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[成骨不全症:儿童的生活质量]

[Osteogenesis imperfecta: quality of life in children].

作者信息

Fano Virginia, del Pino Mariana, Rodríguez Celin Mercedes, Buceta Susana, Obregón M Gabriela

机构信息

Servicio de Crecimiento y Desarrollo, Hospital Nacional de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2013 Jul-Aug;111(4):328-31. doi: 10.5546/aap.2013.328.

Abstract

The impact produced by osteogenesis imperfecta in childrens' quality of life almost has not been reported; 65 children, 38 males, were evaluated according to the questionnaire PedsQL 4.0 Argentinean Spanish version. Median age was 7.76 years; 35 children with OI type I were compared with 30 type III-IV (according to Sillence Classification) finding significant difference in the physical domain in both visions, children and parents, and only in parents' vision in the social area. Multivariate analysis showed an association between better PedQL scores and treatment compliance (coef. β= 19.41 p= 0.03) in children's vision. In parental report on the other hand, the association was found with greater pamidronate doses (coef. β 1.44 p=0.037), lower height compromise (coef. β= 3.8; p= 0.039) and less number of fractures (coef. β= 0.69; p= 0.003).

摘要

成骨不全对儿童生活质量产生的影响几乎未曾有过报道;根据儿童生活质量量表4.0阿根廷西班牙语版问卷,对65名儿童(38名男性)进行了评估。中位年龄为7.76岁;将35名I型成骨不全儿童与30名III-IV型(根据席伦斯分类法)儿童进行比较,发现在身体领域,儿童和家长的看法均存在显著差异,而在社会领域仅家长的看法存在显著差异。多变量分析显示,在儿童的看法中,儿童生活质量量表得分较高与治疗依从性相关(系数β=19.41,p=0.03)。另一方面,在家长报告中,发现与较高的帕米膦酸盐剂量(系数β=1.44,p=0.037)、较低的身高损害(系数β=3.8;p=0.039)和较少的骨折次数(系数β=0.69;p=0.003)相关。

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