TY - T1的实验性卒中后失语患者的疼痛评估JF -神经学乔-神经病学SP - e793 LP - e799做- 10.1212 / WNL。首页0000000000006081六世- 91 - 9 AU -基督教d·苏亚雷斯盟Pradeep k Panuganti AU - Shrivastava Arpan盟Sushanth Aroor AU -凯蒂·m·Keinath盟玛丽c Bromagen盟梅根·e·霍华德AU -查尔斯·卡尔森盟乔纳森·h·史密斯Y1 - 2018/08/28 UR - //www.ez-admanager.com/content/91/9/e793.abstract N2 -客观评价一个observational-behavioral疼痛首页工具个体急性卒中后失语。方法我们进行了一个随机、双盲、对照研究实验疼痛评估中36个成人急性卒中后失语患者。疼痛患者服用3水平的机械,包括安慰剂。的行为反应被视频记录,然后评估3神经病学护士使用有限的疼痛评估清单老年人沟通能力(PACSLAC-II)。首页特定的面部动作单位量化了FaceReader 6.1版。结果平均PACSLAC-II评级为0 - 2 -,和4.5磅重量刺激2(0,3),1(0,3),分别和2 (1、5)。总的来说,没有发现差异(p = 0.06)。两两比较Wilcoxon方法证明意义区分PACSLAC-II评级的病人经历4.5磅的刺激和2磅体重(p = 0.03)或安慰剂(p = 0.05)。总体评分者间信度的克伦巴赫α是强大的0.87,0.94,0.96,重量的0,2和4.5磅。特定的面部激活和负价观察同样在安慰剂组和实验疼痛。Conclusions Among our cohort with acute poststroke aphasia, the PACSLAC-II was not able to overall differentiate patients experiencing experimental mechanical pain, although differences in those experiencing the strongest pain stimulus were significant. The detection of pain-specific facial activation and negative valence in the placebo group indicates that pain and distress are unmet needs among stroke patients who are unable to verbally communicate.AU=action unit; IQR=interquartile range; NIHSS=NIH Stroke Score; PACSLAC-II=Pain Assessment Checklist for Seniors With Limited Ability to Communicate; VAS=visual analog scale ER -