Yucel Aysen, Senocak Mustafa, Kocasoy Orhan Elif, Cimen Ali, Ertas Mustafa
Department of Algology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
J Pain. 2004 Oct;5(8):427-32. doi: 10.1016/j.jpain.2004.07.001.
Classification of pain and identification of the specific pain mechanisms through utilization of clinical data are helpful to the physician in choosing the appropriate treatment model. For discrimination between different pain types, various tests could be used. The Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale is a scale based on the analysis of data obtained during bedside examination. The LANSS Pain Scale, as first used by Bennett, is a very useful tool that provides immediate information in the clinical setting and helps distinguish nociceptive pain from neuropathic pain. In this study we targeted validation of the LANSS Pain Scale in the Turkish population. A total of 104 patients who consulted the Algology Department of Istanbul Faculty of Medicine Outpatient Clinic were enrolled in our validation study. The sensitivity and specificity of the scale were found to be 89.9% and 94.2%, respectively. These results suggest a high validity level for the Turkish version of the LANSS Pain Scale. We believe that this scale is a useful tool for the differential diagnosis of neuropathic pain and can be used in future pharmacologic studies.
Any measures that aid in differentiating neuropathic pain from nociceptive pain would facilitate effective management of pain. In daily practice the simplicity of the classification method is important. The present study suggests that Turkish version of LANSS can be used for the discrimination between neuropathic and nociceptive types of pain.
通过利用临床数据对疼痛进行分类并识别特定的疼痛机制,有助于医生选择合适的治疗模式。为了区分不同类型的疼痛,可以使用各种测试。利兹神经病理性症状和体征评估(LANSS)疼痛量表是一种基于床边检查所获数据分析的量表。LANSS疼痛量表由贝内特首次使用,是一种非常有用的工具,可在临床环境中提供即时信息,并有助于区分伤害性疼痛和神经病理性疼痛。在本研究中,我们旨在验证LANSS疼痛量表在土耳其人群中的有效性。共有104名到伊斯坦布尔医学院门诊疼痛科就诊的患者参与了我们的验证研究。该量表的敏感性和特异性分别为89.9%和94.2%。这些结果表明LANSS疼痛量表土耳其语版本具有较高的效度。我们认为该量表是神经病理性疼痛鉴别诊断的有用工具,可用于未来的药理学研究。
任何有助于区分神经病理性疼痛和伤害性疼痛的措施都将促进疼痛的有效管理。在日常实践中,分类方法的简单性很重要。本研究表明,LANSS土耳其语版本可用于区分神经病理性疼痛和伤害性疼痛类型。