UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における慢性疼痛の評価 evaluation of chronic pain in adults
2. 緩和ケアにおける症状の評価へのアプローチ approach to symptom assessment in palliative care
3. 癌疼痛の評価 assessment of cancer pain
4. 女性における慢性骨盤痛の治療 treatment of chronic pelvic pain in women
5. 危篤状態の成人における鎮静鎮痛剤：選択、開始、維持、および離脱 sedative analgesic medications in critically ill adults selection initiation maintenance and withdrawal

Japanese Journal

A-2 アテトーゼ型脳性麻痺者に対する簡易型マクギル疼痛質問表の信頼性(理学療法科学,コミュニティケア〜生・老・病・死をささえるネットワーク〜,第19回日本保健科学学会学術集会)

リンク元	「疼痛評価」「McGill pain questionnaire」「疼痛測定法」「ホルマリンテスト」「McGill疼痛質問表」
関連記事	「疼痛」「質問」「質問表」

関: formalin test、MPQ、pain assessment、pain measurement、visual analog scale、visual analogue scale

下行性疼痛抑制系神経系は中脳水道周辺灰白質からの脊髄への入力からなる。具体的には大縫線核(セロトニン作動性)、巨大細胞網様核・傍巨大細胞網様核(ノルアドレナリン作動性)がの2系統が起点となる。抗うつ薬はこれらの神経伝達物質の再吸収を妨げ鎮痛作用を発揮する。

Adams and s Principles of Neurology, Ninth Edition Allan Ropper. table 8-2より抜粋

dysesthesia : Any abnormal sensation described as unpleasant by the patient.
hyperalgesia : Exaggerated pain response from a normally painful stimulus; usually includes aspects of summation with repeated stimulus of constant intensity and aftersensation.
hyperpathia : Abnormally painful and exaggerated reaction to a painful stimulus; related to hyperalgesia.
hyperesthesia (hypesthesia) : Exaggerated perception of touch stimulus.
allodynia : Abnormal perception of pain from a normally nonpainful mechanical or thermal stimulus; usually has elements of delay in perception and of aftersensation.
hypoalgesia (hypalgesia) : Decreased sensitivity and raised threshoid to painful stimuli.
anesthesia : Reduced perception of all sensation, mainly touch.
pallanesthesia : Loss of perception of vibration.
analgesia : Reduced perception of pain stimulus.
paresthesia : Mainly spontaneous abnormal sensation that is not unpleasant; usually described as "pins and needles".
causalgia : Buming pain in the distribution of one or more peripheral nerves.