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改良版格拉斯哥疼痛量表在荷兰一家兽医教学中心的应用。

Application of a modified form of the Glasgow pain scale in a veterinary teaching centre in the Netherlands.

作者信息

Murrell J C, Psatha E P, Scott E M, Reid J, Hellebrekers L J

机构信息

Division of Clinical Sciences of Companion Animals, University of Utrecht, Utrecht, The Netherlands.

出版信息

Vet Rec. 2008 Mar 29;162(13):403-8. doi: 10.1136/vr.162.13.403.

Abstract

The Glasgow Composite Measure Pain Scale was developed to measure acute pain in dogs in a hospital setting. In this investigation a modified version of the scale was applied in a centre with a different surgical case load and analgesic protocols, and where English is not the first language, to test its validity in a different clinical environment. The modified scale was used to score pain in 60 dogs during the 24 hours after surgery. Their levels of sedation and a clinical impression of their pain were scored at the same time. Three questions were considered; first, how the modified pain score was related to the pain assessed subjectively, secondly, how it related to variables such as the surgical procedure and the dog's health and thirdly, how it changed over time. The mean modified pain scores for the dogs rated subjectively as having no, mild, moderate or severe pain were significantly different, indicating that the modified scale distinguished between pain of different severities. The changes in the dogs' scores also followed the expected changes in their level of pain with time, providing empirical evidence that the scale measures pain.

摘要

格拉斯哥综合疼痛量表是为在医院环境中测量犬类急性疼痛而制定的。在本次调查中,该量表的一个修改版本被应用于一个手术病例数量和镇痛方案不同、且英语并非第一语言的中心,以测试其在不同临床环境中的有效性。修改后的量表用于对60只犬术后24小时内的疼痛进行评分。同时对它们的镇静水平和疼痛的临床印象进行评分。考虑了三个问题:第一,修改后的疼痛评分与主观评估的疼痛如何相关;第二,它与手术程序和犬的健康等变量如何相关;第三,它如何随时间变化。主观评定为无疼痛、轻度疼痛、中度疼痛或重度疼痛的犬的平均修改后疼痛评分有显著差异,表明修改后的量表能够区分不同严重程度的疼痛。犬类评分的变化也随时间遵循其疼痛程度的预期变化,为该量表能够测量疼痛提供了实证依据。

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