孙松朋 1龙俊红 1周阳洋 1褚洪川 1刘甲鑫 1刘彦 1霍兴霄 1张书信1
作者信息
- 1. 北京中医药大学东直门医院肛肠科(北京 100700)
- 折叠
摘要
Abstract
Objective To explore the efficacy of Visual Analogue Scale(VAS)in assessing anal pain in patients with hemorrhoids,and to establish the VAS cut-off points and ranges for mild,moderate and severe anal pain.Methods A cross-sectional survey was conducted in 6 hospitals from November 2021 to Novem-ber 2022.A self-designed questionnaire was used to collect patients'general information and treatment meth-ods.VAS,Verbal Rating Scale(VRS),Goligher classification,PATE score,hemorrhoid severity and surgi-cal risk prediction(HSSP)score,bodily pain(BP)dimension score of short form health survey and Chinese version of HEMO-FISS-QoL questionnaire(HF-QoL-C)score were assessed simultaneously.Receiver oper-ating characteristic(ROC)curve was drawn to determine the VAS cut-off points for mild,moderate and severe pain.Results A total of 695 patients with hemorrhoids were included.There were no significant differences in VAS among patients with different genders,educational levels,marital status,economic status,medical payment methods and BMI classifications(P>0.05).There were significant differences in VAS among patients with different treatment methods(drug/surgery),Goligher classifications and VRS classifications(P<0.001).The correlation coefficient(r)between VAS and age was 0.074(P=0.053),which was negatively correlated with BP score(r=-0.545,P<0.001),and positively correlated with PATE score(r=0.553,P<0.001)and HSSP score(r=0.524,P<0.001).The VAS cut-off points of anal pain in patients with hemorrhoids were as follows:no pain(0 cm≤VAS≤0.2 cm),mild pain(0.2 cm<VAS≤3 cm),moderate pain(3 cm<VAS≤7 cm),and severe pain(7 cm<VAS≤10 cm).After classification according to this standard,there were significant differences in the total HF-QoL-C score,its dimension scores,PATE score,HSSP score and BP score among each group(P<0.001).Conclusion VAS has stable performance and can effectively assess the intensity of anal pain in patients with hemorrhoids.It is recommended that the VAS cut-off points for anal pain in patients with hemorrhoids are as follows:no pain(0 cm≤VAS≤0.2 cm),mild pain(0.2 cm<VAS≤3 cm),moderate pain(3 cm<VAS≤7 cm),and severe pain(7 cm<VAS≤10 cm).关键词
痔病/视觉模拟评分/语言描述评分/有效性/分级界值Key words
Hemorrhoids/Visual Analogue Scale/Verbal Rating Scale/Effectiveness/Cut-off points
