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成人及儿童神经性疼痛评估工具综述

A Review of Adult and Pediatric Neuropathic Pain Assessment Tools.

作者信息

Morgan Kyle J, Anghelescu Doralina L

机构信息

Department of Pediatric Medicine, Division of Anesthesiology, St Jude Children's Research Hospital, Memphis, TN.

出版信息

Clin J Pain. 2017 Sep;33(9):844-852. doi: 10.1097/AJP.0000000000000476.

Abstract

OBJECTIVES

To identify and summarize the tools currently available for diagnosing and assessing neuropathic pain (NP) in adults and children and to identify areas where further research is required to address deficiencies in the existing tools.

METHODS

A review of journal articles pertaining to the diagnosis and assessment of NP was conducted.

RESULTS

We identified 11 tools for assessing NP in adults and 4 for assessing NP in pediatric patients.

CONCLUSIONS

This article summarizes the various screening and assessment tools available to clinicians for evaluating NP. Despite the availability of the 15 tools discussed, a deficiency remains, particularly in the pediatric realm. To date, there is no well-validated NP assessment tool for children younger than 5 years, no pediatric NP screening tool that has been validated outside the domain of chemotherapy-induced peripheral neuropathy, and no consistent recommendation regarding the optimal tool to use with pediatric patients who have chronic pain. These areas, as well as others, would benefit from further research and development.

摘要

目的

识别并总结目前可用于诊断和评估成人及儿童神经性疼痛(NP)的工具,并确定现有工具存在不足需要进一步研究的领域。

方法

对有关NP诊断和评估的期刊文章进行综述。

结果

我们确定了11种用于评估成人NP的工具和4种用于评估儿科患者NP的工具。

结论

本文总结了临床医生可用于评估NP的各种筛查和评估工具。尽管有文中讨论的15种工具,但仍存在不足,尤其是在儿科领域。迄今为止,尚无针对5岁以下儿童的经过充分验证的NP评估工具,没有在化疗引起的周围神经病变领域之外得到验证的儿科NP筛查工具,对于患有慢性疼痛的儿科患者使用何种最佳工具也没有一致的建议。这些领域以及其他领域将受益于进一步的研究和开发。

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