[复杂区域性疼痛综合征和儿童和青少年的功能神经学障碍:多样性中的团结]
Jana Landa1, Tamar Silberg2, Maya Gerner3
1The Edmond and Lily Safra Children's Hospital, Department of Pediatric Rehabilitation, The Chaim Sheba Medical Center, The Sackler Faculty of Medicine, Tel Aviv University.
Harefuah
|September 17, 2024
概括
功能神经障碍 (FND) 和复杂区域疼痛综合征 (CRPS) 在儿童中经常同时发生. 患有FND和CRPS的儿童表现出更高的布达佩斯标准特征的患病率,这表明了共享的机制,并为康复策略提供了信息.
科学领域:
- 儿科神经学 儿科神经学
- 治疗疼痛的药物 疼痛的药物
- 精神病体医学是一种精神病体医学.
背景情况:
- 功能神经障碍 (FND) 和复杂区域疼痛综合征 (CRPS) 显著影响儿童的生活质量.
- 虽然FND和CRPS有共同的病因和病理生理学相似之处,但它们在儿科患者中共同的患病率仍未得到充分研究.
- 清晰的表征和差异诊断对于在患有这些疾病的年轻人中进行有效的治疗干预至关重要.
研究的目的:
- 调查诊断为FND的儿科患者的临床形状.
- 确定患有FND的儿童中CRPS的患病率.
- 为了比较单独患有FND的儿童和患有FND和CRPS联合诊断的儿童之间的临床特征和布达佩斯标准症状.
主要方法:
- 一项对61名被诊断患有FND的儿童 (平均年龄13.7岁,75.4%为女性) 的回顾性研究.
- 数据收集包括医疗记录中的人口和临床特征.
- 使用布达佩斯标准对CRPS进行了评估.
主要成果:
- 大多数患有FND的儿童经历了感官 (67%) 和运动 (88%) 症状.
- 很大一部分 (44%) 患有FND的儿童也接受了CRPS联合诊断.
- 与单独患有FND的儿童相比,患有FND和CRPS同时发生的儿童表现出更高的感觉,运动/营养,血管运动和运动症状,除了运动功能障碍外.
结论:
- 儿童中FND和CRPS症状的高同时发生表明潜在的共同发育机制.
- 了解这些共同特征对于为儿科患者开发有针对性和有效的康复干预至关重要.
- 这项研究强调了在儿童FND的差异诊断中考虑CRPS的重要性.
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