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中枢敏化量表(CSI)与定量感觉测试(QST)相关吗?系统评价和荟萃分析。

Is the Central Sensitization Inventory (CSI) associated with quantitative sensory testing (QST)? A systematic review and meta-analysis.

机构信息

PRIDE Research Foundation, Dallas, TX, United States.

Teaching, Research, & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain; Centre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain; Department of Basic, Developmental, and Educational Psychology, Autonomous University of Barcelona, Cerdanyola del Vallès, Spain.

出版信息

Neurosci Biobehav Rev. 2024 Jun;161:105612. doi: 10.1016/j.neubiorev.2024.105612. Epub 2024 Apr 10.


DOI:10.1016/j.neubiorev.2024.105612
PMID:38604015
Abstract

Central sensitization (CS) involves an amplification of neural processing within the central nervous system that can result in widespread pain patterns and hypersensitivity to stimuli. The Central Sensitization Inventory (CSI) and various quantitative sensory testing (QST) methods purport to assess clinical markers of CS. The purpose of this systematic review and meta-analysis was to summarize and quantify the associations between total CSI scores and QST measures from previous studies. A systematic search identified 39 unique studies that were deemed eligible for the systematic review and 33 studies for meta-analyses (with 3314 subjects and 154 effect sizes), including five QST modalities: conditioned pain modulation, temporal summation, pressure pain threshold, heat pain threshold, and cold pain threshold. The meta-analysis yielded statistically significant CSI-QST correlations in total subject samples for all five QST modalities. The strongest associations were identified between CSI scores and pain threshold testing, especially pressure pain threshold, in which 51% of effects sizes, from 29 studies and 3071 subjects, were determined to be in a medium to large range.

摘要

中枢敏化(CS)涉及中枢神经系统内神经处理的放大,可导致广泛的疼痛模式和对刺激的超敏反应。中枢敏化量表(CSI)和各种定量感觉测试(QST)方法旨在评估 CS 的临床标志物。本系统评价和荟萃分析的目的是总结和量化先前研究中 CSI 总分与 QST 测量之间的关联。系统搜索确定了 39 项符合系统评价标准的独特研究和 33 项荟萃分析研究(涉及 3314 名受试者和 154 个效应量),包括五种 QST 模式:条件性疼痛调节、时间总和、压痛阈值、热痛阈值和冷痛阈值。荟萃分析在所有五种 QST 模式的总体受试者样本中得出了 CSI-QST 相关性的统计学显著结果。CSI 评分与疼痛阈值测试之间的关联最强,尤其是压痛阈值,其中 29 项研究和 3071 名受试者中有 51%的效应量被确定为中到大范围。

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