Godó Kinga, Major János, Gyimesi-Szikszai Andrea, Ádám Szilvia
Ezüstkehely Gyógyszertár Székesfehérvár.
Fájdalomterápiás Ambulancia,A Magyar Református Egyház Bethesda GyermekkórházaBudapest, Bethesda u. 3., 1146.
Orv Hetil. 2020 Mar;161(13):502-509. doi: 10.1556/650.2020.31666.
Based on international data, the prevalence of chronic pain is 25% among adolescents which is associated with poor quality of life, extensive use of healthcare, and overuse of pain medication. Little is known about the medication use and chronic pain in Hungary. To assess the prevalence and potential socio-demographic risk factors of chronic pain and medication use among Hungarian adolescents. We conducted a cross-sectional epidemiological study at primary and secondary schools with 354 school-children. Adolescents responded to questionnaires about demographic variables, characteristics of chronic pain, use of health-care system and medication. 110 adolescents (31.1%) suffered from chronic pain in our sample. Pain in extremities was the most prevalent pain type. 4.6% (n = 5) of children suffered from continuous pain. The prevalence was lower among boys (χ = 9.4; p = 0.002) and younger subjects (Mann-Whitney U = 10906.5; p = 0.004). Sleep disorder was more frequent among adolescents with chronic pain (χ = 8.9; p = 0.03). Time from onset, intensity, prevalence and duration of pain were associated with the prevalence of visits to physicians. 78% (n = 276) of the sample took medication in the previous 6 months, however, regular medication use was as high as 48.3% (n = 171). We found a significant association between medication use and older age, female sex, and the presence of chronic pain. Medication use against pain among adolescents with chronic pain was significantly higher (n = 83.0, 75.5%). The prevalence of chronic pain, medication use and visits to physicians is considerable among Hungarian adolescents. It is an important healthcare challenge with long-term consequences until adulthood. Orv Hetil. 2020; 161(13): 502-509.
根据国际数据，青少年慢性疼痛的患病率为25%，这与生活质量差、大量使用医疗保健以及止痛药的过度使用有关。匈牙利对药物使用和慢性疼痛的情况了解甚少。为了评估匈牙利青少年慢性疼痛和药物使用的患病率以及潜在的社会人口风险因素。我们在中小学对354名学童进行了一项横断面流行病学研究。青少年回答了关于人口统计学变量、慢性疼痛特征、医疗保健系统使用情况和药物使用情况的问卷。在我们的样本中，110名青少年（31.1%）患有慢性疼痛。四肢疼痛是最常见的疼痛类型。4.6%（n = 5）的儿童患有持续性疼痛。患病率在男孩中较低（χ = 9.4；p = 0.002），在年龄较小的受试者中也较低（曼-惠特尼U = 10906.5；p = 0.004）。睡眠障碍在患有慢性疼痛的青少年中更为常见（χ = 8.9；p = 0.03）。疼痛的发作时间、强度、患病率和持续时间与就诊率相关。78%（n = 276）的样本在过去6个月内服用过药物，然而，经常用药率高达48.3%（n = 171）。我们发现药物使用与年龄较大、女性以及慢性疼痛的存在之间存在显著关联。患有慢性疼痛的青少年中用于止痛的药物使用率显著更高（n = 83.0，75.5%）。匈牙利青少年中慢性疼痛、药物使用和就诊的患病率相当高。这是一个重要的医疗保健挑战，直到成年都会产生长期后果。《匈牙利医学周报》。2020年；161(13): 502 - 509。
