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Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
Pain Research and Management ( IF 2.9 ) Pub Date : 2021-02-23 , DOI: 10.1155/2021/6643714
Onur Palabiyik 1 , Gurkan Demir 1
Affiliation  

Background. Chronic postsurgical pain is an important problem for both children and adults. This study aims to investigate the prevalence of chronic postappendectomy pain (CPAP) in children and its social and physical effects. Methods. This prospective observational study was conducted on children aged 8–18 years who had undergone open appendectomies. In the sixth month after the surgical procedure, the presence of chronic pain was examined in the lower right abdominal area. CPAP and its effects on children’s daily life activities were assessed using the numeric rating scale (NRS) and the Pediatric Quality of Life Scale (PedsQL). Results. Analysis was performed on 158 children, 97 of whom were boys (61.4%) and 61 were girls (38.6%). The average age was 12.8 ± 3 years, the average NRS was 4.48 ± 1.1, and the average scar length was 6.09 ± 1.6 cm. Twenty-nine children described CPAP, and its prevalence at six months after the surgery was 18.4%. Of these, 16 (55.2%) complained of pain only during exercise and 13 (44.8%) experienced pain while resting. The rate of CPAP was significantly higher in girls. Female gender and longer scar length were associated with the development of chronic pain. The PedsQL scores from the children’s self-reports and their parents’ reports were significantly lower for children who described CPAP as compared to those without CPAP. Conclusion. CPAP occurs quite frequently in children, especially in girls, and negatively affects children’s quality of life.

中文翻译:

开放性阑尾切除术后的慢性疼痛及其对8-18岁儿童的生活质量的影响

背景。慢性术后疼痛对于儿童和成人都是重要的问题。这项研究旨在调查儿童慢性阑尾切除术疼痛(CPAP)的患病率及其社会和身体影响。方法。这项前瞻性观察研究是针对8-18岁经历过开放性阑尾切除术的儿童进行的。手术后第六个月,检查右下腹部是否存在慢性疼痛。使用数字评分量表(NRS)和儿童生活质量量表(PedsQL)评估了CPAP及其对儿童日常生活活动的影响。结果。对158名儿童进行了分析,其中97名是男孩(61.4%),而61名是女孩(38.6%)。平均年龄为12.8±3岁,平均NRS为4.48±1.1,平均疤痕长度为6.09±1.6 cm。29名儿童描述了CPAP,其在术后六个月的患病率为18.4%。其中有16名(55.2%)仅在运动时抱怨疼痛,而13名(44.8%)则在休息时感到疼痛。女童的CPAP发生率明显更高。女性性别和较长的疤痕长度与慢性疼痛的发展有关。与没有CPAP的儿童相比,描述CPAP的儿童的自我报告和其父母的报告中的PedsQL得分明显较低。结论。CPAP经常发生在儿童中,尤其是在女孩中,对儿童的生活质量产生负面影响。
更新日期:2021-02-23
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