RT Journal Article
SR Electronic
T1 Current Perception Thresholds and Postoperative Pain in Schizophrenic Patients
JF Regional Anesthesia & Pain Medicine
JO Reg Anesth Pain Med
FD BMJ Publishing Group Ltd
SP 475
OP 479
DO 10.1053/rapm.2000.7617
VO 25
IS 5
A1 Akira Kudoh
A1 Hironori Ishihara
A1 Akitomo Matsuki
YR 2000
UL http://rapm.bmj.com/content/25/5/475.abstract
AB Background and Objectives Schizophrenic patients may have less sensitivity to pain; however, pain insensitivity in schizophrenia has not been adequately evaluated. We investigated current perception threshold (CPT) and postoperative pain intensity in patients with long-standing and treated schizophrenia and control patients.Methods We measured CPTs for 2,000 Hz, 250 Hz, and 5 Hz and postoperative pain intensity using a visual analogue scale (VAS) in 50 chronic schizophrenic patients who were on chronic phenothiazine derivatives (> 10 years) and for 25 control patients.Results CPTs for 2,000 Hz, 250 Hz, and 5 Hz in schizophrenic patients were 334.2 ± 112.2, 303.9 ± 117.1, and 165.0 ± 72.3, respectively. CPTs for 2,000 Hz, 250 Hz, and 5 Hz in schizophrenic patients were significantly higher than those of control patients. VAS pain scores of schizophrenic patients were 4.0 ± 1.7 at 2 hours post-operatively and 3.8 ± 1.5 at 5 hours postoperatively, which were significantly (P < .05) lower than those (5.0 ± 1.6 and 5.1 ± 1.9) of the control group.Conclusions Chronic schizophrenic patients have increased current perception threshold and lower VAS pain scores in postoperative pain compared with control patients.