Connelly Mark, Schanberg Laura
Duke University Medical Center, Durham, NC 27710, USA.
Curr Opin Rheumatol. 2006 Sep;18(5):496-502. doi: 10.1097/01.bor.0000240361.32089.97.
As many as 25% of new patients in pediatric rheumatology clinics present with idiopathic chronic pain and recent data suggest the prevalence of these conditions is increasing. Knowledge of the latest developments in assessment and treatment is critical for providing optimal clinical care. This review summarizes advances published in the past year forwarding our understanding of chronic musculoskeletal pain syndromes in children.
Research has recently focused on the impairment associated with chronic pain syndromes in children, issues impacting the diagnosis of these conditions, and the efficacy of pharmacological and psychosocial treatments. No diagnostic criteria have been developed for specific chronic pain syndromes in children; however, data from several studies substantiate the need for thorough assessment of the child and family in multiple domains. In addition, studies have expanded both pharmacologic and psychosocial treatment options for children with these syndromes.
Despite a growing body of research on chronic pain syndromes in children, there are no established standards of care. Data continues to support an interdisciplinary approach for effectively assessing and managing these conditions.
在儿科风湿病诊所中，多达25%的新患者表现为特发性慢性疼痛，且近期数据表明这些病症的患病率正在上升。了解评估和治疗方面的最新进展对于提供最佳临床护理至关重要。本综述总结了过去一年发表的进展，以增进我们对儿童慢性肌肉骨骼疼痛综合征的理解。
近期研究聚焦于儿童慢性疼痛综合征相关的损伤、影响这些病症诊断的问题以及药物和心理社会治疗的疗效。尚未制定针对儿童特定慢性疼痛综合征的诊断标准；然而，多项研究的数据证实了在多个领域对儿童及其家庭进行全面评估的必要性。此外，针对患有这些综合征的儿童，研究扩展了药物和心理社会治疗方案。
尽管关于儿童慢性疼痛综合征的研究越来越多，但尚无既定的护理标准。数据继续支持采用跨学科方法来有效评估和管理这些病症。
