评估、麻醉药品及行为治疗对慢性疼痛患者疼痛评分的影响。

Evaluation, narcotics and behavioral treatment influences on pain ratings in chronic pain patients.

作者信息

Doleys D M, Dolce J J, Doleys A L, Crocker M, Wolfe S E

出版信息

Arch Phys Med Rehabil. 1986 Jul;67(7):456-8.

Abstract

Changes in self-reported pain ratings were assessed in 95 chronic pain patients from data collected at three times: pretreatment evaluation, initial days of treatment and final days of treatment. These data were collected separately for regular, sporadic and nonusers of narcotic medication. Each patient completed a four-week interdisciplinary behaviorally based noninvasive treatment program. There was an average decrease of 7% in self-reported pain ratings between evaluation and the onset of treatment for the three groups. An additional decrease of 21%, 16% and 10% for the sporadic, nonusers and regular users of narcotics respectively was noted during treatment. Statistical analysis revealed a significant decrease in pain ratings across assessment phases but not between groups. Sporadic users of narcotics showed a pattern more similar to nonusers than to the regular users.

摘要

通过收集95名慢性疼痛患者在三个时间点的数据来评估自我报告疼痛评分的变化，这三个时间点分别为：治疗前评估、治疗初期和治疗末期。这些数据是分别针对常规、偶尔和不使用麻醉药物的患者收集的。每位患者都完成了一个为期四周的基于行为学的多学科非侵入性治疗项目。在评估和治疗开始之间，三组患者自我报告的疼痛评分平均下降了7%。在治疗期间，偶尔使用、不使用和常规使用麻醉药物的患者分别又下降了21%、16%和10%。统计分析显示，在各个评估阶段疼痛评分显著下降，但组间无显著差异。偶尔使用麻醉药物的患者表现出的模式与不使用麻醉药物的患者更为相似，而与常规使用者不同。