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一般成年人群中的压力测痛法:年龄和性别差异。

Pressure algometry in the general adult population: Age and sex differences.

机构信息

Department of Psychology, University of Isfahan, Isfahan, Iran.

Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Medicine (Baltimore). 2024 Aug 23;103(34):e39418. doi: 10.1097/MD.0000000000039418.

Abstract

Experimental pain studies have revealed inter-individual variations in pain perception that are influenced by age, sex, and country of origin. This study aimed to explore the age and sex differences in pressure pain thresholds within the Iranian general population. To assess the pressure pain thresholds, a handheld pressure algometer was applied bilaterally to the middle fingers of both hands. The participants also completed the short form of the McGill Pain Questionnaire to provide a clinical pain rating. This cross-sectional study included 1610 adult subjects (54.96% female, mean age 40.13 ± 10.18 years). The findings indicated that females generally exhibited lower pain thresholds than males when assessing pain detection and tolerance parameters (P < .001). Females also demonstrated a significant lower pressure thresholds and clinical pain ratings compared with men (P < .001). Additionally, significant differences were observed between age groups in terms of pain detection and tolerance thresholds (P = .02 and P = .03, respectively). However, the interaction between sex and age was not significant. No significant differences in pain detection thresholds were observed between the right and left hand (P = .11). This study underscores the potential utility of algometry as a valuable tool for objectifying pain in the Iranian population.

摘要

实验性疼痛研究揭示了疼痛感知的个体间差异,这些差异受到年龄、性别和原籍国的影响。本研究旨在探讨伊朗普通人群中压力疼痛阈值的年龄和性别差异。为了评估压力疼痛阈值,使用手持压力测痛计在双手的中指两侧进行双侧测量。参与者还完成了麦吉尔疼痛问卷的简短形式,以提供临床疼痛评分。这项横断面研究包括 1610 名成年受试者(54.96%为女性,平均年龄 40.13±10.18 岁)。研究结果表明,在评估疼痛检测和耐受参数时,女性通常比男性表现出更低的疼痛阈值(P<.001)。女性的压力阈值和临床疼痛评分也明显低于男性(P<.001)。此外,在疼痛检测和耐受阈值方面,不同年龄组之间存在显著差异(P=.02 和 P=.03,分别)。然而,性别和年龄之间的相互作用并不显著。右手和左手的疼痛检测阈值之间没有显著差异(P=.11)。本研究强调了痛觉计作为一种客观评估伊朗人群疼痛的有价值工具的潜在效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddf/11346871/0dea4acfb85c/medi-103-e39418-g001.jpg

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