O'Connell Ferster Ashley P, Hu Amanda
Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, Penn State Health: Milton S. Hershey Medical Center, Hershey.
Department of Otolaryngology-Head & Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, U.S.A.
Laryngoscope. 2018 Apr;128(4):896-900. doi: 10.1002/lary.26860. Epub 2017 Sep 12.
To evaluate pain associated with laryngeal electromyography (LEMG).
A prospective case series.
Adult patients scheduled for LEMG in a tertiary care laryngology practice were recruited between July 20, 2016, and March 1, 2017. Demographic and clinical data were extracted from the charts. Study participants reported their anticipated pain level using a visual analog scale (VAS) prior to the procedure. VAS was administered again within 10 minutes after the procedure, along with the validated McGill Pain Questionnaire, to gauge patient's pain perception after undergoing LEMG.
Results were reviewed for 80 patients (mean age 48.2 ± 16.6 years, 37.5% male). Preprocedure VAS pain scores (4.59 ± 2.3 out of 10) were not significantly different than postprocedure VAS pain scores (4.61 ± 2.4) (P = 0.95). The McGill Pain Questionnaire reported a moderate pain level (32.1 ± 12.7 out of 78). Females anticipated a higher preprocedure VAS pain score (5.04 ± 2.3) than males (3.85 ± 2.2) (P = 0.02); however, postprocedure scores were not significantly different between genders. The following factors did not influence the pain scores: age, professional voice use, history of previous EMG, chronic pain diagnosis, psychiatric diagnosis, or current treatment with pain/psychiatric medications. All LEMGs were completed without any complications.
Patients appropriately anticipated their pain levels for the LEMG, which may be attributed to proper patient education and counselling before the procedure. Overall pain levels were mild to moderate, and all LEMGs were completed; thus, LEMG was well tolerated.
评估与喉肌电图检查（LEMG）相关的疼痛。
前瞻性病例系列研究。
2016年7月20日至2017年3月1日期间，招募了在三级医疗喉科诊所计划进行喉肌电图检查的成年患者。从病历中提取人口统计学和临床数据。研究参与者在检查前使用视觉模拟量表（VAS）报告他们预期的疼痛程度。在检查后10分钟内再次使用VAS，并同时使用经过验证的麦吉尔疼痛问卷，以评估患者在接受喉肌电图检查后的疼痛感受。
对80例患者（平均年龄48.2±16.6岁，男性占37.5%）的结果进行了审查。检查前VAS疼痛评分（满分10分，平均为4.59±2.3）与检查后VAS疼痛评分（4.61±2.4）无显著差异（P = 0.95）。麦吉尔疼痛问卷报告的疼痛程度为中度（满分78分，平均为32.1±12.7）。女性预期的检查前VAS疼痛评分（5.04±2.3）高于男性（3.85±2.2）（P = 0.02）；然而，检查后评分在性别之间无显著差异。以下因素不影响疼痛评分：年龄、职业用嗓、既往肌电图检查史、慢性疼痛诊断、精神疾病诊断或目前使用止痛/精神科药物治疗。所有喉肌电图检查均顺利完成，无任何并发症。
患者对喉肌电图检查的疼痛程度有适当的预期，这可能归因于检查前对患者进行了适当的教育和咨询。总体疼痛程度为轻度至中度，所有喉肌电图检查均顺利完成；因此，喉肌电图检查耐受性良好。
4。《喉镜》，2018年，第128卷：第896 - 900页。
