Brailovskaya T V, Kibitov A O, Gadzhikulieva A K, Chuprova N A, Nikolishin A E, Sherstobitov V A
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Serbsky National Medical Research Center for Psychiatry and Narcology, Moscow, Russia.
Stomatologiia (Mosk). 2023;102(4):11-17. doi: 10.17116/stomat202310204111.
Conducting a comparative analysis of the effectiveness of the Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) and the Visual Analogue Scale (VAS) for assessing the severity of pain syndrome in dental patients in the postoperative period in dynamics.
The study included 51 patients who received dental surgical treatment. Two groups of patients were formed, depending on the type of surgery and the degree of trauma of the operation. Group 1 - low degree of injury - 28 patients; group 2 - high degree of injury - 23 patients. Patients independently filled out questionnaires at four stages of the study: before surgery, on the 1st, 3rd, and 5th days after surgery as part of scheduled visits.
In patients of group 2, the severity of pain symptoms was higher than in patients of group 1 in terms of pain symptoms on SF-MPQ-2 at all stages of the study, except the day before surgery. At the same time, there were no differences with the indicators of the VAS scale at any of the stages of the study. The most informative indicators of SF-MPQ-2 are the total indicator MPQ-Sum and the constant pain indicator MPQ-Const, which were significantly higher in group 2 on the 1st day after surgery, taking into account the correction for gender and age. The highest level of coincidence of indicators on VAS and the total score on MPQ-Sum was revealed on the 5th day of the operation, regardless of the degree of trauma of the operation.
The use of SF-MPQ-2 with a detailed description of pain sensations is the most acceptable way to assess the degree of pain syndrome in operative surgery, especially during the period when the severity of pain symptoms is maximum (in the first days of the postoperative period).
对简式麦吉尔疼痛问卷-2（SF-MPQ-2）和视觉模拟评分量表（VAS）在动态评估牙科患者术后疼痛综合征严重程度方面的有效性进行比较分析。
该研究纳入了51例接受牙科手术治疗的患者。根据手术类型和手术创伤程度将患者分为两组。第1组——低损伤程度——28例患者；第2组——高损伤程度——23例患者。患者在研究的四个阶段独立填写问卷：手术前、作为定期随访一部分在术后第1天、第3天和第5天。
在研究的所有阶段，除手术前一天外，第2组患者在SF-MPQ-2疼痛症状方面的疼痛症状严重程度高于第1组患者。同时，在研究的任何阶段，与VAS量表指标均无差异。SF-MPQ-2最具信息量的指标是总指标MPQ-Sum和持续疼痛指标MPQ-Const，在术后第1天，考虑到性别和年龄校正后，第2组这些指标显著更高。无论手术创伤程度如何，在术后第5天发现VAS指标与MPQ-Sum总分的一致性最高。
使用对疼痛感觉有详细描述的SF-MPQ-2是评估手术中疼痛综合征程度的最可接受方法，尤其是在疼痛症状严重程度最高的时期（术后初期）。
