腕管综合征患者神经传导研究期间的疼痛评估
Assessment of Pain During Nerve Conduction Studies in Patients With Carpal Tunnel Syndrome.
作者信息
Sasaki Toru, Nimura Akimoto, Kuroiwa Tomoyuki, Koyama Takafumi, Okawa Atsushi, Fujita Koji
机构信息
Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Functional Joint Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
出版信息
J Hand Surg Glob Online. 2022 Jan 5;4(2):89-92. doi: 10.1016/j.jhsg.2021.12.004. eCollection 2022 Mar.
PURPOSE
Patients with suspected carpal tunnel syndrome (CTS) often undergo nerve conduction studies (NCSs). Although patients sometimes complain of NCS-related discomfort, including severe pain, pain evaluations during such NCSs are lacking. We aimed to measure the pain experienced by patients with CTS during NCSs.
METHODS
This prospective study included 30 patients with CTS who underwent NCSs between April 2018 and March 2019. Pain because of electrical stimulation during NCSs was evaluated using a visual analog scale, and we statistically analyzed pain-related factors such as age, sex, complications, severity grading scale, the intensity of maximum stimulation, and examination time.
RESULTS
The mean visual analog scale score for NCSs was 5.2, and the visual analog scale score increased as the intensity of maximum stimulation and examination time increased.
CONCLUSIONS
We measured the pain because of electrical stimulation experienced by patients with CTS during NCSs. Our findings indicate that medical staff must be mindful of the potential pain experienced by patients during NCSs and educate patients regarding the necessity of the examination and its procedures.
TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic Ⅳ.
目的
疑似腕管综合征（CTS）的患者常需接受神经传导研究（NCS）。尽管患者有时会抱怨与NCS相关的不适，包括剧痛，但此类NCS期间的疼痛评估却很缺乏。我们旨在测量CTS患者在NCS期间所经历的疼痛。
方法
这项前瞻性研究纳入了2018年4月至2019年3月期间接受NCS的30例CTS患者。使用视觉模拟量表评估NCS期间因电刺激引起的疼痛，并且我们对年龄、性别、并发症、严重程度分级量表、最大刺激强度和检查时间等疼痛相关因素进行了统计分析。
结果
NCS的平均视觉模拟量表评分为5.2，且视觉模拟量表评分随最大刺激强度和检查时间的增加而升高。
结论
我们测量了CTS患者在NCS期间因电刺激所经历的疼痛。我们的研究结果表明，医务人员必须留意患者在NCS期间可能经历的疼痛，并就检查的必要性及其程序对患者进行教育。
研究类型/证据水平：诊断性Ⅳ级。
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