Hapak L, Gordon A, Locker D, Shandling M, Mock D, Tenenbaum H C
Faculty of Dentistry, University of Toronto, Ontario, Canada.
J Orofac Pain. 1994 Fall;8(4):357-68.
A self-administered questionnaire consisting of 21 questions, diagrams for chief pain location, and a digital pain scale was used prospectively to sort 92 patients with orofacial pain into three categories: (1) musculoligamentous (ie, temporomandibular disorders); (2) neurologically based (ie, migraine, trigeminal neuralgia, tension-type headache, cluster headache, and atypical facial pain); and (3) dentoalveolar pain. Sensitivity, specificity, as well as negative and positive predictive values suggest that this questionnaire may be used reliably to identify patients with orofacial pain that fits the above-described pain categories without prior knowledge of the clinical diagnosis. Digital pain scale findings indicated that on presentation, pain level could not be correlated with any particular pain category, but when using this scale to describe past pain experience, patients with neurologically based pain selected the highest digital pain scale values up to six times more frequently than patients with musculoligamentous or dentoalveolar pain. Patients with musculoligamentous or dentoalveolar pain selected the lowest digital pain scale values up to 15 times more frequently than those with neurologically based pain. Although this questionnaire may be used for initial categorization of pain, there is still no substitute for a thorough history and clinical examination.
一份包含21个问题、主要疼痛部位示意图和数字疼痛量表的自填式问卷被前瞻性地用于将92例口面部疼痛患者分为三类：(1) 肌肉韧带性（即颞下颌关节紊乱症）；(2) 神经源性（即偏头痛、三叉神经痛、紧张型头痛、丛集性头痛和非典型面部疼痛）；(3) 牙牙槽疼痛。敏感性、特异性以及阴性和阳性预测值表明，该问卷可可靠地用于识别符合上述疼痛类别的口面部疼痛患者，而无需事先了解临床诊断。数字疼痛量表结果表明，就诊时，疼痛程度与任何特定疼痛类别均无关联，但在使用该量表描述过去的疼痛经历时，神经源性疼痛患者选择的数字疼痛量表最高值的频率比肌肉韧带性或牙牙槽疼痛患者高出多达6倍。肌肉韧带性或牙牙槽疼痛患者选择最低数字疼痛量表值的频率比神经源性疼痛患者高出多达15倍。尽管该问卷可用于疼痛的初步分类，但全面的病史和临床检查仍然无可替代。
