Eberhard Lydia
Universitätsklinikum Heidelberg, Mund-, Zahn-, Kieferklinik, Poliklinik für Zahnärztliche Prothetik, Heidelberg.
Z Evid Fortbild Qual Gesundhwes. 2013;107(4-5):291-6. doi: 10.1016/j.zefq.2013.06.002. Epub 2013 Jun 28.
Quantitative Sensory Testing is an established method to evaluate somatosensory function. In the facial area, the procedures depend on the localisation of disorders and the modalities of interest. The test stimuli are of thermal or mechanical nature (touch, pain, vibration, or pressure stimuli). According to the protocol of the German Neuropathic Pain Network, comprehensive information on the function of afferent nerves can be generated in the facial area as well. Standard values have been obtained for the cheek and intraoral mucosa. For various orofacial pain conditions, studies concerning the somatosensory function are available. Changed functional patterns are not limited to neuropathic pain, but also occur in other orofacial pain conditions, indicating, for example, central sensitisation. The standardised collection of QST parameters may improve the understanding of the pathophysiology of orofacial pain and effect therapeutic approaches. Comprehensive studies may lead to the development of specific screenings that are feasible in a clinical setting.
定量感觉测试是一种评估躯体感觉功能的既定方法。在面部区域,测试程序取决于疾病的定位和感兴趣的感觉模式。测试刺激具有热或机械性质(触觉、疼痛、振动或压力刺激)。根据德国神经性疼痛网络的方案,也可以在面部区域生成关于传入神经功能的全面信息。已经获得了脸颊和口腔黏膜的标准值。对于各种口面部疼痛情况,有关于躯体感觉功能的研究。功能模式的改变不仅限于神经性疼痛,也发生在其他口面部疼痛情况中,例如表明存在中枢敏化。定量感觉测试参数的标准化收集可能会增进对口面部疼痛病理生理学的理解并影响治疗方法。全面的研究可能会导致开发出在临床环境中可行的特定筛查方法。