Pain in children and adolescents: a common experience
Pain in children and adolescents: a common experience
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DOI：
10.1016/s0304-3959(00)00269-4
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发表时间：
2000-07-01
期刊：
影响因子：
7.4
通讯作者：
van der Wouden, JC
中科院分区：
文献类型：
--
作者：
Perquin, CW;Hazebroek-Kampschreur, AAJM;van der Wouden, JC
对儿童疼痛的流行病学知之甚少。我们研究了开放人群中0至18岁荷兰儿童疼痛的患病率，以及与年龄、性别和疼痛参数的关系。从荷兰鹿特丹的人口登记册中随机抽取了1300名0-3岁儿童。在鹿特丹地区，选择了27所小学和14所中学，以获得5 336名4-18岁儿童的代表性样本。根据儿童的年龄，将调查表邮寄给父母（0-3岁）或在学校分发（4-18岁）。在6636名接受调查的儿童中，有5424名（82%）做出了回答;回答率从64%到92%不等，这取决于受试者的年龄和完成问卷的人。在受访者中，54%的人在过去3个月内经历过疼痛。总体而言，四分之一的受访者报告慢性疼痛（复发或持续疼痛超过3个月）。慢性疼痛患病率随年龄增长而增加，女孩患病率明显高于女孩（P < 0.001）。在12至14岁的女孩中，报告慢性疼痛的人数明显增加。儿童最常见的疼痛类型是肢体疼痛、头痛和腹痛。有一半经历过疼痛的受访者报告说有多重疼痛，三分之一的慢性疼痛患者经历过频繁和剧烈的疼痛。多发性疼痛和剧烈疼痛多见于女孩（P < 0.001）。疼痛强度在慢性疼痛（P < 0.001）和多发性疼痛（P < 0.001）的情况下更高;对于慢性疼痛，女孩的疼痛强度更高（P < 0.001）。这些发现表明，慢性疼痛是儿童和青少年时期常见的主诉。特别是，12岁及以上女孩严重慢性疼痛和多发性疼痛的高发率要求进行后续调查，记录与这种疼痛有关的各种生物-心理-社会因素。(C)2000年国际疼痛研究协会。由Elsevier Science B. V.出版，版权所有。
Little is known about the epidemiology of pain in children. We studied the prevalence of pain in Dutch children aged from 0 to 18 years in the open population, and the relationship with age, gender and pain parameters. A random sample of 1300 children aged 0-3 years was taken from the register of population in Rotterdam, The Netherlands. In the Rotterdam area, 27 primary schools and 14 secondary schools were selected to obtain a representative sample of 5336 children aged 4-18 years. Depending: on the age of the child, a questionnaire was either mailed to the parents (0-3 years) or distributed at school (4-18 years). Of 6636 children surveyed, 5424 (82%) responded; response rates ranged from 64 to 92%, depending on the subject age and who completed the questionnaire. Of the respondents, 54% had experienced pain within the previous 3 months. Overall, a quarter of the respondents reported chronic pain (recurrent or continuous pain for more than 3 months). The prevalence of chronic pain increased with age, and was significantly higher for girls (P < 0.001). In girls, a marked increase occurred in reporting chronic pain between 12 and 14 years of age. The most common types of pain in children were limb pain, headache and abdominal pain. Half of the respondents who had experienced pain reported to have multiple pain, and one-third of the chronic pain sufferers experienced frequent and intense pain. These multiple pains and severe pains were more often reported by girls (P < 0.001). The intensity of pain was higher in the case of chronic pain (P < 0.001) and multiple pains (P < 0.001),;md for chronic pain the intensity was higher for girls (P < 0.001). These findings indicate that chronic pain is a common complaint in childhood and adolescence. In particular, the high prevalence of severe chronic pain and multiple pain in girls aged 12 years and over calls for follow-up investigations documenting the various bio-psycho-social, factors related to this pain. (C) 2000 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.