诊断是不是很重要? 评估儿科慢性疼痛诊断对疼痛和功能的影响
Cara Vernacchia1,2, Diane Amstutz1,2, Benjamin Petrie1,2
1Department of Physical Medicine & Rehabilitation, Shirley Ryan Ability Lab, Chicago, Illinois, USA.
Journal of pediatric rehabilitation medicine
|September 13, 2024
概括
患有慢性疼痛的儿童在跨学科疼痛管理计划 (IPMP) 后表现出改善的疼痛和功能. 患有广泛或复杂区域性疼痛综合征 (CRPS) 患者的基线功能受损最严重,而头痛和肌肉骨疼痛患者的功能受损最少.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 儿童慢性疼痛的情况.
- 跨学科疼痛康复 跨学科疼痛康复
背景情况:
- 慢性疼痛显著影响儿童的身体,社会和情绪功能.
- 跨学科疼痛管理计划 (IPMP) 提供了一种多学科的方法来治疗儿科慢性疼痛.
- 了解疼痛和功能的诊断变异对于定制治疗至关重要.
研究的目的:
- 评估接受门诊IPMP的儿童的疼痛和功能变化.
- 为了比较不同儿科慢性疼痛诊断的基线和放电疼痛和功能.
- 为了确定项目入门时具有最显著功能障碍的患者群体.
主要方法:
- 在门诊IPMP中对488名儿童进行了回顾性图表审查.
- 在基线,出院和随访时评估疼痛,身体,社会和情绪功能.
- 根据诊断对患者的分层:复杂区域疼痛综合征 (CRPS),头痛,肌肉骨疼痛,内脏疼痛和普遍疼痛.
主要成果:
- 从最初的评估到出院,儿童的疼痛和功能的整体改善.
- 头痛和肌肉骨疼痛组表现出更好的基线身体和情绪功能.
- 复杂区域性疼痛综合征 (CRPS) 和广泛疼痛组表现出最受损害的基线功能.
结论:
- 患有CRPS,内脏疼痛和广泛疼痛的儿童呈现出最受损害的基线功能.
- 肌肉骨疼痛和头痛的患者表现出最少受损的基线功能.
- 所有诊断组都经历了IPMP后的疼痛和功能改善.
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