CN205964022U - Quick measuring device of machinery grief - Google Patents

Quick measuring device of machinery grief Download PDF

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Publication number
CN205964022U
CN205964022U CN201620666517.9U CN201620666517U CN205964022U CN 205964022 U CN205964022 U CN 205964022U CN 201620666517 U CN201620666517 U CN 201620666517U CN 205964022 U CN205964022 U CN 205964022U
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China
Prior art keywords
silk
housing
pain
measurement
slide block
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Expired - Fee Related
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CN201620666517.9U
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Chinese (zh)
Inventor
刘军
何晓乐
李旭升
甄平
周胜虎
王晓明
葛伟
苏慧
李榕
韩凤霞
雷红娟
范多胜
王益
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LANZHOU GEN HOSPITAL LANZHOU MILITARY AREA COMMAND PLA
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LANZHOU GEN HOSPITAL LANZHOU MILITARY AREA COMMAND PLA
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Abstract

The utility model discloses a quick measuring device of machinery grief, including the casing, a plurality of painful measurement silks of mechanicalness that are used for detecting are equipped with in the casing, offered a plurality of measurement silk on the antetheca of casing and portalled, be equipped with a plurality of being used for in the casing to follow the measurement silk pop -up mechanism who pops out in the casing with measuring the silk, still be equipped with in the casing and be used for regaining the return board in the casing with the measurement silk that pops out. The utility model discloses an it can upset sense of touch test skin to measure the silk, and easy operation, user can the painful threshold values of automatic recording, and the painful and inherence in can the be portably fast surface to the patient involves the grief and does one and test than the omnidirectional. The utility model provides a painful test of mechanicalness of quick measuring device of machinery grief mainly used aassessment skin is the instrument of the aassessment skin mechanicalness pain degree of a not damaged, can be used for patient's painful test, accurate test patient's painful threshold value and painful scope to can reach accurate practical effect in the use.

Description

A kind of mechanical bitterly quick measurement apparatus
Technical field
This utility model belongs to medical instruments field and in particular to a kind of quick measurement apparatus of machinery pain.
Background technology
It is known that pain is a kind of complicated experience and experience, including feeling to distinguish, emotion motivation and cognitive appraisal three Individual key component.It is now recognized that when the pain increased or body is subject to inflammation or various damage to attack, pain no longer plays Protective effect, gradually develops into chronic pathological pain, not only can cause sensory disturbance (spontaneous pain, hyperpathia Quick with abnormal pain), also many higher brains can be had influence on by up pathway, such as:Emotion, cognition, memory etc., thus Lead to many cognitive disorder related to pain and mental sickness, such as:Anxiety, depression, forgetful, insomnia, cognitive impairment etc..Slowly Property pain be a kind of nervous function disease or functional brain disease, the cause of disease is complicated, and mechanism is unclear, diverse clinical manifestations, controls Treat difficulty big.According to epidemiology statistics, in world population, chronic pain sickness rate has reached 30~35%, and wherein 27% with insomnia, 49% with disability, and 60% with depression.Chronic pain has severely impacted the Health and Living quality of people.
Comorbidity (comorbidity) is also known as with disease, the combination of syndromes, comorbiditieses.First by Yale Feinstein in 1970 Secondary proposition.The definition of Campell psychiatry dictionary in 1989 is:Comorbidity refers to same patient simultaneously or within the specific time With 2 kinds or two or more different disease, and every kind of disease has all reached diagnostic criteria, not reciprocal causation between several diseases, Each own different independent pathophysiological mechanism.With depression in chronic pathological pain, can be described as pain comorbidity.At present, The comorbidity problem of chronic pathological pain and affective disorder drastically influence sensory function and the quality of life of patient, therapeutic strategy and Related mechanism research is also very limited, needs to carry out further preclinical and clinical research and exploration.Therefore, pain comorbidity is asked Topic is the forward position focus of neuroscience field.
Chronic pathological pain is disease that is most common and lacking treatment meanss most, especially neuropathy in clinical chronic pain Rationality pain even more becomes one of emphasis and difficulties of clinical treatment.Neuropathic pain is by periphery or the horizontal body of maincenter The damage of body sensory system and disease and the pain that directly contributes.Its pathogenesis is complicated, can involve multiple location nervous system, bag Include peripheral nerve injury (diabetic nerve damage pain, peripheral nerve injury, postherpetic neuralgia) and nervus centraliss Damage (post-stroke pain, spinal cord injury, multiple sclerosiss etc.).Epidemiological study shows, exists close between pain and depression Cut dependency, the pain incidence rate of depressed crowd and pain population's incidence rate are above each single incidence rate, pain and depression Suffer from rate average out to 50%~60% altogether.Wherein, depressed and anxiety sickness rate in crowd is 16% about, but in chronic pain patient In have higher sickness rate to be about 35%.Pain and depression usually comorbidity, both frequent juxtapositions, patient's function when coexisting Infringement is bigger, and quality of life is worse.Therefore, treatment chronic pathological pain is extremely urgent with depressed comorbidity problem.
Chronic pain not only affects attention, has an effect on various memories and is formed.Substantial amounts of research provides and confirms Pain can cause amnesia.At the same time, some documents also report inflammatory pain and the animal model of neuropathic pain can Impact cognitive process.Praxiology research finds that SNL and peripheral nervouss pathologic pain model (PSNL) can lead to different degrees of recognizing Know dysfunction.Chronic pathological pain may result in many mental sickness related to pain and cognitive disorder, such as:Anxiety, suppression Strongly fragrant, forgetful, insomnia, cognitive impairment etc.;And depression is the main Types of affective disorderses, clinically with notable and lasting Mental state low for principal character, serious harm human physical and mental health, homicide rate raises year by year in the world in recent years.Mesh Front all do not have effectively treatment mode to chronic pain and depression, then when both coexist, clinical treatment is even more extremely difficult.
Pain is accompanied by the sense in the sensation a kind of beastly and emotion of existing or potential tissue injury It is subject to, common pain stimulation form includes hot and cold, chemical (formalin, acetic acid) stimulation, pressure, laser, electricity, Bee Venom etc.. Mechanical nociceptive is one of clinically common pain, refers to that body or histoorgan produce machinery change in the presence of external force Shape, when the degree of deformation exceedes the threshold value of mechanical nociceptor, the pain that sensor is activated and produces.
With the continuous development of medical level, new surgical technic is more and more applied to clinic, to obtaining Good curative effect, farthest mitigates the misery of patient simultaneously.But, postoperative pain is still impact patient's postoperative quality of life Key factor.The research in past shows, for different patients, its postoperative pain degree, persistent period and tolerance level exist Significantly individual variation, and these differences receive physiology, the impact of the many factors such as psychological and social.Among these, operation in patients Front pain sensitivity is considered as an important predictor judging postoperative pain state.Pain after operation in patients is controlled Treat, clinical general by the way of more passive, that is, patient has during demand and gives certain analgesia therapy.Although automatic-control pain-relieving device (patient control analgesiadevice, PcAD), such as analgesic pump etc. apply for many years in clinic, but for multi-party The reason face, preoperative decision-making during its use is still subject to many limitations.Therefore, if the pain sensitivity before operation in patients can be entered Row test, its postoperative pain status of anticipation are it is possible to for the prevention of clinical postoperative pain and Decision-Making Intervention offer side can be formulated Help.
Need in research work to carry out effective pain test to experiment with rat or patient it is therefore an objective to survey by accurate Amount counts its pain threshold, to provide unified experiment benchmark for research work.But lack easy in current research work Easy pain test instrument device, in clinical position, tests, to the pain of patient, the master that can only rely on scale and patient itself at present See and judge, there is no a kind of objective effective assessment method and device.Therefore design a kind of dress of quick detection mechanical nociceptive Put, and accurate practical purpose can be reached in use, be preferably research work and clinical treatment service, there is weight Want meaning.
Utility model content
The purpose of this utility model is to provide a kind of machinery pain quick measurement apparatus, can quick detection mechanical nociceptive, And accurately practical effect can be reached in use.
For reaching above-mentioned purpose, the technical solution adopted in the utility model is:
A kind of mechanical bitterly quick measurement apparatus, including housing, housing is built with some measurements for detecting mechanical nociceptive Silk, if dry measure silk is offered on the antetheca of housing portal, be provided with housing some for measurement silk is ejected in housing Measurement silk ejecting mechanism, is additionally provided with housing for the measurement ejected silk withdraws the return plate in housing.
Described measurement silk ejecting mechanism includes buckle, chute, slide block and spring, after the rear end of chute is fixed on housing On wall, the front end of chute offers measurement silk and exports and point to measurement silk portals, and slide block is located in chute, after slide block and chute End is connected by spring, and measurement silk is fixed on slide block, and the top of slide block is provided with boss or the groove of cooperation buckle engaging, shell Offer on the rear wall of body and be snapped into hole, the front end of buckle is stretched in housing from being snapped into hole, and the front end of buckle be provided with for The hook of engaging slide block, the rear end of buckle is to stir handle, stirs handle and is located at outside housing.
Offer bar hole along the direction of motion of measurement silk on described housing, return plate with can slide along bar hole Shifting block is connected, and return plate offers some return holes that chute can be made to pass through but slide block can not be made to pass through, and slide block is located at Between return plate and the rear wall of housing.
The height of described slide block is more than the height more than chute for the height in return hole.
The handle of stirring of described buckle is provided with some tactile testing stimuluses dynamics providing for mark measurement silk Label.
Described measurement silk is some different thicknesses, the nylon fiber silk of different length.
The dynamics of the tactile testing stimuluses power that described measurement silk provides is 0.01g~300g.
Described measurement silk arranges 15, the dynamics of its tactile testing stimuluses power providing be respectively 1g, 2.15g, 2.8g, 3.5g, 4.5g, 5.5g, 7.8g, 11g, 15g, 20g, 25g, 30g, 40g, 50g and 60g.
Described housing is provided with is easy to hand-held handle.
With respect to prior art, the beneficial effects of the utility model are:
The quick measurement apparatus of machinery pain that this utility model provides, in housing built with some for detecting mechanical nociceptive Measurement silk, is provided with some measurement silk ejecting mechanisms for ejecting measurement silk in housing, is additionally provided with use in housing in housing Withdraw the return plate in housing in the measurement silk by ejection.Tactile can be stimulated to test skin by measuring silk, can quickly examine Survey mechanical nociceptive.The quick measurement apparatus of machinery pain that this utility model provides are surveyed mainly for assessment of the mechanical nociceptive of skin Examination, is a kind of experiment equipment of non-intrusion type, and that is, a kind of instrument of undamaged assessment skin mechanical nociceptive degree, can be used for The pain test of patient, can more accurately test pain threshold and the pain dimensions of patient, and can be in use Reach accurately practical effect, can be preferably research work and clinical treatment service, such as by using this utility model The quick measurement apparatus of machinery pain providing are tested to the pain sensitivity before operation in patients, its postoperative pain status of anticipation, energy Enough preventions for clinical postoperative pain and formulation Decision-Making Intervention provide help.The quick measurement apparatus of machinery pain that this utility model provides Simple to operate, accurately, facility compact, user can record pain threshold automatically, even if being non-researcher, through simple Illustrate that training also can be grasped rapidly.This utility model the easy fast facial pain to patient and inherent referred pain can do one Individual more omnibearing test, the pain threshold of judge patient and scope, are Clinical Pain therapeutic choice medicine and therapeutic modality carries For accurate foundation.Can be used for during metallic work table in addition, the machinery pain quick measurement apparatus collocation that this utility model provides is punchinged The pain threshold measurement of rodent in scientific experiment.
Further, in the quick measurement apparatus of machinery pain that this utility model provides, when buckle is fastened on slide block, spring It is in compressive state, after pushing buckle aside, slide block is in the elastic force lower edge chute forward slip of spring, and drives measurement silk and return plate Travel forward together, until shifting block slides into the front end of bar hole, now return plate stops forward slip and stops slide block from continuing Forward slip, and slide block is subject to the elastic force of spring to act on, therefore slide block remains stationary state, measurement silk has stretched out survey simultaneously It is outer that amount silk exports and measurement silk portals, and can carry out tactile test, and due to the elastic force of spring in test process, measurement silk will not contract Return in housing, after test terminates, firmly stir shifting block backward, drive return plate to block slide block and slide backward, more again use buckle Engage slide block, repeat aforesaid operations when needing and reusing other measurement silk.
Further, the quick measurement apparatus of machinery pain that this utility model provides can provide the tactile of 0.01g~300g to test Stimulation power, the size of the tactile testing stimuluses power being provided by length and the thickness decision of test silk, in use, according to reality Border situation selectes thickness and the suitable measurement silk of length, vertically stimulates tactile test skin, and can be filametntary by adjusting Extension elongation, replacing different thicknesses and measurement of length silk, to adjust the size of stimulation power, can be used for the pain test of patient, energy The enough more accurately pain threshold of test patient and pain dimensions.
Brief description
The left view of the quick measurement apparatus of machinery pain that Fig. 1 provides for this utility model;
The right view of the quick measurement apparatus of machinery pain that Fig. 2 provides for this utility model;
The A-A view of the quick measurement apparatus of machinery pain that Fig. 3 provides for this utility model;
The B-B view of the quick measurement apparatus of machinery pain that Fig. 4 provides for this utility model;
Fig. 5 is pain border schematic diagram;
Fig. 6 is the pain border schematic diagram of different pain degrees;
Wherein:1 is housing, and 2 is handle, and 3 is measurement silk, and 4 is that measurement silk portals, and 5 is shifting block, and 6 is bar hole, and 7 is card Button, 8 is to be snapped into hole, and 9 is chute, and 10 is slide block, and 11 is spring, and 12 is measurement silk outlet, and 13 is return plate, and 14 is return Hole, 15 is label.
Specific embodiment
Below in conjunction with the accompanying drawings this utility model is described in further details.
Referring to Fig. 1-4, the quick measurement apparatus of machinery pain that this utility model provides, including the housing 1 with handle 2, housing 1 Built with some measurement silks 3 for detecting mechanical nociceptive, if dry measure silk is offered on the antetheca of housing 1 portal 4, housing It is provided with some measurement silk ejecting mechanisms for ejecting measurement silk 3 in housing 1 in 1, be additionally provided with housing 1 for ejecting Measurement silk 3 withdraw housing 1 in return plate 13.Measurement silk ejecting mechanism, measurement silk 3 and measurement silk portal and 4 are one a pair Should be related to.Measurement silk 3 is some different thicknesses, the nylon fiber silk of different length, represents different tactile testing stimuluses dynamics. The dynamics of the tactile testing stimuluses power that measurement silk 3 provides is 0.01g~300g.Through preferred, measure silk 3 in this utility model and set Put 15, its provide tactile testing stimuluses power dynamics be respectively 1g, 2.15g, 2.8g, 3.5g, 4.5g, 5.5g, 7.8g, 11g, 15g, 20g, 25g, 30g, 40g, 50g and 60g.
Measurement silk ejecting mechanism in this utility model includes buckle 7, chute 9, slide block 10 and spring 11, after chute 9 End is fixed on the rear wall of housing 1, and the front end of chute 9 offers measurement silk outlet 12 and points to measurement silk and portal 4, slide block 10 Bottom is located in chute 9, and the top of slide block 10 is exposed outside chute 9, and the rear end of the bottom of slide block 10 and chute 9 is by spring 11 phase Even, measurement silk 3 is fixed on the bottom of slide block 10 and points to measurement silk outlet 12, and the top of slide block 10 is provided with cooperation buckle 7 and engages Boss or groove, the rear wall of housing 1 offers and is snapped into hole 8, the front end of buckle 7 is stretched in housing 1 from being snapped into hole 8, And the front end of buckle 7 is provided with the hook for engaging slide block 10, the rear end of buckle 7 is to stir handle, stirs handle and is located at housing 1 Outward, each is stirred handle and is provided with the label 15 for identifying the tactile testing stimuluses dynamics that its corresponding measurement silk 3 provides.
Offer bar hole 6 along the direction of motion of measurement silk 3 on housing 1 in this utility model, return plate 13 with can Along bar hole 6 slide shifting block 5 be connected, return plate 13 offers some can make chute 9 pass through but slide block 10 can not be made to wear The return hole 14 crossed, and slide block 10 is positioned between return plate 13 and housing 1 rear wall.Specifically, the height of slide block 10 is more than return The height in hole 13 is more than the height of chute 9, and return hole 14 is only capable of being enclosed within and slides on chute 9, but the top of slide block 10 is too high, meeting Blocked by return hole 14, stir backward shifting block 5 drive return plate 13 slide backward when, return plate can carry movable slider 10 together to After slide, until slide block 10 is snapped 7 and again blocks, so that slide block is playbacked.
In an initial condition, all of slide block 10 is all snapped 7 and blocks, and now spring 11 is in compressive state, measurement Silk 3 is respectively positioned in housing 1, and return plate 13 can be located at optional position.When needing using a certain measurement silk 3, stir its correspondence The handle of stirring of buckle 7 decontrol its corresponding slide block 10, slide block 10 spring 11 deforming force lower edge chute 9 to advancing slip Dynamic, drive measurement silk 3 to travel forward together with return plate 13, until shifting block 5 reaches the front end of bar hole 6, return plate 13 stops Forward slip simultaneously stops slide block 10 from continuing forward slip, and slide block 10 is subject to the elastic force of spring 10 to act on, therefore 10 liang of slide block Side stress balance and static maintain on this position, now measurement silk 3 has stretched out measurement silk outlet 12 and measurement silk portals 4 Outward, tactile test can be carried out, due to the elastic force of spring in test process, measurement silk 3 will not be retracted in housing 1, and test terminates Afterwards, firmly stir shifting block 5 backward, drive return plate 13 to keep off slide block 10 compression spring 11 and slide backward, when shifting block 5 reaches bar shaped During the end in hole 6, the handle of stirring again stirring buckle 7 engages slide block 10, when needing to reuse other measurement silk 3 Shi Chongfu aforesaid operations.
The using method of the quick measurement apparatus of machinery pain that this utility model provides is specially:
1. keep comfort zone, patient takes seat or dorsal positions, unties clothes, fully expose focal area, Huan Zhefang Loose muscle, keeps even breathing.As need check shirtfront, before patient chest very;As need check back, patient's head is slightly vertical forward, body Dry slightly to antecurvature, two shoulders naturally droop be placed in above-knee, so that back is flat.
2., when testing, the Von Frey cellosilk using different stimulated intensity vertically stimulates patient skin, opens from little dynamics Begin, be gradually increased stimulus intensity.Every time stimulate and to continue 3~5s, the interval of same stimulation point stimulation time twice should be greater than 20s, different stimulation point-minor ticks is more than 15s.If patient feels uncomfortable or pain reaction in stimulating course, it is considered as Positive reaction.Each stimulus intensity answers repetitive stimulation 10 times, occurs being considered as the positive 5 times or more than 5 times, and this stimulus intensity then by It is considered the pain threshold of patient.
3. test the border of afflicted areas, test should follow certain order, from painless region progressively to afflicted areas, from pain Bitterly light region is carried out to critical regions;Totally follow and inwardly, by mode upwards below focus carried out by outside focus.Occur Use marking pen labelling when positive, progressively draw pain border, as shown in Figure 5.And can be by the difference of stimulus intensity used, progressively Draw the afflicted areas border of patient's different stimulated intensity, as shown in Figure 6.
The machinery quick measurement apparatus of pain that this utility model provides can also be arranged in pairs or groups metallic work table of punchinging, and can be used for scientific research real Test the pain threshold measurement of middle rodent.When the pawl of rodent is subject to Mechanical Touch response stimulus, their meetings Retract and reflect.The test of this tactile can be applicable to the vola tactile response situation of large and small Mus.Punching and arrange one on metallic work table Mesh screen, the sieve aperture on mesh screen is to be formed by cut, and the size in hole is 5 × 5 millimeters, and the spacing between Kong Yukong is about 1 milli Rice, this comfortable environment for animal subject, and be conducive to experimenter to observe the pawl of animal subject.Additionally, net Special coating is scribbled on sieve, very convenient experimenter clears up the dirt producing in experimentation.
The above, be only preferred embodiment of the present utility model, not this utility model imposed any restrictions, every Any simple modification, change and equivalent structure transformation above example made according to this utility model technical spirit, all still Belong in the protection domain of technical solutions of the utility model.

Claims (9)

1. a kind of quick measurement apparatus of machinery pain it is characterised in that:Including housing (1), housing (1) is built with some for testing machine The measurement silk (3) of tool pain, housing (1) if antetheca on offer dry measure silk and portal (4), be provided with some in housing (1) For the measurement silk ejecting mechanism that silk (3) ejects in housing (1) will be measured, in housing (1), it is additionally provided with the survey for ejecting Amount silk (3) withdraws the return plate (13) in housing (1).
2. the machinery quick measurement apparatus of pain according to claim 1 it is characterised in that:Described measurement silk ejecting mechanism includes Buckle (7), chute (9), slide block (10) and spring (11), the rear end of chute (9) is fixed on the rear wall of housing (1), chute (9) Front end offer measurement silk outlet (12) and point to measurement silk portal (4), slide block (10) be located at chute (9) in, slide block (10) It is connected by spring (11) with the rear end of chute (9), measurement silk (3) is fixed on slide block (10), and the top of slide block (10) sets There are the boss that cooperation buckle (7) engages or groove, the rear wall of housing (1) offers and is snapped into hole (8), the front end of buckle (7) Stretch in housing (1) from being snapped into hole (8), and the front end of buckle (7) is provided with the hook for engaging slide block (10), buckle (7) Rear end be stir handle, stir handle be located at housing (1) outward.
3. the machinery quick measurement apparatus of pain according to claim 2 it is characterised in that:Described housing (1) upper edge measurement silk (3) the direction of motion offers bar hole (6), return plate (13) with can be connected along the shifting block (5) that bar hole (6) slide, return Some return holes (14) that chute (9) can be made to pass through but slide block (10) can not be made to pass through are offered on position plate (13), and slide block (10) it is located between return plate (13) and the rear wall of housing (1).
4. the machinery quick measurement apparatus of pain according to claim 3 it is characterised in that:The height of described slide block (10) is more than The height in return hole (13) is more than the height of chute (9).
5. the machinery quick measurement apparatus of pain according to claim 2 it is characterised in that:Described buckle (7) stir handle The label (15) of some tactile testing stimuluses dynamics providing for mark measurement silk (3) is provided.
6. the machinery quick measurement apparatus of pain according to any one in claim 1-5 it is characterised in that:Described measurement silk (3) it is some different thicknesses, the nylon fiber silk of different length.
7. the machinery quick measurement apparatus of pain according to any one in claim 1-5 it is characterised in that:Described measurement silk (3) dynamics of the tactile testing stimuluses power providing is 0.01g~300g.
8. the machinery quick measurement apparatus of pain according to claim 7 it is characterised in that:Described measurement silk (3) arranges 15, Its provide tactile testing stimuluses power dynamics be respectively 1g, 2.15g, 2.8g, 3.5g, 4.5g, 5.5g, 7.8g, 11g, 15g, 20g, 25g, 30g, 40g, 50g and 60g.
9. the machinery quick measurement apparatus of pain according to any one in claim 1-5 it is characterised in that:Described housing (1) it is provided with and be easy to hand-held handle (2).
CN201620666517.9U 2016-06-29 2016-06-29 Quick measuring device of machinery grief Expired - Fee Related CN205964022U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106037660A (en) * 2016-06-29 2016-10-26 中国人民解放军兰州军区兰州总医院 Mechanical pain sensitivity measurement device
CN112545464A (en) * 2020-12-17 2021-03-26 南京医科大学附属口腔医院 Quantitative pain detection method and device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106037660A (en) * 2016-06-29 2016-10-26 中国人民解放军兰州军区兰州总医院 Mechanical pain sensitivity measurement device
CN112545464A (en) * 2020-12-17 2021-03-26 南京医科大学附属口腔医院 Quantitative pain detection method and device

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Granted publication date: 20170222