Menezes, Rafael ;
Oliveira, Irismar .
ARQUIVOS DE NEURO-PSIQUIATRIA, 2009, 67 (04) :982-985
[4]   Effects of microvascular decompression on depression and anxiety in trigeminal neuralgia: A prospective cohort study focused on risk factors and prognosis [J].
Cheng, Jian ;
Long, Jiang ;
Hui, Xuhui ;
Lei, Ding ;
Zhang, Heng .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2017, 161 :59-64
[5]   Microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm: Naunces of the technique based on experiences with 100 patients and review of the literature [J].
Cohen-Gadol, Aaron A. .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2011, 113 (10) :844-853
[6]  
Cottraux J., 1989, International Review of Psychiatry, V1, P227
[7]   AAN-EFNS guidelines on trigeminal neuralgia management [J].
Cruccu, G. ;
Gronseth, G. ;
Alksne, J. ;
Argoff, C. ;
Brainin, M. ;
Burchiel, K. ;
Nurmikko, T. ;
Zakrzewska, J. M. .
EUROPEAN JOURNAL OF NEUROLOGY, 2008, 15 (10) :1013-1028
[8]   Prevalence of psychiatric disorders in patients with chronic disabling occupational spinal disorders [J].
Dersh, J ;
Gatchel, RJ ;
Mayer, T ;
Polatin, P ;
Temple, OR .
SPINE, 2006, 31 (10) :1156-1162
[9]  
Devor Marshall, 2008, Pain Pract, V8, P263, DOI 10.1111/j.1533-2500.2008.00214.x
[10]   The comorbidity of insomnia, chronic pain, and depression: Dopamine as a putative mechanism [J].
Finan, Patrick H. ;
Smith, Michael T. .
SLEEP MEDICINE REVIEWS, 2013, 17 (03) :173-183