在被诊断为注意力缺陷/多动障碍之前,儿童时期与疼痛相关的诊断:基于人口的研究
Eugene Merzon1,2, Eli Magen2,3,4, Yaniv Levy2,5,6
1Adelson School of Medicine, Ariel University, Ariel 4070000, Israel.
Children (Basel, Switzerland)
|November 27, 2024
概括
患有注意力缺陷/多动障碍 (ADHD) 的儿童的疼痛诊断和止痛药使用率更高. 这表明儿科疼痛和多动症之间的潜在联系,需要进一步调查早期指标.
科学领域:
- 神经科学是一个神经科学.
- 儿科 儿科 儿科
- 精神病学是一个精神病学.
背景情况:
- 儿科疼痛会影响儿童的福祉和认知功能.
- 诺拉德仁基系统影响疼痛感知,ADHD涉及多巴胺基/诺拉德仁基变化.
- 慢性疼痛可能会影响认知和情绪调节,ADHD也会影响这些区域.
研究的目的:
- 在儿童被诊断患有注意力缺陷/多动症障碍 (ADHD) 之前,调查与疼痛相关的诊断的流行情况.
- 为了比较ADHD儿童的疼痛状况和止痛药的使用与匹配的对照.
- 探索与疼痛和药物使用相关的潜在ADHD早期指标.
主要方法:
- 以色列基于人口的病例控制研究.
- 包括从2006年到2021年在Leumit健康服务 (LHS) 注册的5-18岁儿童.
- 根据社会人口统计学因素,将18756名ADHD儿童与37512名对照儿童进行了匹配.
主要成果:
- 患有多动症的儿童出现疼痛症状的频率明显更高,包括头痛,耳痛,喉疼痛和受伤.
- 疾病相关疼痛的几率比率从1.080到1.295不等,而扭伤/扭伤的几率比率为1.233.
- 患有多动症 (ADHD) 组的购买量增加了对青 (OR=1.194) 和易布洛芬 (OR=1.366).
结论:
- 注意缺陷/多动障碍 (ADHD) 和儿科疼痛之间存在潜在的关联.
- 患有多动症儿童的高疼痛诊断和止痛药的使用需要进一步的研究.
- 疼痛状况可能是ADHD的潜在早期指标.
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