当前位置: X-MOL 学术J. Peripher. Nerv. Syst. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Cold intolerance and neuropathic pain after peripheral nerve injury in upper extremity
Journal of the Peripheral Nervous System ( IF 3.8 ) Pub Date : 2020-04-28 , DOI: 10.1111/jns.12376
Ernesta Magistroni 1 , Giulia Parodi 1 , Fabrizio Fop 2 , Bruno Battiston 3 , Lars B. Dahlin 4, 5
Affiliation  

Cold intolerance and pain can be a substantial problem in patients with peripheral nerve injury. We aimed at investigating the relationships among sensory recovery, cold intolerance, and neuropathic pain in patients affected by upper limb peripheral nerve injury (Sunderland type V) treated with microsurgical repair, followed by early sensory re‐education. In a cross‐sectional clinical study, 100 patients (male/female 81/19; age 40.5 ± 14.8 years and follow‐up 17 ± 5 months, mean ± SD), with microsurgical nerve repair and reconstruction in the upper extremity and subsequent early sensory re‐education, were evaluated, using Cold Intolerance Symptoms Severity questionnaire‐Italian version (CISS‐it, cut‐off pathology >30/100 points), CISS questionnaire‐12 item version (CISS‐12, 0‐46 points‐grouping: healthy that means no cold intolerance [0‐14], mild [15‐24], moderate [25‐34], severe [35‐42], very severe [43‐46] cold intolerance), probability of neuropathic pain (DouleurNeuropathique‐4; [DN4] 4/10), deep and superficial sensibility, tactile threshold (monofilaments), and two‐point discrimination (cutoff S2; Medical Research Council scale for sensory function; [MRC‐scale]). A high CISS score is associated with possible neuropathic pain (DN4 ≥ 4). Both a low CISS‐it score (ie, < 30) and DN4 < 4 is associated with good sensory recovery (MRC ≥ 2). In conclusion patients affected by upper limb peripheral nerve injuries with higher CISS scores more often suffer from cold intolerance and neuropathic pain, and the better their sensory recovery is, the less likely they are to suffer from cold intolerance and neuropathic pain.

中文翻译:

上肢周围神经损伤后的耐寒性和神经性疼痛

耐寒性和疼痛可能是周围神经损伤患者的主要问题。我们的目的是调查接受显微外科手术修复后受上肢周围神经损伤(Sunderland V型)影响的患者的感觉恢复,耐寒性和神经性疼痛之间的关系,并进行早期感觉再教育。在一项横断面临床研究中,有100例患者(男/女81/19;年龄40.5±14.8岁,随访17±5个月,平均±SD),在上肢和随后的早期进行了显微外科神经修复和重建使用感冒耐受症状严重程度问卷(意大利语版)(CISS-it,临界病理值> 30/100分),ISSS问卷-12项目版本(CISS-12、0-46分分组)对感觉再教育进行评估:健康,意味着没有耐寒性[0-14],轻度[15-24],中度[25-34],严重[35-42],非常严重[43-46]耐寒性),神经性疼痛的可能性(DouleurNeuropathique-4; [DN4] 4/10),深以及表面敏感性,触觉阈值(单纤维)和两点歧视(临界值S2;医学研究理事会的感觉功能量表; [MRC量表])。较高的CISS评分与可能的神经性疼痛有关(DN4≥4)。较低的CISS-it得分(即<30)和DN4 <4都与良好的感觉恢复(MRC≥2)相关。总而言之,受CISS评分较高的上肢周围神经损伤影响的患者更容易遭受冷耐受性和神经性疼痛,其感觉恢复越好,遭受冷耐受性和神经性疼痛的可能性就越小。非常严重的[43-46]耐寒性),神经性疼痛的可能性(DouleurNeuropathique-4; [DN4] 4/10),深层和浅层的敏感性,触觉阈值(单丝)和两点歧视(临界值S2;医学研究)感觉功能的议会评分; [MRC-scale])。较高的CISS评分与可能的神经性疼痛有关(DN4≥4)。较低的CISS-it得分(即<30)和DN4 <4都与良好的感觉恢复(MRC≥2)相关。总而言之,受CISS评分较高的上肢周围神经损伤影响的患者更容易遭受冷耐受和神经病性疼痛,其感觉恢复越好,患冷耐受性和神经病性疼痛的可能性就越小。非常严重的[43-46]耐冷性),神经性疼痛的可能性(DouleurNeuropathique-4; [DN4] 4/10),深层和浅层的敏感性,触觉阈值(单丝)和两点歧视(临界值S2;医学研究)感觉功能的议会评分; [MRC-scale])。较高的CISS评分与可能的神经性疼痛有关(DN4≥4)。较低的CISS-it得分(即<30)和DN4 <4都与良好的感觉恢复(MRC≥2)相关。总而言之,受CISS评分较高的上肢周围神经损伤影响的患者更容易遭受冷耐受和神经病性疼痛,其感觉恢复越好,患冷耐受性和神经病性疼痛的可能性就越小。深层和浅层的敏感性,触觉阈值(单丝)和两点歧视(临界值S2;医学研究理事会的感觉功能量表; [MRC量表])。较高的CISS评分与可能的神经性疼痛有关(DN4≥4)。较低的CISS-it得分(即<30)和DN4 <4都与良好的感觉恢复(MRC≥2)相关。总而言之,受CISS评分较高的上肢周围神经损伤影响的患者更容易遭受冷耐受和神经病性疼痛,其感觉恢复越好,患冷耐受性和神经病性疼痛的可能性就越小。深层和浅层的敏感性,触觉阈值(单丝)和两点歧视(临界值S2;医学研究理事会的感觉功能量表; [MRC量表])。较高的CISS评分与可能的神经性疼痛有关(DN4≥4)。较低的CISS-it得分(即<30)和DN4 <4都与良好的感觉恢复(MRC≥2)相关。总而言之,受CISS评分较高的上肢周围神经损伤影响的患者更容易遭受冷耐受和神经病性疼痛,其感觉恢复越好,患冷耐受性和神经病性疼痛的可能性就越小。较低的CISS-it得分(即<30)和DN4 <4都与良好的感觉恢复(MRC≥2)相关。总而言之,受CISS评分较高的上肢周围神经损伤影响的患者更容易遭受冷耐受和神经病性疼痛,其感觉恢复越好,患冷耐受性和神经病性疼痛的可能性就越小。较低的CISS-it得分(即<30)和DN4 <4均与良好的感觉恢复(MRC≥2)相关。总而言之,受CISS评分较高的上肢周围神经损伤影响的患者更容易遭受冷耐受和神经病性疼痛,其感觉恢复越好,患冷耐受性和神经病性疼痛的可能性就越小。
更新日期:2020-04-28
down
wechat
bug