儿童的中心性/弥散性泌尿系腹痛感觉

查看全文 作　　者：Polito [1]C.;Cioce [2]F.;Signoriello [2]G;La Manna [2]A.;郭战宏(译)[2] 机构地区：[1]Department of Pediatrics, Second Universityof Naples, Via L. De Crecchio2, 80138 Naples, Italy] -ACTAPAEDIATR. INT. J. PAEDIATR. 2006, 95/1 (82-85);[2]不详 出　　处：《世界核心医学期刊文摘(儿科学分册)》索引2006年第2卷第8期,共1页 摘　　要：Aim:In children with recurrent abdominal pain(RAP),the location of pain to the flank may suggest the involvement of the urinary apparatus.We aimed to evaluate the location of pain in different age groups of children with idiopathic hypercalciuria(HC)and/or hyperuricosuria(HU)and RAP.Methods:Location of pain was assessed in 180 consecutive HC/HU children with RAP,aged 3-17.6 y,presenting to a single centre.Results:Considering four age groups,central/diffuse was more prevalent than lateral location of pain in youngsters,with a progressive and significant(P < 0.0001,χ2 test for trend)decrease of the prevalence of central/diffuse location with rising age,and with the most relevant drop after age 8 y.Location of pain was central/diffuse in 81%of patients under and lateral in 79%of those over 8 y of age(P < 0.0001).The location of pain changed from central/diffuse to lateral in 16/18 children followed at least 1 y,within 1 to 2 y by age 8.Conclusion:Only after 8 y of age did the lateral location of abdominal pain become the rule in children with HC/HU and RAP.This has to be kept in mind in order to avoid overlooking the urologie origin of pain. 关 键 词：反复腹痛 弥散性 中心性 泌尿系 儿童 痛感觉 不同年龄组 特发性高钙尿症 疼痛部位 X^2检验