Department of Anesthesiology and Perioperative Care, University of California-Irvine, Orange, CA 92868, USA.
J Pediatr Surg. 2011 Sep;46(9):1700-5. doi: 10.1016/j.jpedsurg.2011.03.074.
BACKGROUND/PURPOSE: Chronic postoperative pain is a well-established clinical phenomenon that is associated with adverse outcomes. The incidence of this clinical phenomenon in children, however, is not well established. The purpose of this study was to identify the incidence of chronic pain in children after surgery.
Following a screening process, a total of 113 children and their parents were enrolled in this cross-sectional study. Data regarding persistence and characteristics of pain after surgery were obtained.
Approximately 13% of the children, most of whom underwent orthopedic procedures, reported the existence of symptoms of chronic postoperative pain. Most of the children indicated that the pain started immediately after surgery, was localized to the surgery site, and was intermittent. Children reported a median duration of pain of 4.1 months, and approximately half of the children experienced pain most days of the week. Up to 30% of the children reported interference of pain in functioning in areas such as extracurricular activities and sleep.
Given the large number of children at risk for experiencing chronic postoperative pain, preventative efforts are necessary. Large-scale cohort prospective studies are needed to confirm the results of this cross-sectional study.
背景/目的：慢性术后疼痛是一种已被充分证实的临床现象，与不良结局相关。然而，儿童中这种临床现象的发生率尚未明确。本研究的目的是确定手术后儿童慢性疼痛的发生率。
经过筛选过程，共有 113 名儿童及其家长参与了这项横断面研究。获取了手术后疼痛持续存在和特征的数据。
约 13%的儿童报告存在慢性术后疼痛症状，这些儿童大多接受了骨科手术。大多数儿童表示疼痛在手术后立即开始，局限于手术部位，呈间歇性。儿童报告疼痛的中位数持续时间为 4.1 个月，约一半的儿童每周有多数天都感到疼痛。多达 30%的儿童报告疼痛对课外活动和睡眠等功能区域造成了干扰。
鉴于有大量儿童存在发生慢性术后疼痛的风险，需要采取预防措施。需要进行大规模的队列前瞻性研究来证实本横断面研究的结果。
