Skin Conductance Fluctuations Correlate Poorly with Postoperative Self-report Pain Measures in School-aged Children
Skin Conductance Fluctuations Correlate Poorly with Postoperative Self-report Pain Measures in School-aged Children
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DOI：
10.1097/aln.0b013e3181de6ce9
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发表时间：
2010-07-01
期刊：
影响因子：
8.8
通讯作者：
Ansermino, J. Mark
中科院分区：
文献类型：
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作者：
Choo, Eugene K.;Magruder, William;Ansermino, J. Mark
背景：每秒皮肤电导 (NFSC) 的波动次数已被证明与诱发疼痛和自我报告疼痛量表相关。本研究旨在评估NFSC作为学龄儿童手术后伤害感受强度客观测量的有效性和可行性。方法：经研究伦理委员会批准并获得同意后，100名受试者参与了这项前瞻性观察性研究。术前，在休息时和对自我报告疼痛量表（数字评分量表[NRS]，面部疼痛量表修订版）和焦虑评分（NRS）做出反应期间，测量 NFSC 60 秒。术后每 10 分钟重复一次测量，持续 30 分钟或直到 NRS 疼痛评分 = 7），敏感性为 56.3%（95% CI = 37.7-73.6%），特异性为 78.4%（95% CI = 71.7-84.1%）。 NFSC 的受试者工作特征曲线下面积为 69.1%。 结论：NFSC 测量在围手术期是可行的，但对于术后疼痛强度并不具有特异性，并且与自我报告测量相比无法确定镇痛需求。
Background: The number of fluctuations of skin conductance per second (NFSC) has been shown to correlate with induced pain and self-report pain scales. This study aimed to evaluate the validity and feasibility of NFSC as an objective measurement of nociception intensity in school-aged children after surgery.Methods: After approval by the research ethics board and obtaining consent, 100 subjects participated in this prospective observational study. Preoperatively, NFSC was measured for 60 s at rest and during response to a self-report pain scale (numeric rating scale [NRS], Faces Pain Scale-Revised) and anxiety scoring (NRS). Postoperative measurements were repeated every 10 min for 30 min or until NRS pain score was = 7) with 56.3% sensitivity (95% CI = 37.7-73.6%) and 78.4% specificity (95% CI = 71.7-84.1%). The area under receiver operator characteristic curve for NFSC was 69.1%.Conclusions: NFSC measurement is feasible in a perioperative setting but was not specific for postoperative pain intensity and was unable to identify analgesia requirements when compared with self-report measures.