Roth-Isigkeit A, Thyen U, Raspe H H, Stöven H, Schmucker P
University of Schleswig-Holstein, Campus Luebeck, Department of Anaesthesia, Ratzeburger Allee 160, D-23538 Luebeck, Germany.
Acta Paediatr. 2004 Feb;93(2):258-63.
The aim of this study was to investigate the prevalence of pain and characteristics of pain (frequency, duration, intensity) among children and adolescents and to compare them across different age and gender groups.
735 children and adolescents aged 10-18 y from schools in the Luebeck region of Germany were surveyed using a modified German version of the self-completion pain questionnaire of Perquin and co-workers.
715 out of 735 questionnaires (97.3%) were returned completed. Pain during the preceding 3 mo was reported by 85.3% (n = 610) of the respondent children and adolescents. The prevalence of pain increased with age. The most common complaints were headache (65.6%), abdominal pain (47.7%), limb pain (46.4%) and back pain (38.6%). A pain duration of longer than 3 mo was reported by 45.5% (35.4% for longer than 6 mo). Pain once a week or more frequently was reported by 33.7% of children and adolescents.
Almost half of the surveyed children and adolescents had suffered complaints for longer than 3 mo. The experience of pain in general and especially pain with a duration of longer than 3 mo is very common in children and adolescents, and requires further attention. Further studies are necessary to investigate the natural course, functional implications and prognosis due to pain complaints in children and adolescents.
本研究旨在调查儿童和青少年疼痛的患病率以及疼痛的特征（频率、持续时间、强度），并比较不同年龄和性别组之间的差异。
使用经修改的Perquin及其同事的自我填写疼痛问卷德文版，对德国吕贝克地区学校的735名10 - 18岁儿童和青少年进行了调查。
735份问卷中有715份（97.3%）被完整返还。85.3%（n = 610）的受访儿童和青少年报告在前3个月内有疼痛。疼痛患病率随年龄增长而增加。最常见的疼痛主诉为头痛（65.6%）、腹痛（47.7%）、肢体疼痛（46.4%）和背痛（38.6%）。45.5%的人报告疼痛持续时间超过3个月（35.4%的人疼痛持续时间超过6个月）。33.7%的儿童和青少年报告每周疼痛一次或更频繁。
近一半的受访儿童和青少年疼痛主诉持续时间超过3个月。儿童和青少年中普遍存在疼痛经历，尤其是持续时间超过3个月的疼痛，这需要进一步关注。有必要进行进一步研究以调查儿童和青少年疼痛主诉的自然病程、功能影响及预后。
