Pain intensity and psychosocial characteristics of patients with burning mouth syndrome and trigeminal neuralgia
Pain intensity and psychosocial characteristics of patients with burning mouth syndrome and trigeminal neuralgia
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DOI：
10.2334/josnusd.54.321
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发表时间：
2012-12-01
影响因子：
1.9
通讯作者：
Kawara, Misao
中科院分区：
文献类型：
--
作者：
Komiyama, Osamu;Obara, Ryoko;Kawara, Misao
本研究比较了灼口综合征（BMS）和三叉神经痛（TN）患者的疼痛强度和心理社会特征。分析了282例BMS患者和83例TN患者的数据。患者报告病程：病程6个月为慢性疾病。使用0-10数值评定量表（NRS）报告过去6个月的当前疼痛强度和最严重疼痛强度。此外，在问卷中评估抑郁和躯体化得分。慢性BMS患者报告的疼痛强度明显高于急性BMS患者，心理社会特征也更差。TN患者的疼痛强度高于BMS患者，尽管急性和慢性疾病患者的疼痛强度和心理社会特征均无显著差异。对BMS和TN患者进行Logistic回归分析发现，BMS患者最严重疼痛的比值比明显低于TN患者，躯体化评分的比值比BMS患者高3.8倍。这些发现表明BMS患者可能需要针对中枢神经系统或心理社会特征的疼痛控制。
This study compared pain intensity and psychosocial characteristics between patients with burning mouth syndrome (BMS) and those with trigeminal neuralgia (TN). Data from 282 patients with BMS and 83 patients with TN were analyzed. Patients reported duration of illness: duration 6 months as chronic illness. Present pain intensity and worst pain intensity during the past 6 months were reported using a 0-10 numeric rating scale (NRS). In addition, depression and somatization scores were evaluated on questionnaires. Patients with chronic BMS reported significantly higher pain intensity and had worse psychosocial characteristics than did those with acute BMS. Pain intensity was higher in TN patients than in BMS patients, although neither pain intensity nor psychosocial characteristics significantly differed between patients with acute and chronic illness. Logistic regression analysis of BMS and TN patients revealed that the odds ratio for worst pain was significantly lower for BMS patients than for TN patients and that the odds ratio for somatization score was 3.8 times higher in BMS patients. These findings suggest that BMS patients may require pain control targeting the central nervous system or psychosocial characteristics.