 英語晨讀 · 山東省立醫(yī)院疼痛科英語晨讀已經(jīng)堅持10余年的時間了，每天交班前15分鐘都會精選一篇英文文獻進行閱讀和翻譯。一是可以保持工作后的英語閱讀習(xí)慣，二是可以學(xué)習(xí)前沿的疼痛相關(guān)知識。我們會將晨讀內(nèi)容與大家分享，助力疼痛學(xué)習(xí)。 本次文獻選自Levesque A, Riant T, Ploteau S, et al. Clinical Criteria of Central Sensitization in Chronic Pelvic and Perineal Pain (Convergences PP Criteria): Elaboration of a Clinical Evaluation Tool Based on Formal Expert Consensus[J]. Pain Medicine, 2018, 19(10): 2009–2015. Abstract Background. The evaluation of chronic pelvic andperineal pain (CPP) is often complex. The patient’sdescription of the pain often appears to be dispro-portionate to the limited findings on physical exami-nation and/or complementary investigations. Theconcept of central sensitization may allow better un-derstanding and management of patients with CPP. Objective. The aim of this study was to elaborate aclinical evaluation tool designed to simply identifysensitization in pelvic pain. Methods. A list of 63 items was submitted to 22 in-ternational CPP experts according to the Delphimethod. 摘要： 背景 慢性盆腔會陰疼痛(CPP)的評估通常很復(fù)雜。病人描述的疼痛往往似乎與體格檢查和輔助檢查的有限發(fā)現(xiàn)并不相符。中樞敏化的概念可能能夠更好地理解CPP患者及其治療。 目標 本研究的目的是闡明一個臨床評價工具的設(shè)計，以簡便地識別會陰痛中的中樞敏化。 方法 根據(jù)德爾福方法，63項列表分別提交給22個國際CPP專家。 （delphi法就是德爾菲法，也稱專家調(diào)查法。1946年由美國蘭德公司創(chuàng)始實行，其本質(zhì)上是一種反饋匿名函詢法，其大致流程是在對所要預(yù)測的問題征得專家的意見之后，進行整理、歸納、統(tǒng)計，再匿名反饋給各專家，再次征求意見，再集中，再反饋，直至得到一致的意見。該方法是由企業(yè)組成一個專門的預(yù)測機構(gòu)，其中包括若干專家和企業(yè)預(yù)測組織者，按照規(guī)定的程序，背靠背地征詢專家對未來市場的意見或者判斷，然后進行預(yù)測的方法。） Results. Ten clinical criteria were adopted for thecreation of a clinical evaluation tool: 1) pain influ-enced by bladder filling and/or urination, 2) paininfluenced by rectal distension and/or defecation,3) pain during sexual activity, 4) perineal and/or vul-var pain in response to normally nonpainful stimu-lation, 5) pelvic trigger points (e.g., in the piriformis,obturator internus, and/or levator ani muscles), 6)pain after urination, 7) pain after defecation, 8) painafter sexual activity, 9) variable (fluctuating) pain in-tensity and/or variable pain distribution, 10) mi-graine or tension headaches and/or fibromyalgiaand/or chronic fatigue syndrome and/or post-traumatic stress disorder and/or restless legs syn-drome and/or temporomandibular joint dysfunction and/or multiple chemical sensitivity. Conclusions. This process resulted in the elabora-tion of a clinical evaluation tool designed to identifyand appropriately manage patients with CPP com-prising a sensitization component. Key Words. Pelvic Pain; Sensitization; ChronicPain; Assessment 結(jié)果 臨床評估工具采納了10項臨床標準:1)膀胱充盈和/或排尿影響疼痛；2)直腸膨脹和/或排便影響疼痛；3)性交痛；4)由非疼痛性刺激而產(chǎn)生的會陰和/或外陰部疼痛；5)盆腔觸發(fā)點(例如,在梨狀肌,閉孔內(nèi)肌和/或提肛?。?）排尿后疼痛；7）排便后疼痛；8）性行為后疼痛；9)疼痛強度和疼痛分布范圍產(chǎn)生變化或波動；10)偏頭痛或緊張性頭痛和/或纖維肌痛和/或慢性疲勞綜合癥和/或創(chuàng)傷后應(yīng)激障礙和/或不寧腿綜合征和/或顳下頜關(guān)節(jié)功能障礙和/或多種藥物過敏。 結(jié)論 這個過程產(chǎn)生了詳細的臨床評估工具，旨在識別并適當?shù)刂委煱殡S敏化的CPP患者。 關(guān)鍵詞：盆腔疼痛；敏化；慢性疼痛；評估 |
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來自： 新用戶1882ga2h > 《待分類》
