痛觉测量法在手部创伤后营养障碍性疼痛评估中的应用。

The use of dolorimetry in the assessment of post-traumatic algodystrophy of the hand.

作者信息

Atkins R M, Kanis J A

机构信息

Department of Human Metabolism and Clinical Biochemistry, University of Sheffield Medical School.

出版信息

Br J Rheumatol. 1989 Oct;28(5):404-9. doi: 10.1093/rheumatology/28.5.404.

DOI:10.1093/rheumatology/28.5.404

PMID:2790400

Abstract

We have investigated the use of dolorimetry in the assessment of algodystrophy of the hand. Findings in 12 affected patients following Colles' fracture were compared with age- and sex-matched normal controls. Algodystrophy was associated with a significant increase in tenderness of both the finger joints and bones. Tenderness of the whole hand was quantified by summing the dolorimetry readings at each site within the hand and the ratio of the summed readings for the two hands was defined as the dolorimetry ratio. This ratio was highly reproducible and independent of external variables. It was significantly lower in patients with algodystrophy than in controls and may provide a method for the diagnosis and serial assessment of the disorder.

摘要

我们研究了痛觉测量法在评估手部营养障碍性骨萎缩中的应用。将12例Colles骨折后受影响患者的结果与年龄和性别匹配的正常对照进行比较。营养障碍性骨萎缩与手指关节和骨骼压痛的显著增加有关。通过将手部每个部位的痛觉测量读数相加来量化全手的压痛，双手相加读数的比率定义为痛觉测量比率。该比率具有高度可重复性且不受外部变量影响。营养障碍性骨萎缩患者的该比率显著低于对照组，可能为该疾病的诊断和连续评估提供一种方法。