健康な被験者の腹痛の値に対する呼吸の影響 - パイロット研究
Jasmin Klick1, Cui Yang1, Armin Azimi1
1Department of Surgery, University Medicine Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
腹痛の感受性は呼吸によって影響されます. 痛みの値が低かったため,標準的な圧力痛みの値の評価が必要であった.
科学分野:
- 痛みに関する研究
- 生理学
- 医療診断
背景:
- 圧力アルゴメトリーは,筋骨格疾患における痛みの感受性の測定のための有効なツールです.
- 特に呼吸などの生理学的影響を考慮して,腹圧痛の値 (PT) の評価を標準化することが重要です.
研究 の 目的:
- 呼吸段階 (吸入 vs 吐出) が腹圧痛値 (PT) に与える影響を調査する.
- 腹痛の感受性の評価のための標準化されたプロトコルの開発をサポートするデータを提供する.
主な方法:
- 31人の健康な医学生が参加した.
- 腹部PTは3つの異なる呼吸段階で評価されました.
- クラス内相関係数 (ICC) を計算して測定の信頼性を決定した.
主要な成果:
- 腹部PTは,吸入と比較して,排出時に有意に低かった (431 ± 177 kPa vs 492 ± 186 kPa,p = 0. 0003).
- 圧力適用率 (PAR) は,吸入時より低かった (112 ± 56 kPa/s,p = 0. 0007).
- 高信頼性 (ICCs ≈0. 9) が認められ,性によるPTの差異は認められなかった.
結論:
- 呼吸は腹部痛みの知覚に大きく影響し,吸入時にPTが高くなります.
- 信頼性の高い診断と治療評価のために,腹部PT評価のための標準化された方法が必要です.
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