Assessment of nonarticular tenderness and prevalence of fibromyalgia in children.
Assessment of nonarticular tenderness and prevalence of fibromyalgia in children.
复制标题
儿童非关节压痛和纤维肌痛患病率的评估。
作者：
D. Buskila;J. Press;A. Gedalia;M. Klein;L. Neumann;R. Boehm;S. Sukenik
纤维肌痛综合征（FS）在中年最常见，但可以在任何年龄看到。其患病率和评估的压痛在健康儿童是未知的。我们评估了338名健康学龄儿童的压痛阈值和FS的患病率。在所有儿童中，通过拇指触诊进行了18个压痛点（TP）的点计数，并使用Chatillon疼痛计进一步评估了一些TP部位和控制点部位的压痛。所有的孩子和他们的父母都被询问了广泛的疼痛或疼痛的存在。如果儿童符合美国流变学学会（ACR）诊断FS的标准，则认为他们患有FS。在338名儿童中，21名（6.2%）患有FS。9个TP的压痛的平均值男孩为5.0（1.2）（kg）[平均值（标准差）]，女孩为3.6（0.8）（kg）（p < 0.001）。对照点压痛的平均值男孩为7.1（1.4）（kg），女孩为5.5（1.1）（kg）（p < 0.001）。FS组TP和对照点压痛点的平均值分别为2.5（0.4）（kg）和4.2（0.5）（kg），而非FS组分别为4.5（1.2）（kg）和6.6（1.4）（kg）（p < 0.001）。我们认为，FS是常见的儿科年龄组。男孩比女孩有较低的压痛，FS的儿童有较低的阈值压痛控制和TP相比，没有FS的科目。
Fibromyalgia syndrome (FS) is most common in midlife, but may be seen at any age. Its prevalence and assessment of tenderness in healthy children is not known. We assessed 338 healthy schoolchildren for tenderness thresholds and prevalence of FS. In all children a point count of 18 tender points (TP) was conducted by thumb palpation and tenderness of some of the TP sites as well as control point sites was further assessed using a Chatillon dolorimeter. All children and their parents were questioned about the presence of widespread pain or aching. Children were considered to have FS if they met the American College of Rheumatology (ACR) criteria for diagnosis of FS. Of the 338 children, 21 (6.2%) had FS. Thresholds of tenderness of 9 TP were 5.0 (1.2) (kg) [mean (standard deviation)] for boys vs 3.6 (0.8) (kg) for girls (p < 0.001). Thresholds of tenderness of the control point sites were 7.1 (1.4) (kg) for boys vs 5.5 (1.1) (kg) for girls (p < 0.001). Thresholds of tenderness of TP and control points in the children with FS were 2.5 (0.4) (kg) and 4.2 (0.5) (kg) vs 4.5 (1.2) (kg) and 6.6 (1.4) (kg) respectively in the children without FS (p < 0.001). We suggest that FS is common in the pediatric age group. Boys have lower tenderness than girls; children with FS have lower thresholds for tenderness both at control and TP compared to the subjects without FS.