首都医科大学学报
首都醫科大學學報
수도의과대학학보
JOURNAL OF CAPITAL UNIVERSITY OF MEDICAL SCIENCES
2014年
3期
331-336
,共6页
止血带加压性疼痛%恐惧量表%痛阈%心率%疼痛程度%不适程度
止血帶加壓性疼痛%恐懼量錶%痛閾%心率%疼痛程度%不適程度
지혈대가압성동통%공구량표%통역%심솔%동통정도%불괄정도
cuff-pressure pain%fear psychometry%pain threshold%heart rate%pain intensity%pain distress
目的：研究止血带加压性疼痛对心率(heart rate,HR)、血压(blood pressure,BP)的影响以及实验前受试者心理状况对疼痛反应的预测性。方法受试者为15名健康年轻成年男性。实验前让受试者填写知情同意书,填写6项心理学量表,以便衡量受试者的心理状况。记录其实验前心率与血压。然后进行3次左上臂(非利手边)止血带加压,连续记录受试者疼痛程度(pain intensity,PI)和不适程度( pain distress,PD),加压速度为10 mmHg/ s(1 mmHg =0.133 kPa)。同时记录各次加压前的疼痛阈值(pain threshold,PT)及每次加压刺激后的心率和血压。结果1)受试者实验前的恐惧量表测量的结果在正常范围内,与其对应的各次加压性疼痛的疼痛阈值变化之间呈负相关(r1=-0.58,P=0.02)。2)疼痛刺激时,心率会随之增加(P<0.03)。3)受试者经每次止血带加压性疼痛刺激,疼痛程度和不适程度都会逐渐升高。结论1)恐惧评分可以预测止血带加压性的疼痛阈值。2)疼痛刺激能增加心率。
目的：研究止血帶加壓性疼痛對心率(heart rate,HR)、血壓(blood pressure,BP)的影響以及實驗前受試者心理狀況對疼痛反應的預測性。方法受試者為15名健康年輕成年男性。實驗前讓受試者填寫知情同意書,填寫6項心理學量錶,以便衡量受試者的心理狀況。記錄其實驗前心率與血壓。然後進行3次左上臂(非利手邊)止血帶加壓,連續記錄受試者疼痛程度(pain intensity,PI)和不適程度( pain distress,PD),加壓速度為10 mmHg/ s(1 mmHg =0.133 kPa)。同時記錄各次加壓前的疼痛閾值(pain threshold,PT)及每次加壓刺激後的心率和血壓。結果1)受試者實驗前的恐懼量錶測量的結果在正常範圍內,與其對應的各次加壓性疼痛的疼痛閾值變化之間呈負相關(r1=-0.58,P=0.02)。2)疼痛刺激時,心率會隨之增加(P<0.03)。3)受試者經每次止血帶加壓性疼痛刺激,疼痛程度和不適程度都會逐漸升高。結論1)恐懼評分可以預測止血帶加壓性的疼痛閾值。2)疼痛刺激能增加心率。
목적：연구지혈대가압성동통대심솔(heart rate,HR)、혈압(blood pressure,BP)적영향이급실험전수시자심리상황대동통반응적예측성。방법수시자위15명건강년경성년남성。실험전양수시자전사지정동의서,전사6항심이학량표,이편형량수시자적심리상황。기록기실험전심솔여혈압。연후진행3차좌상비(비리수변)지혈대가압,련속기록수시자동통정도(pain intensity,PI)화불괄정도( pain distress,PD),가압속도위10 mmHg/ s(1 mmHg =0.133 kPa)。동시기록각차가압전적동통역치(pain threshold,PT)급매차가압자격후적심솔화혈압。결과1)수시자실험전적공구량표측량적결과재정상범위내,여기대응적각차가압성동통적동통역치변화지간정부상관(r1=-0.58,P=0.02)。2)동통자격시,심솔회수지증가(P<0.03)。3)수시자경매차지혈대가압성동통자격,동통정도화불괄정도도회축점승고。결론1)공구평분가이예측지혈대가압성적동통역치。2)동통자격능증가심솔。
Objective To investigate the prediction of the subject’s psychological level on behavioral pain threshold to cuff-pressure tonic pain test and its effect to physical signs of heart rate(HR) and blood pressure(BP). Methods Fifteen healthy young male subjects (age:18-29 years) participated in the study. They were asked to fill in the informed consent and 6 psychological questionnaires, which were used to estimate their psychological level. They all were taken the BP and HR before and after the experiment. Then cuff-pressure pain was induced at their left upper(non-dominated) arms. The pain intensities and the pain distresses were recorded when the stimulus was going at the speed of 10 mmHg/ s. Meanwhile, we recorded the pressure-pain thresholds before the stimulus and the HR as well as BP after each cuff-pressure stimulus. Results ① The results of the psychometrics were all in normal limits and the fear level for each subject was negatively correlated with his own values of the 3 cuff pressure pain-thresholds(r= -0. 58, P=0. 02). ② The HR increased after the pain-test(P<0. 03). ③ When teach stimulus was going on, the pain-intensities and the distresses for each subject were increasing gradually. Conclusion ① The result of the fear psychometry can predict the behavioral pain threshold. ② The pain stimulation can increase the HR.
