Monitoring of sympathetic tone to assess postoperative pain: skin conductance vs surgical stress index
Monitoring of sympathetic tone to assess postoperative pain: skin conductance vs surgical stress index
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DOI：
10.1111/j.1365-2044.2008.05834.x
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发表时间：
2009-07-01
期刊：
影响因子：
10.7
通讯作者：
Rhodes, J.
中科院分区：
文献类型：
--
作者：
Ledowski, T.;Ang, B.;Rhodes, J.
每秒皮肤电导的波动次数已被描述为监测术后疼痛的潜在工具。最近，手术压力指数显示出与术中疼痛刺激的良好相关性。我们比较了这两种方法评估术后疼痛的能力，在100名术后患者中，他们也被要求量化他们在恢复室不同时间点的疼痛水平。在数字评定量表上疼痛评分为5 / 10的患者之间，每秒波动次数和手术应激指数有显著差异（平均（SE）每秒波动数0.12（0.02）vs 0.21（0.03）; p = 0.017，手术压力指数分别为57（1.4）vs 64（1.9）分; p = 0.001）。每秒皮肤电传导的波动次数和手术应激指数均确定了中度至重度疼痛的时间点，其敏感性和特异性仅为中等。
The number of fluctuations in skin conductance per second has been described as a potential tool for monitoring postoperative pain. More recently, the surgical stress index has shown promising correlations with intra-operative painful stimuli. We compared both methods for their ability to assess postoperative pain, in 100 postoperative patients who were also asked to quantify their level of pain at different time points in the recovery room. The number of fluctuations per second and surgical stress index were significantly different between pain scoring 5 / 10 on a numeric rating scale ( mean ( SE) number of fluctuations per second 0.12 (0.02) vs 0.21 (0.03), respectively; p = 0.017, and surgical stress index 57 (1.4) vs 64 (1.9) points, respectively; p = 0.001). Both number of fluctuations in skin conductance per second and surgical stress index identified timepoints with moderate to severe pain with only moderate sensitivity and specificity.