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口面部疼痛诊所问卷(EDOF-HC)在口面部疼痛评估与诊断中的应用

The Orofacial Pain Clinic Questionnaire (EDOF-HC) in the evaluation and diagnosis of orofacial pain.

作者信息

Siqueira Silvia Regina Dowgan Tesseroli de, Teixeira Manoel Jacobsen, Siqueira José Tadeu Tesseroli de

机构信息

Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, Clínica de Dor Orofacial, São Paulo SP, Brazil.

Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, Grupo Interdisciplinar de Dor, São Paulo SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2020 Jun;78(6):321-330. doi: 10.1590/0004-282X20200003.

Abstract

BACKGROUND

Diagnostic tools are necessary for the anamnesis and examination of orofacial pain, in order to fulfill diagnostic criteria and to screen potential causes of pain.

OBJECTIVE

To evaluate the Orofacial Pain Clinic Questionnaire (EDOF-HC) in the assessment and diagnosis of orofacial pain.

METHODS

Overall, 142 patients were evaluated and classified according to the criteria of the International Headache Society and International Association for the Study of Pain. All of them were evaluated with the EDOF-HC questionnaire, which consists of the orofacial and medical history, as well as the orofacial examination. Data were statistically analyzed with chi-square test and Bonferroni correction, one-way ANOVA with Tukey post hoc test, the two-step cluster and decision tree methods.

RESULTS

There were diferences in pain descriptors, pain in maximum mouth opening, number of trigger points, and history of previous surgery between the groups, which were classified into trigeminal neuralgia, burning mouth syndrome, temporomandibular disorders and trigeminal posttraumatic neuropathic pain with classification analysis.

CONCLUSIONS

The EDOF-HC is a clinical supportive tool for the assessment of orofacial pain. The instrument may be used to support data collection from anamnesis and examination of patients according to the diagnostic criteria of most common orofacial conditions. It is also useful in the investigation of local and systemic abnormalities and contributes for the diagnosis of conditions that depend on exclusion criteria.

摘要

背景

诊断工具对于口面部疼痛的问诊和检查是必要的,以便满足诊断标准并筛查潜在的疼痛原因。

目的

评估口面部疼痛临床问卷(EDOF-HC)在口面部疼痛评估和诊断中的作用。

方法

总体上,根据国际头痛协会和国际疼痛研究协会的标准对142例患者进行评估和分类。所有患者均使用EDOF-HC问卷进行评估,该问卷包括口面部和病史以及口面部检查。数据采用卡方检验和Bonferroni校正、单因素方差分析及Tukey事后检验、两步聚类和决策树方法进行统计学分析。

结果

通过分类分析,在三叉神经痛、灼口综合征、颞下颌关节紊乱症和三叉神经创伤后神经病理性疼痛组之间,疼痛描述、最大开口时的疼痛、触发点数量和既往手术史存在差异。

结论

EDOF-HC是评估口面部疼痛的临床辅助工具。该工具可用于根据最常见口面部疾病的诊断标准,辅助收集患者问诊和检查的数据。它在调查局部和全身异常方面也很有用,有助于诊断依赖排除标准的疾病。

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