Varni J W
Behavioral Pediatrics Program, Orthopaedic Hospital, Los Angeles, CA 90007.
J Rheumatol Suppl. 1992 Apr;33:32-5.
The systematic evaluation and management of chronic and recurrent pain in children with juvenile rheumatoid arthritis (JRA) is only in the beginning stages of empirical development. While recent advances have been made in the assessment of pain secondary to JRA, very little clinical research has been targeted toward pain management. Development of reliable and valid pediatric pain measures is the first step in advocating controlled clinical trials with pain as an essential outcome variable.
幼年类风湿性关节炎（JRA）患儿慢性和复发性疼痛的系统评估与管理尚处于经验性发展的初始阶段。尽管近期在评估JRA继发性疼痛方面取得了进展，但针对疼痛管理的临床研究却非常少。开发可靠且有效的儿科疼痛评估方法是倡导将疼痛作为重要结果变量进行对照临床试验的第一步。
