Delavierre D, Rigaud J, Sibert L, Labat J-J
Service d'urologie-andrologie, CHR La Source, 14, avenue de l'Hôpital, 45067 Orléans cedex 2, France.
Prog Urol. 2010 Nov;20(12):865-71. doi: 10.1016/j.purol.2010.08.066. Epub 2010 Oct 20.
To describe the tools allowing evaluation of chronic pelvic and perineal pain and to define their indications.
A review of the literature was performed by searching the Medline database (National Library of Medicine). Search terms were either Medical subject heading (MeSH) keywords (pelvic pain, pain measurement, prostatitis, quality of life) or terms derived from the title or abstract. Search terms were used alone or in combinations by using the "AND" operator. The literature search was conducted from 1990 to the present time.
Various rating scales and questionnaires constitute useful tools for clinical evaluation of the patient's chronic pain. They cannot replace clinical interview and cannot be used to establish a diagnosis. The main clinical assessment tools include severity scales, body diagrams, descriptive assessment (sensory and affective), evaluation of the impact on sleep, activities of daily living, quality of life and behaviour and assessment of mood and anxiety. In addition to these general tools, specific questionnaire have been developed in the fields of interstitial cystitis/painful bladder syndrome and chronic prostatitis/chronic pelvic pain syndrome. These specific questionnaires are designed for evaluation of the severity of symptoms, assessment of the disability related to the symptoms and the impact on quality of life, and follow-up of the course of symptoms and the response to treatment.
Rapid and easy to use tools are essential in routine clinical practice. The recommended assessment tools are VAS (visual analogue scale) or numerical severity scales, body diagrams and brief questionnaires such as the Questionnaire sur la Douleur de Saint-Antoine (QDSA) (Saint-Antoine pain questionnaire) or Questionnaire Concis sur les Douleurs (QCD) (validated French translation of the Brief Pain Inventory).
描述可用于评估慢性盆腔和会阴疼痛的工具，并明确其适用范围。
通过检索美国国立医学图书馆的Medline数据库进行文献综述。检索词为医学主题词（MeSH）关键词（盆腔疼痛、疼痛测量、前列腺炎、生活质量）或从标题或摘要中提取的词汇。检索词单独使用或通过“AND”运算符组合使用。文献检索时间范围为1990年至今。
各种评分量表和问卷是临床评估患者慢性疼痛的有用工具。它们不能替代临床问诊，也不能用于确诊。主要的临床评估工具包括严重程度量表、人体图、描述性评估（感觉和情感方面）、对睡眠、日常生活活动、生活质量及行为影响的评估以及情绪和焦虑评估。除了这些通用工具外，还针对间质性膀胱炎/疼痛性膀胱综合征和慢性前列腺炎/慢性盆腔疼痛综合征领域开发了特定问卷。这些特定问卷旨在评估症状的严重程度、与症状相关的残疾程度及其对生活质量的影响，以及症状发展过程和治疗反应的随访。
快速且易于使用的工具在日常临床实践中至关重要。推荐的评估工具包括视觉模拟量表（VAS）或数字严重程度量表、人体图以及简短问卷，如圣安托万疼痛问卷（QDSA）或简明疼痛问卷（QCD）（简明疼痛量表的经验证法语译本）。
