Bedside Testing for Chronic Pelvic Pain Discriminating Visceral from Somatic Pain英文文献资料.docVIP

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Bedside Testing for Chronic Pelvic Pain Discriminating Visceral from Somatic Pain英文文献资料.doc

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Bedside Testing for Chronic Pelvic Pain Discriminating Visceral from Somatic Pain英文文献资料

HindawiPublishingCorporation PainResearchandTreatment Volume2011,ArticleID692102,6pages doi:10.1155/2011/692102 ClinicalStudy BedsideTestingforChronicPelvicPain: DiscriminatingVisceralfromSomaticPain JohnJarrell, MariaAdeleGiamberardino, MagaliRobert, andMaryamNasrEsfahani 1 2 1 1 1 CalgaryChronicPainCentreandDepartmentofObstetricsandGynecology,UniversityofCalgary, 140329thStreetNW,Calgary,AB,CanadaT2N2T9 2 PathophysiologyofPainLaboratory,DepartmentofMedicineandScienceofAging, “G.D’Annunzio”UniversityofChieti,Chieti,Italy CorrespondenceshouldbeaddressedtoJohnJarrell,john.jarrell@albertahealthservices.ca Received13July2011;Accepted19September2011 AcademicEditor:BjornA.Meyerson Copyright?2011JohnJarrelletal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Objectives.Thisstudywasdonetoevaluatethreebedsidetestsindiscriminatingvisceralpainfromsomaticpainamongwomen withchronicpelvicpain.StudyDesign.Thestudywasanexploratorycross-sectionalevaluationof81womenwithchronicpelvic painof6ormoremonths’duration.Testsincludedabdominalcutaneousallodynia(aCA),perinealcutaneousallodynia(pCA), abdominalandperinealmyofascialtriggerpoints(aMFTP)and(pMFTP),andreducedpainthresholds(RPTs).Results .Eighty- onewomenwererecruited,andallwomenprovidedinformedconsent.Therewere62womenwithapparentvisceralpainand 19withapparentsomaticsourcesofpain.ThepositivepredictivevaluesforpelvicvisceraldiseasewereaCA-93%,pCA-91%, aMFTP-93%,pMFTP-81%,andRPT-79%.Thelikelihoodratio(+)and95%C.I.forthedetectionofvisceralsourcesofpain wereaCA-4.19(1.46,12.0),pCA-2.91(1.19,7.11),aMTRP-4.19(1.46,12.0),pMFTP-1.35(0.86,2.13),andRPT-1.14(0.85,1.52), respectively.Conclusions.Testsofcutaneousallodynia,myofascialtriggerpoints,andreducedpainthresholdsareeasilyapplied andwelltolerated.Thetestsforcutaneousallodyniaappear