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[疼痛诊断与疼痛测量。II. 临床方面]

[Pain diagnosis and pain measurement. II. Clinical aspects].

作者信息

Bangert J, Tolksdorf W

出版信息

Anasth Intensivther Notfallmed. 1984 Oct;19(5):226-30.

PMID:6517240
Abstract

Experimental methods differ from clinical methods for the measurement of pain. Some developments in both areas, clinical and experimental pain investigation, are presented. The measurement of pain, i.e. its quantification, should not be confused with pain diagnosis. Some advantages of visual analogue scales in the measurement of clinical pain, especially for intraindividual short-time issues, are presented. Nevertheless, we are still far away from "ideal" methods. If subjective phenomena such as pain are studied, especially in the field of pain therapy, then nonspecific factors like suggestion, intentional or not, must be taken into consideration: Placebo effect and Nocebo effect.

摘要

测量疼痛的实验方法与临床方法有所不同。本文介绍了临床和实验性疼痛研究这两个领域的一些进展。疼痛的测量,即其量化,不应与疼痛诊断相混淆。本文介绍了视觉模拟量表在测量临床疼痛方面的一些优势,特别是对于个体内短期问题。然而,我们离“理想”方法仍相距甚远。如果研究像疼痛这样的主观现象,尤其是在疼痛治疗领域,那么必须考虑到诸如暗示等非特异性因素,无论其是否有意:安慰剂效应和反安慰剂效应。

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