慢性腰痛に対するサイオペントン疼痛評価試験の検討

概要

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The purpose of this paper is to discuss the use of the thiopentone pain study as a test to determine whether a patient's disability is physiogenic or psychogenic.The record of 70 patients who had thyopentone pain study performed at the Wellesley Hospital for assessment of psychogenic and physiogenic low back pain between 1975 and 1985, comprised the material for this report. The basis of this test lies in the fact that, at the stage of light anesthesia although the patient is unconscious, he is still capable of demonstrating primitive reactions to pain. This test was performed on each patient with the results that 26 patients showed a physiogenic response, 17 patients showed a combined physiogenic and psychogenic response and 27 patients showed a psychogenic response.Final proof of the validity of this test depends upon its value in predicting the outcome of treatment. At present the thiopentone pain study is the only investigation which assesses directly the patient's reaction to pain and as such has a difinite role in the evaluation of patients with chronic low back pain.
西日本整形・災害外科学会の論文