Recurrent limb pain in schoolchildren
Recurrent limb pain in schoolchildren
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DOI：
10.1136/adc.74.4.336
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发表时间：
1996-04-01
影响因子：
5.2
通讯作者：
Russell, G
中科院分区：
文献类型：
--
作者：
AbuArafeh, I;Russell, G
目的了解儿童短时间复发性肢体痛（复发性肢体痛）的患病率、病因及临床特点。设计-基于人群的研究分为两个阶段，对有症状的儿童进行初步筛选问卷，随后进行临床访谈和体格检查。环境-阿伯丁市的67所中小学。研究对象：2165名儿童，代表随机抽取的10%的5-15岁学童样本。主要结果测量-(a)儿童肢体疼痛的原因，(b)学童复发性肢体疼痛的患病率，(c)复发性肢体疼痛与儿童偏头痛的关系。结果：运动和操场损伤是肢体疼痛最常见的原因，占所有儿童的9%。肢体疼痛复发率为2.6%（95%可信区间1.9 ~ 3.4）。复发性肢体疼痛发作与偏头痛患儿头痛发作具有相似的触发因素、相关症状和缓解因素。结论：复发性肢体疼痛是肢体疼痛的常见原因，患病率为2.6%。复发性肢体疼痛和儿童偏头痛在临床和流行病学上的相似之处表明它们有共同的发病机制。
Objectives-To determine the prevalence, causes and clinical features of short lasting recurrent limb pain (recurrent limb pain) in children.Design-Population-based study in two stages, with an initial screening questionnaire followed by clinical interviews and physical examination of symptomatic children.Setting-67 primary and secondary schools in the city of Aberdeen.Subjects-2165 children representing a random 10% sample of all schoolchildren aged between 5-15 years.Main outcome measures-(a) The causes of limb pain in children, (b) the prevalence of recurrent Limb pain in schoolchildren, (c) the relationship of recurrent limb pain to childhood migraine.Results-Sports and playground injuries were the most common cause of Limb pain, affecting 9% of all children. The prevalence rate of recurrent Limb pain was 2.6% (95% confidence interval 1.9 to 3.4). Episodes of recurrent Limb pain had similar trigger factors, associated symptoms, and relieving factors to episodes of headache in children with migraine.Conclusions-Recurrent Limb pain is a common cause of Limb pain, with a prevalence rate of 2.6%. The close clinical and epidemiological similarities between recurrent limb pain and childhood migraine suggest a common pathogenesis.