Clinch Jacqui, Eccleston Christopher
Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, UK.
Rheumatology (Oxford). 2009 May;48(5):466-74. doi: 10.1093/rheumatology/kep001. Epub 2009 Feb 6.
Paediatricians and paediatric rheumatologists review a large number of children with ongoing pain (disease and non-disease related). A small number of these develop chronic pain conditions that are complex and distressing. Over recent years studies of the epidemiology, aetiology and rehabilitation of pain and pain-associated disability in children have revealed a large prevalence of clinically relevant pain, and have emphasized the need for early recognition and intervention. Medication has a role when part of a multidisciplinary framework, although there is little evidence for or against the effectiveness of most pharmacotherapy. There is strong evidence to support early targeted psychological and physical intervention, and an understanding that parental education and involvement is essential if progress is to be maintained. In this review, an overview of the assessment is presented and management of childhood chronic musculoskeletal pain conditions with reference to main research findings to date.
儿科医生和儿科风湿病学家会诊治大量持续疼痛的儿童（与疾病和非疾病相关）。其中少数儿童会发展为复杂且令人痛苦的慢性疼痛病症。近年来，关于儿童疼痛及疼痛相关残疾的流行病学、病因学和康复研究表明，临床上相关疼痛的患病率很高，并强调了早期识别和干预的必要性。药物治疗作为多学科框架的一部分发挥着作用，尽管对于大多数药物治疗的有效性几乎没有支持或反对的证据。有强有力的证据支持早期针对性的心理和物理干预，并且认识到如果要保持进展，家长的教育和参与至关重要。在本综述中，参考迄今为止的主要研究结果，对儿童慢性肌肉骨骼疼痛病症的评估和管理进行了概述。
