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儿童牙科患者的牙科和躯体疼痛感觉的排序。

Ranking of dental and somatic pain sensations among paediatric dental patients.

机构信息

Department of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Int J Paediatr Dent. 2013 Jul;23(4):259-65. doi: 10.1111/ipd.12001. Epub 2012 Sep 24.

Abstract

BACKGROUND

Children suffer from somatic and dental pain, which may interfere with their everyday life. Pain self-report tools are available for children. Research is needed to better understand the perception of dental pain in comparison with pain in other organs.

AIM

To investigate relations between the perceptions of dental and somatic pain complaints among school-age children.

DESIGN

One hundred and two children, aged 7-17 years (mean age, 11.5 ± 2.65 years), completed questioners regarding their somatic and dental: 1. Memory pain rank (MPR) and 2. Wong-Baker FACES Pain Rating Scale (FRS).

RESULTS

Children reported increased dental pain after school in both scales (P = 0.015 in MPR). In both MPR and FRS, the pattern of pain ranking was similar: Abdominal pain was scored highest (2.75 ± 1.4 and 1.56 ± 1.63, respectively), followed by headache, ear, dental and TMJ (Temporomandibular joint).

CONCLUSION

There was a strong correlation between pain perception and current pain scores in every organ. Somatic pain, namely head, abdomen and ears, was ranked significantly higher than dental and TMJ pain. School-aged children rank current pain and pain experience significantly lower while they are pre-occupied (school time) in comparison with times when they are less busy (after school time).

摘要

背景

儿童会遭受躯体疼痛和牙痛,这可能会干扰他们的日常生活。现在有专门针对儿童的疼痛自我报告工具。为了更好地了解与其他器官疼痛相比,儿童对牙痛的感知,我们需要开展更多的研究。

目的

调查学龄儿童对牙痛和躯体疼痛的感知之间的关系。

设计

102 名 7-17 岁的儿童(平均年龄 11.5±2.65 岁)完成了关于躯体和牙齿疼痛的问卷:1. 记忆疼痛等级(MPR)和 2. 面部表情疼痛评定量表(FRS)。

结果

在两个量表中,儿童在放学后都报告了增加的牙痛(MPR 中 P=0.015)。在 MPR 和 FRS 中,疼痛等级的模式相似:腹痛得分最高(分别为 2.75±1.4 和 1.56±1.63),其次是头痛、耳朵、牙齿和 TMJ(颞下颌关节)。

结论

在每个器官中,疼痛感知与当前疼痛评分之间存在很强的相关性。躯体疼痛,即头部、腹部和耳朵,的疼痛等级明显高于牙齿和 TMJ 疼痛。与上学时间相比,学龄儿童在放学后时间不那么忙碌时,对当前疼痛和疼痛体验的评分显著更低。

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