Ballas S K, Delengowski A
Cardeza Foundation for Hematologic Research, Department of Medicine, Jefferson Medical College, Philadelphia, PA 19107.
Ann Clin Lab Sci. 1993 Sep-Oct;23(5):358-61.
The intensity, spatial distribution, and description of pain during the evolution of painful crises were studied in 23 hospitalized adult patients with sickle cell anemia during 60 acute painful episodes. The 10 cm Visual Analog Scale was used to measure the intensity of pain. The average pain severity score upon admission was 9.5 +/- 0.63 (mean +/- SD) and upon discharge was 4.8 +/- 0.97. The dose or frequency of administering narcotic analgesics was reduced when the daily score of pain decreased by 2 or more on the scale. Painful areas of the body most frequently affected included the back, legs, knees, arms, chest, and abdomen in descending order. The words most often selected to describe the pain were throbbing, sharp, dull, and stabbing. Our data indicate that: (1) the use of a visual analog scale is feasible in hospitalized adult patients with sickle cell painful crisis; (2) the application of this scale is clinically useful in the titration of analgesics during crises; and (3) the use of this scale may be utilized to assist in the discharge planning of these patients.
在60次急性疼痛发作期间，对23例住院成年镰状细胞贫血患者疼痛危象演变过程中的疼痛强度、空间分布及描述进行了研究。采用10厘米视觉模拟评分法测量疼痛强度。入院时平均疼痛严重程度评分为9.5±0.63（均值±标准差），出院时为4.8±0.97。当疼痛每日评分在该量表上降低2分或更多时，麻醉性镇痛药的给药剂量或频率会减少。身体最常受影响的疼痛部位依次为背部、腿部、膝盖、手臂、胸部和腹部。最常被选来描述疼痛的词语是搏动性、尖锐性、钝痛性和刺痛性。我们的数据表明：（1）视觉模拟评分法在住院成年镰状细胞疼痛危象患者中可行；（2）该量表在疼痛危象期间镇痛药滴定中具有临床实用性；（3）该量表的使用可用于协助这些患者的出院计划制定。
