Elias L-A, Yilmaz Z, Smith J G, Bouchiba M, van der Valk R A, Page L, Barker S, Renton T
Department of Oral Surgery, King's College London Dental Institute, London, UK.
Section of Mental Health, Division of Population Health Sciences and Education, St George's, University of London, London, UK.
Int J Oral Maxillofac Surg. 2014 Jan;43(1):120-6. doi: 10.1016/j.ijom.2013.07.004. Epub 2013 Aug 6.
The PainDETECT questionnaire (PD-Q), originally developed and validated in a multicentre study of neuropathic pain (NeP) patients with back pain, is increasingly being applied to other pain conditions. The present study assessed whether the PD-Q would be a suitable screening tool for detecting NeP in patients with post-traumatic inferior alveolar nerve injury (IANI) and lingual nerve injury (LNI). A prospective cohort of patients with clinically diagnosed neuropathy was given the PD-Q at their clinic appointment, or it was sent to them after their consultation. Eighty-nine patients (IANI = 56, LNI = 33) were included in the study, 75 of whom suffered from painful neuropathy. Of the patients who completed the questionnaire fully (n = 56), allowing a summary score to be calculated, 34% were classified as having 'likely NeP' according to the PD-Q; 41% of patients scored in the uncertain classification range and the remaining quarter in the 'likely nociceptive' classification. There was a significant association between PD-Q scores and pain intensity levels across the sample, with those classified as likely NeP reporting high levels of pain. The results suggest that the PD-Q in its current format is not a suitable screening tool for NeP associated with IANI or LNI.
疼痛检测问卷（PD-Q）最初是在一项针对患有背痛的神经性疼痛（NeP）患者的多中心研究中开发并验证的，如今越来越多地应用于其他疼痛病症。本研究评估了PD-Q是否会是一种适用于检测创伤后下牙槽神经损伤（IANI）和舌神经损伤（LNI）患者中神经性疼痛的筛查工具。一组经临床诊断为神经病变的患者队列在门诊就诊时接受了PD-Q问卷，或者在会诊后将问卷寄给他们。该研究纳入了89名患者（IANI患者56名，LNI患者33名），其中75名患有疼痛性神经病变。在完全完成问卷的患者（n = 56）中，可计算出总结分数，根据PD-Q，34%的患者被归类为“可能患有NeP”；41%的患者得分处于不确定分类范围，其余四分之一处于“可能为伤害性疼痛”分类。在整个样本中，PD-Q分数与疼痛强度水平之间存在显著关联，被归类为可能患有NeP的患者报告疼痛程度较高。结果表明，当前形式的PD-Q并非适用于检测与IANI或LNI相关的NeP的筛查工具。
