儿童肌电图检查时的疼痛感知：一项前瞻性研究。
Perception of pain during electromyography in children: A prospective study.
作者信息
Alshaikh Nahla M, Martinez Jeimmy Pinzon, Pitt Matthew C
机构信息
Neurophysiology Department, Great Ormond Street Hospital, London, WC1N 3JH, UK.
出版信息
Muscle Nerve. 2016 Sep;54(3):422-6. doi: 10.1002/mus.25069. Epub 2016 Feb 26.
INTRODUCTION
Electrodiagnostic examination is perceived as a painful examination. An accurate assessment of its discomfort would be valuable to children, their parents, and clinicians.
METHODS
We performed a prospective study of pediatric patients seen over 3 months at 1 center. Pain was scored for both nerve conduction studies and needle electromyography (EMG) on validated scales, depending on the child's age and in comparison with venipuncture.
RESULTS
In 100 cases the pain recorded fell within the moderate range on the scoring systems used. Sixty-six percent of patients described the pain to be equivalent or less than that with venipuncture. EMG of > 1 muscle or a proximal muscle produced more pain in patients <4 years of age.
CONCLUSIONS
When discussing the test with patients, the physician should reassure the patient and parents regarding the degree of pain that may be encountered, which is not materially different from venipuncture. Muscle Nerve 54: 422-426, 2016.
引言
电诊断检查被认为是一种痛苦的检查。准确评估其不适程度对儿童、其父母及临床医生均有价值。
方法
我们对在1个中心3个月内就诊的儿科患者进行了一项前瞻性研究。根据儿童年龄，采用经过验证的量表对神经传导研究和针电极肌电图（EMG）的疼痛进行评分，并与静脉穿刺进行比较。
结果
在100例病例中，所记录的疼痛在所使用的评分系统中属于中度范围。66%的患者表示疼痛等同于或小于静脉穿刺。对于4岁以下的患者，对1块以上肌肉或近端肌肉进行肌电图检查会产生更多疼痛。
结论
在与患者讨论该检查时，医生应就可能遇到的疼痛程度向患者及其父母保证，其与静脉穿刺的疼痛并无实质性差异。《肌肉与神经》54: 422 - 426, 2016年。
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