摘要
目的:探讨定量感觉检测(QST)对头痛患者的诊断意义。方法:用定量感觉检测仪对对照组40例及头痛组71例(A组继发性头痛36例,B组功能性头痛35例),用Limit法测定耳前面颊部及耳后乳突处的冷觉(CS)、温觉(WS)、冷痛觉(CP)、热痛觉(HP)阈值,比较并分析。结果:头痛A组有32例出现QST异常,表现为阈值增高,感觉减退;头痛B组32例异常,表现为阈值降低,感觉过敏。结论:继发性及功能性头痛者表现出相反的QST异常结果,对于阈值增高的头痛患者应高度警惕存在头颈部的器质性病变。
Objective： The diagnostic value of quantitative sensory test （QST） on headaches has been observed. Methods： The threshold values of CS （cold sense）. WS （warm sense）, CP （cold pain） and HP （heat pain） have been measured in the cheeks and mastoid parts in 40 healthy controls and 71 headache patients （including 36 patients with secondary headaches caused by organic diseases and 35 patients with anxiety disorders）. Results： QST abnormality （manifested as increased QST threshold and hypesthesia） was detected in 32 cases with secondary head ache, while decreased QST threshold and hyperaesthesia were detected in 32 cases with anxiety disorders. Conclusion： Abnormal changes in QST may be present in secondary headaches and functional headaches, but a headache patient with an elevated QST threshold should be carefully examined to exclude organic diseases.
出处
《神经损伤与功能重建》
2008年第2期97-98,共2页
Neural Injury and Functional Reconstruction
关键词
头痛
定量感觉检测
诊断意义
headache
quantitative sensory test
diagnostic value
