Feinmann C, Ong M, Harvey W, Harris M
Br J Oral Maxillofac Surg. 1987 Aug;25(4):285-92. doi: 10.1016/0266-4356(87)90067-2.
The personality factors, post-operative pain experience and analgesic requirements after minor oral surgery under general anaesthesia of 103 patients are presented. Psychiatric morbidity, neuroticism and anxiety were related to increased pain which tended to persist longer than normal. Trait anxiety also correlated with simple analgesic consumption, and neuroticism was weakly associated with Omnopon requirements. Thus, regular analgesics prescribed for at least 3 days will anticipate the needs of such patients. Despite higher levels of anxiety and neuroticism, women did not complain of more pain or require more analgesia than men in this study. There was also no overall correlation between post-operative pain experience and analgesic requirements. Therefore analgesic tablet consumption cannot be used as a measure of pain control.
本文介绍了103例患者在全身麻醉下进行小口腔手术后的人格因素、术后疼痛体验和镇痛需求。精神疾病、神经质和焦虑与疼痛加剧有关，且疼痛往往比正常情况持续更长时间。特质焦虑也与单纯镇痛药的消耗量相关，神经质与吗啡需求量弱相关。因此，至少连续3天开具常规镇痛药可满足此类患者的需求。在本研究中，尽管女性的焦虑和神经质水平较高，但她们并未比男性抱怨更多疼痛或需要更多镇痛。术后疼痛体验与镇痛需求之间也没有总体相关性。因此，镇痛药片的消耗量不能用作疼痛控制的衡量标准。
