所报告的疼痛作为幼年类风湿关节炎临床状态衡量指标的有效性。
Validity of reported pain as a measure of clinical state in juvenile rheumatoid arthritis.
作者信息
Ross C K, Lavigne J V, Hayford J R, Dyer A R, Pachman L M
机构信息
Department of Pediatrics, Northwestern University Medical School, Chicago, Illinois 60614.
出版信息
Ann Rheum Dis. 1989 Oct;48(10):817-9. doi: 10.1136/ard.48.10.817.
Reported pain is one valid indicator of clinical state which should be used in the assessment and management of children with juvenile rheumatoid arthritis. Parents' reports of children's pain for 101 children with juvenile rheumatoid arthritis differed significantly by type of juvenile rheumatoid arthritis. When multiple regression was used separately for pauciarticular and polyarticular classifications of juvenile rheumatoid arthritis a measure of clinical state, which reflected joint activity, morning stiffness, and overall disease activity as rated by the doctor, had a significant and independent effect upon pain reported by parents. The child's age was not significantly related to the pain reported by parents. Children's pain reports did not differ significantly between older and younger children.
所报告的疼痛是临床状态的一个有效指标，应用于幼年类风湿关节炎患儿的评估和管理。101名幼年类风湿关节炎患儿的家长所报告的孩子疼痛情况，因幼年类风湿关节炎的类型不同而有显著差异。当分别对幼年类风湿关节炎的少关节型和多关节型分类进行多元回归分析时，一种反映关节活动、晨僵以及医生评定的总体疾病活动度的临床状态指标，对家长报告的疼痛有显著且独立的影响。孩子的年龄与家长报告的疼痛无显著关联。年长和年幼孩子的疼痛报告之间无显著差异。
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