视觉模拟量表和语言评价量表用于术后疼痛评估的比较.pdfVIP

· 214- 全科医学临床与教育2004年lO月第2卷第4期Clinical Education ofGeneral Practice Oct．204．Vo1．2．No．4 视觉模拟量表和语言评价量表用于术后 疼痛评估的比较 吕 晨 邹建玲 沈淑华 张芳芳 · 论 著 · 【摘 要1 目的 探讨是否可以使用简单的语言评价量表代替视觉模拟量表进行手术后疼痛的评估。方法 将美国麻醉医师 协会(ASA)i一Ⅲ级的 120例患者依其受教育程度的高低分2组：初中及初中以下文化程度组(I组，n=45)，高中及高中以上 文化程度组(Ⅱ组，n=75)。患者于术后进行视觉模拟量表(VAS)和语言评价量表(VRS)的填写。麻醉医生对如何进行量表的填 写向患者进行解释，并记录以下数据：每位患者VAS和VRS的数值，填写VAS和VRS量表前向患者解释的次数 (Nvas和 Nvrs)：结果 I组和Ⅱ组的VAS和VRS评分均有显著相关性(P0．01)，其相关系数分别为0．936和 0．901。在I组中Nvas较 Nvrs高(P0．o5，同时Nvas在 I组中较Ⅱ组中高(P0．05)，但在 【I组中Nvas和Nvrs无显著差异 0．05)。结论 在对患者 进行术后疼痛评定时VRS和VAS具有良好的相关性，而VRS更适用于文化程度低及抽象概念理解有困难的患者，如老人。 【关键词】 语言评价量表；视觉模拟量表；相关性 A comparison of the verbal rating scale and the visual analog scale for pain assessment in postoperative patients LV。Chen，ZOU Jian-ling，Shen Su-hua，ZHANG Fan~hng．Department of Anesthesiology，Zhejiang Province Traditional Chinese Medical Hospital， Hangzhou 310006，China 【Abstract】 Objective To determine if the simple Verbal Rating Scale(VRS)could be substituted for the Visual Analog Scale(VAS)to measure pain intensity in postoperative patients or not．Methods 1 20 ASA physical status I—HI patients were divided into two groups by their respective educated level：① In group I (n=45)，the patients’education level were junior high school or below it．② In group 1I (n：75)．the patients’education level was senior high schol or above it．The patients were asked to rate the postoperative pain with the VAS and VRS．The anesthetists must explain to them how to II in the VAS and VRS sheets time and again until they understood it clearly． The folowing parameters were recorded：The count of VAS and VRS in every patient，the times of explanation before the patient filed in the VAS sheet (Nvas)and VRS sheet (Nvrs)．Results There were signifcant correlation in the value in VAS and VRS in two groups 0．01)，the respective coefficient of corelation was 0．936(1 group)and 0．901(Ⅱgroup)．In group I．Nvas was markedly higher than Nvrs(p0．05)．meanwhile．Nvas in group 1 was markedly higher than it in group