学龄儿童非特异性肌肉骨骼疼痛的循证治疗选择

N. Pranjić, Selma Azabagić
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引用次数: 3

摘要

学龄儿童(8-15岁)非特异性肌肉骨骼疼痛的患病率很高(从11%到38%,在我国高达48%),这是一个被忽视的公共卫生问题,没有适当的预防干预措施。卫生工作者在决定干预措施和治疗这种疼痛方面几乎没有经验证据支持他们的临床实践。目的:这篇综述文章的目的是在证据的基础上扩大对学龄儿童非特异性肌肉骨骼疼痛管理的认识。材料和方法:在Biomed Central、PubMed、Scopus和Web of Science数据库中进行文献系统综述,寻找支持研究目标的相关证据。结果:共审查了564篇文献,其中523篇被认为不相关。其余47份出版物被评估为可能相关,其中39份不符合纳入和排除标准。因此,有9份出版物符合进一步分析的必要标准。结论:目前尚无证据表明可以建立一套针对学龄儿童肌肉骨骼疼痛的综合干预措施和治疗方案。基于本研究提供的少量证据,尚未得出结论性的解决方案,需要进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evidence- based Management Options for Nonspecific Musculoskeletal Pain in Schoolchildren
Introduction: Children of school age (8-15 years) have a significant prevalence of non-specific musculoskeletal pain (from 11 to 38%, in our country as much as 48%), which represents a neglected public health problem without adequate preventive interventions. Health workers have little empirical evidence to support their clinical practice in deciding on intervention measures and treating this pain. Aim: The aim of this review article is to expand knowledge of the management of nonspecific musculoskeletal pain in school children based on the evidence. Material and Methods: The systematic review of literature was carried out at Biomed Central, PubMed, Scopus and Web of Science databases in search of relevant evidence supporting the research goal. Results: A total of 564 publications were reviewed and 523 were considered irrelevant. The remaining 47 publications were assessed as potentially relevant, and among them 39 did not meet the criteria for inclusion and exclusion. Therefore, 9 publications met the necessary criteria for further analysis. Conclusion: There is little evidence to create an integrative program of intervention measures and treatment of musculoskeletal pain in school children. Based on scarce number of proofs shown in this research, no conclusive solutions have been reached, necessitating a need for further research.
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