Alriksson-Schmidt Ann, Hägglund Gunnar
Department of Clinical Sciences, Orthopaedics, Skåne University Hospital, Lund University, Lund, Sweden.
Acta Paediatr. 2016 Jun;105(6):665-70. doi: 10.1111/apa.13368. Epub 2016 Mar 30.
We assessed prevalence and location of pain in a total population of children and adolescents with cerebral palsy (CP) based on the Gross Motor Function Classification System (GMFCS), age and gender.
This cross-sectional study was based on the last assessment of children aged 1-14 years in the combined Swedish follow-up programme and national quality register programme for CP. All were born 2001-2012 and reported to the registry in 2013-2014. Logistic regression was used to regress age, gender and the GMFCS level on the presence of pain. We also assessed pain sites among GMFCS groups.
We included 2777 children (57% boys) at a median age of 7 years; 32.4% reported pain, with significantly more girls than boys experiencing pain and significantly more children at GMFCS levels III and V than GMFCS I. Pain frequency increased with age and differences among GMFCS levels were found in the lower extremities and abdomen. Pain in the abdomen and hips was most frequent at GMFCS V, knee pain at level III and foot pain at level I.
Our results showed that although a lower prevalence than in many other studies, pain constituted a significant problem in children and adolescents with CP.
我们基于粗大运动功能分类系统（GMFCS）、年龄和性别，评估了脑瘫（CP）儿童和青少年总体人群中疼痛的患病率及疼痛部位。
这项横断面研究基于瑞典针对CP的联合随访计划和国家质量登记计划中对1 - 14岁儿童的最后一次评估。所有儿童均出生于2001 - 2012年，并于2013 - 2014年向登记处报告。采用逻辑回归分析年龄、性别和GMFCS水平与疼痛存在情况之间的关系。我们还评估了GMFCS各亚组中的疼痛部位。
我们纳入了2777名儿童（57%为男孩），中位年龄为7岁；32.4%的儿童报告有疼痛，经历疼痛的女孩明显多于男孩，GMFCS III级和V级的儿童比GMFCS I级的儿童疼痛明显更多。疼痛频率随年龄增加，GMFCS各水平在下肢和腹部存在差异。GMFCS V级时腹部和髋部疼痛最常见，III级时膝关节疼痛最常见，I级时足部疼痛最常见。
我们的结果表明，尽管患病率低于许多其他研究，但疼痛仍是CP儿童和青少年中的一个重大问题。
