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[德国儿童和青少年的疼痛:医疗服务的患病率和使用情况。德国儿童和青少年健康访谈与检查调查(KiGGS)的结果]

[Pain in children and adolescents in Germany: the prevalence and usage of medical services. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)].

作者信息

Ellert U, Neuhauser H, Roth-Isigkeit A

机构信息

Robert Koch-Institut, Berlin, BRD.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):711-7. doi: 10.1007/s00103-007-0232-8.

Abstract

As part of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS), representative data were collected on pain in 14,959 children and adolescents aged 3 to 17 years in Germany. The results are reported separately for 11-17-year olds, who were asked themselves, and 3-10 year olds, whose parents reported on their pain. Among the 3-10 year olds, the prevalence of pain over three months was 64.5% and among the 11-17 year olds it was 77.6% (71.1% altogether for the 3-17 year old children). Pain prevalence increased significantly with age; in all age groups girls reported pain significantly more often than boys of the same age. In the 3-10 year olds the most common pain localisation was stomach pains, followed by pain in the head and throat. Children and adolescents aged 11 to 17 most often reported headaches, followed by pains in the stomach and back. Pain occurring at least once a week in the last three months was reported by 24.3% of the 11-17 year old children and adolescents and by 9.9% of the 3-10 year old children suffering from pain. More than half (54.1%) of the 3-10 year olds and more than one third of the 11-17 year olds (35.9%) who reported recurrent principal pain consulted a doctor for this reason; 36.7% and 46.7% respectively took medicine. These results show that pain is a relevant problem in children and adolescents in Germany.

摘要

作为德国儿童和青少年健康访谈与检查调查(KiGGS)的一部分,收集了德国14959名3至17岁儿童和青少年疼痛情况的代表性数据。结果分别报告了11至17岁自行作答的青少年以及3至10岁由其父母报告疼痛情况的儿童。在3至10岁儿童中,三个月内疼痛的患病率为64.5%,在11至17岁青少年中为77.6%(3至17岁儿童总体患病率为71.1%)。疼痛患病率随年龄显著增加;在所有年龄组中,女孩报告疼痛的频率明显高于同龄男孩。在3至10岁儿童中,最常见的疼痛部位是胃痛,其次是头痛和喉咙痛。11至17岁的儿童和青少年最常报告的是头痛,其次是胃痛和背痛。在过去三个月中至少每周出现一次疼痛的情况,在11至17岁的儿童和青少年中有24.3%报告过,在3至10岁有疼痛的儿童中有9.9%报告过。报告有复发性主要疼痛的3至10岁儿童中超过一半(54.1%)以及11至17岁青少年中超过三分之一(35.9%)因此咨询过医生;分别有36.7%和46.7%服用过药物。这些结果表明,疼痛在德国儿童和青少年中是一个相关问题。

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