评估不同情况下的牙痛：简版麦吉尔疼痛问卷研究结果
Evaluating Dental Pain in Diverse Conditions: Findings From Short-Form McGill Pain Questionnaire Study.
作者信息
Wang Jin, Pu Yin-Fei, Chen Hong-Tao, Bai Xiang-Song, Yang Xue, Ji Ai-Ping, Bai Jie
机构信息
Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100081, PR China.
Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100081, PR China.
出版信息
Int Dent J. 2025 Aug;75(4):100864. doi: 10.1016/j.identj.2025.100864. Epub 2025 Jul 2.
INTRODUCTION AND AIMS
Making precise diagnoses of patients with dental pain is challenging. Thus, a screening system that can help accurately stratify patients depending on the severity of their condition is required. In this study, we compared the characteristics of dental pain in patients with different conditions using a Short-Form McGill Pain Questionnaire (SF-MPQ).
METHODS
A total of 1541 patients admitted to the Peking University School of Stomatology between February 2022 and July 2023 were assessed. Demographic data and pain characteristics were collected. Pain was assessed using the SF-MPQ, which includes the Visual Analogue Scale (VAS), Present Pain Intensity (PPI), and Pain Rating Index (PRI). Statistical analysis was performed using SPSS software, with variance analysis and Pearson's correlation coefficients, and a T-test was employed to assess the relationship between pain scores and various factors.
RESULTS
A total of 11 conditions associated with dental pain were detected. Symptomatic irreversible pulpitis (SIP, 427, 27.7%) and symptomatic apical periodontitis (SAP, 429, 27.8%) were the most common conditions. Higher scores were seen in patients with SIP (5.5 ± 2.8 for PRI; 59.4 ± 24.4 for VAS; 2.9 ± 0.8 for PPI), SAP (5.6 ± 2.9 for PRI; 56.1 ± 32.0 for VAS; 2.8 ± 0.7 for PPI) and interappointment flare-up (IFU, 8.2 ± 0.5 for PRI; 56.2 ± 14.9 for VAS; 3.0 ± 0.0 for PPI). The location of pain in a tooth, spontaneous pain, sleep disturbance, duration of pain in a short time, taking painkillers was invalid, diagnosis with SIP and SAP, and IFU were significantly associated with higher pain scores (all P < .05).
CONCLUSIONS
Patients with SIP and SAP present with higher pain scores. The SF-MPQ can aid in the effectiveness of dental emergency triage by identifying true acute symptomatic patients and ensuring appropriate management based on the severity of their conditions.
CLINICAL RELEVANCE
SF-MPQ may help to increase effectiveness in dental emergency triage, diagnosis, and treatment.
引言与目的
对牙疼痛患者进行准确诊断具有挑战性。因此，需要一种能够根据患者病情严重程度帮助准确分层的筛查系统。在本研究中，我们使用简式麦吉尔疼痛问卷（SF-MPQ）比较了不同病情患者的牙疼痛特征。
方法
对2022年2月至2023年7月期间北京大学口腔医学院收治的1541例患者进行评估。收集人口统计学数据和疼痛特征。使用SF-MPQ评估疼痛，该问卷包括视觉模拟量表（VAS）、当前疼痛强度（PPI）和疼痛评级指数（PRI）。使用SPSS软件进行统计分析，采用方差分析和Pearson相关系数，并采用T检验评估疼痛评分与各种因素之间的关系。
结果
共检测到11种与牙疼痛相关的病情。症状性不可逆牙髓炎（SIP，427例，27.7%）和症状性根尖周炎（SAP，429例，27.8%）是最常见的病情。SIP患者（PRI为5.5±2.8；VAS为59.4±24.4；PPI为2.9±0.8）、SAP患者（PRI为5.6±2.9；VAS为56.1±32.0；PPI为2.8±0.7）和复诊间疼痛发作（IFU，PRI为8.2±0.5；VAS为56.2±14.9；PPI为3.0±0.0）的疼痛评分较高。牙齿疼痛部位、自发痛、睡眠障碍、短时间疼痛持续时间、服用止痛药无效、诊断为SIP和SAP以及IFU与较高的疼痛评分显著相关（所有P<.05）。
结论
SIP和SAP患者的疼痛评分较高。SF-MPQ可以通过识别真正的急性症状患者并根据其病情严重程度确保适当的管理，有助于提高牙急诊分诊的有效性。
临床意义
SF-MPQ可能有助于提高牙急诊分诊、诊断和治疗的有效性。
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