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成骨不全症患儿的骨折性和非骨折性疼痛
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作者 Zack P. Franck L. +2 位作者 Devile C. Clark C. 余晓梅 《世界核心医学期刊文摘(儿科学分册)》 2006年第A03期24-24,共1页
Aim: To describe and compare the characteristics of acute fracture and chronic non-fracture pain in children with osteogenesis imperfecta (OI). Methods: A questionnaire about fracture-related pain and prospective 7-d ... Aim: To describe and compare the characteristics of acute fracture and chronic non-fracture pain in children with osteogenesis imperfecta (OI). Methods: A questionnaire about fracture-related pain and prospective 7-d diary about non-fracture-related pain was completed by a random sample of 35 children aged 5-18 from a UK national OI service. Main outcome measures included pain intensity, location, frequency, quality, coping strategies and analgesia use. Results: Most children reported moderate to severe pain associated with fractures and less intense non-fracture pain (p < 0.001). Pain intensity was significantly higher in the children who used analgesics (p < 0.001). The quality of fracture and non-fracture pain differed only for affective words, which were less frequently used to describe non-fracture pain (p = 0.002). More activities of daily living (ADLs) were affected by fracture pain than by non-fracture pain (p < 0.001). Children reported more frequent use of approach coping strategies with fracture pain and more frequent use of distraction for non-fracture pain (p < 0.01). There were no differences in non-fracture pain intensity, duration, quality, effect on ADLs or coping between children who did or did not take bisphosphonates. Conclusions: Pain is a common occurrence for children with OI and is both acute and chronic in nature, interfering with children’ s daily living activities. OI pain may not be optimally treated because many children experienced moderate to severe pain despite use of analgesics and/or coping strategies. 展开更多
关键词 成骨不全症 止痛方法 止痛药物 服务中心 镇痛药 磷酸盐类 有中 随机抽样 持续时间
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