Department of Prosthodontics and Center for Oral Function Diagnosis, Treatment and Research, Peking University, School and Hospital of Stomatology, Beijing, China.
J Oral Rehabil. 2013 Nov;40(11):844-53. doi: 10.1111/joor.12091. Epub 2013 Aug 26.
Ethnic differences in pain experiences have been widely assessed in various pathological and experimental conditions. However, limited sensory modalities have been described in previous research, and the affective-motivational factors have so far been estimated to be the main mediator for the ethnic differences. This study aimed to detect the ethnic differences of oro-facial somatosensory profiles related to the sensory-discriminative dimension in healthy volunteers. The standardised quantitative sensory testing battery developed by the German Research Network on Neuropathic Pain was performed bilaterally in the infraorbital and mental regions on age- and gender-matched healthy Chinese and Danes, 29 participants each group. The influences of ethnicity, gender and test site on the somatosensory profile were evaluated by three-way anova. The ethnic disparities were also presented by Z-scores. Compared to Danes, Chinese were more sensitive to thermal detection, thermal pain, mechanical deep pain and mechanical pain rating parameters (P < 0·002) related to small fibre functions. However, the inverse results were observed for mechanical tactile modality related to large fibre function (P < 0·001) and wind-up ratio (P = 0·006). Women presented higher sensitivity compared to men. The mean Z-scores of all the parameters from Chinese group were in the normal zone created by Danish Caucasians' means and SDs. The ethnic disparities in somatosensory profile illustrated the necessity of establishing the reference data for different ethnic groups and possibly individual pain management strategies for the different ethnic groups.
在各种病理和实验条件下,人们广泛评估了疼痛体验中的种族差异。然而,之前的研究只描述了有限的感觉模态,而且情感动机因素迄今为止被估计是种族差异的主要中介。本研究旨在检测健康志愿者中与感觉辨别维度相关的口腔颌面感觉特征的种族差异。在年龄和性别匹配的健康中国和丹麦志愿者的眶下和颏下区域,双侧使用由德国神经性疼痛研究网络开发的标准化定量感觉测试电池,每组 29 名参与者。通过三因素方差分析评估了种族、性别和测试部位对感觉特征的影响。还通过 Z 分数呈现了种族差异。与丹麦人相比,中国人对热探测、热痛、机械深部疼痛和机械疼痛评分参数(与小纤维功能相关,P<0.002)更敏感。然而,与大纤维功能(P<0.001)和痛觉反射比(P=0.006)相关的机械触觉模态则出现了相反的结果。女性比男性更敏感。中国人组所有参数的平均 Z 分数均处于由丹麦白种人平均值和标准差创建的正常范围内。感觉特征的种族差异表明,有必要为不同的种族群体建立参考数据,并可能为不同的种族群体制定个体化疼痛管理策略。