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慢性疼痛患者中神经病理性疼痛检测筛查问卷与疼痛强度的相关性

Correlation between the Neuropathic PainDETECT Screening Questionnaire and Pain Intensity in Chronic Pain Patients.

作者信息

König Sebastian Lukas, Prusak Michal, Pramhas Sibylle, Windpassinger Marita

机构信息

Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Division of General Anesthesia and Intensive Care Medicine, Medical University Vienna, Spitalgasse 23, 1090 Vienna, Austria.

Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Division of Special Anesthesia and Pain Medicine, Medical University Vienna, Spitalgasse 23, 1090 Vienna, Austria.

出版信息

Medicina (Kaunas). 2021 Apr 7;57(4):353. doi: 10.3390/medicina57040353.

Abstract

: Pain is a multidimensional phenomenon with a wide range regarding the location, intensity and quality. Patients with chronic pain, in particular those suffering from mixed pain, often present a special challenge. The PainDETECT questionnaire (PD-Q) is a screening instrument designed to classify whether a patient has neuropathic pain (NP), often rated as more distressing compared to nociceptive pain. The objective of this study was to investigate whether the PD-Q score correlates with pain intensity, measured with the numeric rating scale (NRS), in chronic pain patients in an outpatient setting. : A questionnaire-based study was conducted to identify the associations between the unidimensional NRS scale for pain intensity and the PD-Q score for screening of an NP component in an outpatient setting. Participants were asked to fill in the questionnaire themselves. : One hundred seventy-six participants completed the PD-Q questionnaire and rated pain on the NRS scale at the baseline visit. The PD-Q and NRS scores significantly correlated at the baseline visit and the 1-month follow-up visit in chronic pain patients. The identification of a neuropathic component in chronic pain may permit more targeted and effective pain management. : The findings of our questionnaire suggest that a significant proportion of chronic pain patients had manifested features of NP at the first visit to the outpatient clinic. The PD-Q is a useful screening tool to alert clinicians of NP that may need further diagnostic evaluation or therapeutic intervention and may also help to predict treatment response. Further research is needed to investigate if a correlation is predictive of treatment response when pain therapy targets NP.

摘要

疼痛是一种多维现象,在位置、强度和性质方面范围广泛。慢性疼痛患者,尤其是那些患有混合性疼痛的患者,往往带来特殊挑战。疼痛检测问卷(PainDETECT questionnaire,PD-Q)是一种筛查工具,旨在对患者是否患有神经性疼痛(NP)进行分类,与伤害性疼痛相比,神经性疼痛通常被认为更令人痛苦。本研究的目的是调查在门诊环境中,慢性疼痛患者的PD-Q评分是否与用数字评分量表(Numeric Rating Scale,NRS)测量的疼痛强度相关。

开展了一项基于问卷的研究,以确定在门诊环境中,用于疼痛强度的单维NRS量表与用于筛查NP成分的PD-Q评分之间的关联。参与者被要求自行填写问卷。

176名参与者在基线访视时完成了PD-Q问卷,并在NRS量表上对疼痛进行了评分。在慢性疼痛患者的基线访视和1个月随访中,PD-Q和NRS评分显著相关。识别慢性疼痛中的神经性成分可能有助于更有针对性和有效地管理疼痛。

我们问卷的结果表明,相当一部分慢性疼痛患者在首次到门诊就诊时就已表现出NP的特征。PD-Q是一种有用的筛查工具,可提醒临床医生注意可能需要进一步诊断评估或治疗干预的NP,也可能有助于预测治疗反应。当疼痛治疗针对NP时,是否存在相关性可预测治疗反应,这需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e4/8067639/dcbeaca1208e/medicina-57-00353-g001.jpg

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