Berthier F, Potel G, Leconte P, Touze M D, Baron D
Department of Emergency Medicine, University Hospital, Nantes, France.
Am J Emerg Med. 1998 Mar;16(2):132-6. doi: 10.1016/s0735-6757(98)90029-8.
The best one-dimensional method for routine self-assessment of acute pain intensity in a hospital emergency department is unknown. In this study, an 11-point numerical rating scale (NRS), a simple verbal rating scale describing five pain states (VRS), and a visual analogue scale (VAS) were presented successively on admission to 290 patients with acute pain (200 with and 90 without trauma). VAS and NRS were closely correlated for both traumatic (r = .795) and nontraumatic pain (r = .911). The VAS could not be used with 19.5% of patients with trauma and the VRS with 11% of patients without trauma, whereas the NRS could be used with 96% of all patients. The NRS proved more reliable for patients with trauma, giving equivalent results to those with the VAS for patients without trauma. These two scales showed better discriminant power for all patients. Thus, the NRS would appear to be the means for self-evaluation of acute pain intensity in an emergency department.
在医院急诊科对急性疼痛强度进行常规自我评估的最佳一维方法尚不清楚。在本研究中，对290例急性疼痛患者（200例有创伤，90例无创伤）入院时依次呈现了11点数字评定量表（NRS）、描述五种疼痛状态的简单文字评定量表（VRS）和视觉模拟量表（VAS）。VAS与NRS在创伤性疼痛（r = 0.795）和非创伤性疼痛（r = 0.911）中均密切相关。19.5%的创伤患者无法使用VAS，11%的非创伤患者无法使用VRS，而96%的所有患者均可使用NRS。对于创伤患者，NRS被证明更可靠，对于非创伤患者，其结果与VAS相当。这两种量表对所有患者均显示出更好的鉴别力。因此，NRS似乎是急诊科急性疼痛强度自我评估的方法。
