ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Cerebral function was studied in a group of 34 cancer patients being treated with stable doses of 30—920 mg morphine/24 h using measurement of continuous reaction time. Sedation visual analog scale, pain visual analog scale and time from last medication were registered. This group was compared to a group of 32 healthy controls taking no opioids. Small but statistically significant prolongations of continuous reaction time were seen in the opioid group. Analgesic dose and sedation visual analog scales were weakly positively correlated to continuous reaction time. but factors other than opioid treatment must influence cancer patients' performance of continuous reaction time.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

This study reviews the results and complications of 162 percutaneous thermocoagulations of the gasserian ganglion in 124 patients with typical idiopathic trigeminal neuralgia. The mean duration of follow-up observation was 3.7 years (range. 1–6 years). One hundred eighteen of 124 patients continued to show complete pain relief I month after the operation. and at the end of follow-up observation, 83 of 124 patients (67%) continued to enjoy complete pain relief (recurrence rate, 28.2%). Anesthesia dolorosa occurred in 3% of cases, dysesthesia in, and paresthesia in l7%; neuroparalytic keratitis with permanent reduction of visual acuity was observed in 2% of cases, permanent diplopia in l%, permanent hearing deficit in 3%, and permanent impairment of mastication in 3%. We compare thermocoagulation with other surgical procedures (microvascular decompression, glycerol injection, and percutaneous decompression) used in the treatment of trigeminal neuralgia.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

This study examined the relationship of pain drawings to somatization in patients with sickle cell disease (SCD). Sixty-nine adult patients with SCD completed a pain drawing in which they shaded in areas of the body in which they experienced pain and also completed the symptom checklist (SCI) 90-R as an index of psychological distress. Analysis of variance indicated that patients who were categorized as having pain drawings with sites inconsistent with expected SCD pain patterns had somatization scores in the clinically significant range. The results suggest that health care professionals who treat SCD patients need to consider pain patterns. In individuals with pain patterns atypical for SCD, the psychological status of the patient may need to he evaluated to facilitate optimal pain management.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Recent literature indicates a relationship between history of sexual abuse and subsequent psychological and social dysfunction. Less thoroughly examined are the possible abuse-related physical effects. This article examines the prevalence of sexual abuse among 135 chronic pain patients. History of abuse for all patients was determined during initial interview. Twenty-eight percent reported child sexual abuse, with history of victimization more significant for women (39%) than men (7%). The abused and nonabused groups of women differed on such variables as marital status, occupation, history of rape and substance abuse, and age of hospitalization. The relationship between sexual abuse and chronic somatic reactions was discussed.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Twenty consecutive, chronic low hack pain patients admitted to our pain treatment unit completed the Attributional Style Questionnaire (an instrument that detects a cognitive style that is correlated with, and that predicts, depression) and the Beck Depression Inventory. An age, sex, and education-matched group of normal subjects, a group of patients with asymptomatic essential hypertension, and a group of patients with end-stage renal disease receiving dialysis treatment served as controls. The majority of the chronic-pain and renal-dialysis patients had elevated depression scores, whereas none of the normal subjects or hypertensive patients were outside the nondepressed range. The Attributional Style scores of the pain and renal dialysis patients were significantly deviant from the normal control group, but no more so than those of the patients with hypertension. The results of this study suggest that individuals with a chronic medical condition, either symptomatic (chronic low back pain or renal disease) or asymptomatic (essential hypertension) in nature, develop an attributional style characteristic of depression. These data neither lend support nor refute the thesis that chronic pain syndromes are a variant of, or a masked, depression. Rather, this research implies that a more important question is what identifiable risk factors (for example, attributional style) predispose patients with chronic pain to develop a depressive illness.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The study compared and contrasted medical. psychological, social and general behavioral functioning of American and Japanese low back pain patients and normal controls. The Sickness Impact Profile and a standardized Medical Examination Protocol for Pain instrument were used to assess all subjects. Findings showed that the American and Japanese low back pain patients had similar and significantly higher medical-physical findings than their respective controls. Likewise, the American and Japanese low back pain patients showed significantly greater psychological, social, and general behavioral dysfunction compared to control subjects. Finally, despite similar medical and physical findings, the Japanese low back pain patients were significantly less impaired in psychological, social, vocational, and avocational functioning than the American low back pain patients. It was concluded that there were significant cross-cultural differences between the American and Japanese low hack pain patients, primarily in the psychosocial and behavioral areas. However, given the small sample size, any conclusion should be considered with caution; replication is needed before more definite conclusions are possible.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A pain syndrome encountered in patients who have undergone laminectomy with medial facetectomy is described. The patients share the following features: (a) unilateral pain, made worse by walking and standing: (b) pain in buttock, thigh, or calf: (c) normal neurologic examination: and (d) response to injection of local anestheticidepot steroid in the area of the resected medial facet. We believe this pain is caused by neural entrapment, and thus is worsened by movement of the spinal elements. It is proposed that these facet-remnant injections might he used to identify patients who are candidates for surgical stabilization, although this supposition will require further clinical work.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Three cases of different types of nerve injuries following orthopedic and chest surgery are described. Recovery from these nerve injuries was prolonged and incomplete. By constant awareness of potential nerve damage during operation. it is possible to prevent such injuries.

ISSN:0749-8047    

出版商:OVID    

年代:1990

数据来源: OVID