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尾神经应用压力测试以支持尾神经疼痛诊断

Boaz G Samolsky Dekel^1,2,3, Maria C Sorella^4,5, Alessio Vasarri⁵

¹Department of Medicine and Surgery Sciences, University of Bologna, Via Massarenti N. 9, 40138, Bologna, Italy. boaz.samolskydekel@unibo.it.

Pain and therapy

|June 13, 2023

概括

尾部神经应用于应力 (ONAS) 测试表明在头脑痛患者早期尾部神经痛 (ON) 诊断的可靠性很好. 这项新的测试有助于识别ON,一种致残的头痛状况.

科学领域:

神经学神经学
诊断工具诊断工具诊断工具
疼痛管理疼痛管理

背景情况:

尾神经疼痛 (ON) 由于其残疾性质, presents一个诊断挑战.
早期和准确的ON诊断对于有效的患者管理至关重要.

研究的目的:

为了描述尾神经施加的应力测试 (ONAS).
分析ONAS测试用于早期ON诊断的可靠性和诊断准确性.

主要方法:

一项回顾性观察性研究包括163名脑痛患者.
对ONAS测试的灵敏度,特异性和预测值进行了评估,并与尾神经阻塞和疼痛DETECT.
评估者之间的可靠性是使用科恩的卡帕统计学来评估的.

主要成果:

与参考测试相比,ONAS测试显示了高灵敏度 (81-94%) 和可接受的特异性 (18-46%).
积极的预测值超过70%,而负面的预测值则有所不同 (26-81%).
观察到优异的评价者间一致性;ONAS结果与疼痛部位相关.

结论:

在脑痛患者中,ONAS测试表现出令人满意的可靠性.
它显示出作为一种有价值的工具,用于早期诊断尾神经疼痛的潜力.

关键词:

麻醉剂可以阻断麻醉.在ONAS测试试验中.尾神经疼痛是什么意思疼痛检测仪 (PainDETECT) 是一个可以检测疼痛的工具.可靠性可靠性可靠性

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