简化的McGill疼痛问卷表在三叉神经痛手术疗效评估中的应用.pdfVIP

68 Medical Science Journal of Central South China,January2013,Vol.41,No.1 文章编号:2095-1116(2013)01-0068-04 ·临床医学· 简化的McGill疼痛问卷表在三叉神经痛 手术疗效评估中的应用 刘摇 盼,张摇 勇,罗唯师 (广东省第二人民医院神经外科,广东广州510000) 摘摇 要:摇 目的摇 探讨简化的McGill疼痛问卷表在三叉神经痛围手术期及随访中的应用价值。 摇 方法摇 收集 临床上2009年6 月~2010年11月期间63例行微血管减压术的三叉神经痛患者资料,采用简化的McGill疼痛问 卷表评分方式对术前疼痛程度、术后疼痛缓解程度进行评估并对其结果进行统计学分析。 摇 结果摇 从评分结果 看,60例治愈,1例显效,1例有效,1例无效;2例分别在随访的第6 个月和第12 个月时疼痛复发。 术后3 天的治 愈率达到95.2%,有效率达98.4%。 两年有效率为92.1%。 摇 结论摇 对三叉神经痛患者的疼痛症状采用McGill 疼痛问卷表评分并量化分析是一种在围手术期及随访过程中实用的临床观察方法,这种方法既能全面、客观描述 三叉神经痛的症状,又能使手术疗效的评价更加直观和准确。 关键词:摇 疼痛问卷表;摇 三叉神经痛;摇 疗效;摇 评估 中图分类号:R745郾11摇 摇 摇 文献标识码:A The Application of SimplifiedMcGill Pain Questionnaire for The Operation EfficacyAssessment of Trigeminal Neuralgia LIU Pan,ZHANG Yong,LUO Weishi (Department of Neurosurgery,the Second Peoples Hospital of Guangdong,謘 Guangzhou,Guangdong 510000,China) Abstract:摇 Objective摇 To discuss the application value of simplified McGill pain questionnaire in the period of tri鄄 geminal neuralgia peri operation andfollow鄄up.摇 Methods摇 To collect the information of 63 patients with trigeminal neu鄄 ralgia in clinic,who underwent microvascular decompression during June 2009 to November 2012.Simplified McGill pain questionnaire isusedtoassessthedegreeofpreoperativepain,postoperativepainremission ,andtheresultswerestatistical鄄 ly analyzed.摇 Results摇 According to the scores,60 patients were cured,one had good efficacy,the other had general effect,and only in one patient the operation had no effect.There are two patients have their pain recurrence respectively in the sixthandtwel