Temporomandibular disorders--pain outside the head and face is rarely acknowledged in the chief complaint.
Temporomandibular disorders--pain outside the head and face is rarely acknowledged in the chief complaint.
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颞下颌疾病——主诉中很少承认头部和面部以外的疼痛。
DOI：
10.1016/s0022-3913(97)70010-6
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Stohler,CS
中科院分区：
文献类型：
--
作者：
Türp,JC;Kowalski,CJ;Stohler,CS
问题陈述由于诊断和治疗程序受到患者主诉的严重影响，问题是，这些信息本身是否代表了临床行动的坚实基础。目的本研究的目的是评估疼痛投诉和患者生成的纸质和颞下颌关节紊乱病患者疼痛分布的铅笔画。MethodsThe研究包括140例成年女性颞下颌关节紊乱病患者。疼痛图作为标准，与口头报告进行比较。在40例（29%）患者中，疼痛仅限于头部和面部;在其余受试者中，疼痛超出了这些区域的边界。区分了9个潜在疼痛部位（头部、面部、颈部、肩部、手臂、胸部、腹部、背部和腿部）。只要这些区域之一是绘图或疼痛投诉的一部分，就对其进行计数。敏感性，特异性，和Kappa指数计算为每个situ.ResultsPatients疼痛限于头部和面部表现出密切的对应关系疼痛报告和绘图。另一方面，颞下颌关节紊乱病伴头部和面部以外疼痛部位的患者通常不会提及这些额外的疼痛部位。这反映在低敏感性（最小值：0.00;最大值：0.48）和低Kappa值（最小值：-0.02;最大值：0.19）。（J Prosthet Dent 1997;78：592-5.）
Statement of problemWith diagnostic and therapeutic procedures being heavily influenced by the patient's chief complaint, the question arises whether this information alone represents a solid basis for clinical action.PurposeThe aim of this investigation was to assess the agreement between pain complaints and patient-generated paper-and-pencil drawings of the distribution of pain in patients suffering from temporomandibular disorders.MethodsThe study included 140 adult female patients with temporomandibular disorders. Pain drawings served as a standard, against which the oral reports were compared. In 40 (29%) of the patients, pain was limited to the head and face; in the remaining subjects, it exceeded the boundaries of these regions. Nine potential pain sites were distinguished (head, face, neck, shoulders, arms, chest, abdomen, back, and legs). Whenever one of these regions was part of the drawing or the pain complaint, it was counted. Sensitivity, specificity, and kappa indices were computed for each site.ResultsPatients with pain limited to the head and face showed a close correspondence between pain report and drawing. On the other hand, patients with temporomandibular disorders with concomitant pain sites outside the head and face frequently did not mention these additional pain locations. This was reflected in low sensitivities (minimum: 0.00; maximum: 0.48) and low kappa values (minimum: –0.02; maximum: 0.19).ConclusionsThis study showed that the chief complaint frequently underestimates the real extent of pain involvement. (J Prosthet Dent 1997;78:592-5.)
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DOI：
--
发表时间：
1990
期刊：
Cranio : the journal of craniomandibular practice
影响因子：
--
作者：
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通讯作者：
J. L. Haden
DOI：
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1970
期刊：
影响因子：
--
作者：
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通讯作者：
Laybourne Pc
DOI：
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发表时间：
1995
期刊：
影响因子：
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作者：
S. Pauker;R. Kopelman;R. Lechan
通讯作者：
R. Lechan
DOI：
--
发表时间：
1992
期刊：
Journal of craniomandibular disorders : facial & oral pain
影响因子：
--
作者：
S. Dworkin;L. Leresche
通讯作者：
S. Dworkin;L. Leresche
影响因子：
2.1
作者：
G. Dimitroulis;M. Dolwick;Henry A. Gremillion
通讯作者：
Henry A. Gremillion