The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs

The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs
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DOI:
10.1016/s0304-3959(00)00482-6
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发表时间:
2001-05-01
期刊:
影响因子:
7.4
通讯作者:
Bennett, M
Bennett, M
中科院分区:
医学1区
文献类型:
--
作者:
Bennett, M

文献摘要

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本研究描述了一种新工具的开发和验证,用于识别神经病变机制主导其疼痛体验的患者。利兹神经性症状和体征评估(LANSS)疼痛量表是基于对感觉描述的分析和感觉功能障碍的床边检查,并在临床设置中提供即时信息。它是在两组慢性疼痛患者中发展起来的。在第一组(n = 60)中,比较了痛觉性和神经性疼痛患者的感觉描述符和问题的使用,并结合了感觉功能的评估。这些数据被用来得出一个七项疼痛量表,包括分组感觉描述和简单评分系统的感觉检查。LANSS疼痛量表在第二组患者(n = 40)中通过独立评分者评估判别能力、内部一致性和一致性来验证。讨论了LANSS疼痛量表的临床和研究应用。版权所有2001国际疼痛研究协会。Elsevier Science B.V.版权所有。
This study describes the development and validation of a novel tool for identifying patients in whom neuropathic mechanisms dominate their pain experience. The Leeds assessment of neuropathic symptoms and signs (LANSS) Pain Scale is based on analysis of sensory description and bedside examination of sensory dysfunction, and provides immediate information in clinical settings. It was developed in two populations of chronic pain patients. In the first (n = 60), the use of sensory descriptors and questions were compared in patients with nociceptive and neuropathic pain, combined with an assessment of sensory function. This data was used to derive a seven item pain scale, consisting of grouped sensory description and sensory examination with a simple scoring system. The LANSS Pain Scale was validated in a second group of patients (n = 40) by assessing discriminant ability, internal consistency and agreement by independent raters. Clinical and research applications of the LANSS Pain Scale are discussed. Copyright (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.