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斯奈德氏布洛克-坎波综合征患者的疼痛体验与感知

Pain experience and perception in individuals with Snijders Blok-Campeau syndrome.

作者信息

Ocay Don Daniel, Campeau Philippe M, Berde Charles B, Brownstein Catherine A

机构信息

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA, United States.

Department of Anaesthesia, Harvard Medical School, Boston, MA, United States.

出版信息

Front Pain Res (Lausanne). 2025 Aug 13;6:1540422. doi: 10.3389/fpain.2025.1540422. eCollection 2025.

Abstract

INTRODUCTION

Snijders Blok-Campeau Syndrome (SNIBCPS) is a neurodevelopmental disorder characterized by intellectual disability, developmental delays, speech impairment, hypotonia, and distinctive facial features. Little is known about pain perception in children with cognitive impairments, such as patients with SNIBCPS. Although it has been noted that some individuals with SNIBCPS have decreased pain sensation and response to painful stimuli, these reports are anecdotal. Therefore, the objective was to better understand this syndrome and the affected individual's perception and response to pain through proxy-reported observational assessments.

METHODS

Fifteen caregivers of individuals with a diagnosis of SNIBCPS participated in this mixed-methods anonymous survey study between July and September 2024. The survey questionnaires included the Pediatric Pain Profile, a Pain Sensory Questionnaire, the Non-Communicative Children's Pain Checklist-Revised, and the Individualized Numerical Rating Scale.

RESULTS

Almost a quarter of our respondents reported insensitivity in the affected individual to hard impacts or pressure. Our findings highlight early and past painful experiences in individuals with SNIBCPS who have a range of behaviors to express their pain.

DISCUSSION

Our findings bring awareness about the proper examination of individuals with SNIBCPS. Despite the small sample size, our findings suggest that pain and injuries may go unreported in individuals with SNIBCPS, and individualized parental observational scales may be beneficial for their healthcare providers and their caregivers.

摘要

引言

斯奈德氏布洛克-坎皮奥综合征(SNIBCPS)是一种神经发育障碍,其特征为智力残疾、发育迟缓、言语障碍、肌张力减退和独特的面部特征。对于认知障碍儿童(如SNIBCPS患者)的疼痛感知了解甚少。尽管有人指出,一些SNIBCPS患者对疼痛刺激的感觉和反应有所降低,但这些报道多为轶事。因此,目标是通过代理报告的观察性评估,更好地了解这种综合征以及受影响个体对疼痛的感知和反应。

方法

2024年7月至9月期间,15名诊断为SNIBCPS的个体的照料者参与了这项混合方法匿名调查研究。调查问卷包括《儿童疼痛概况》《疼痛感觉问卷》《非语言儿童疼痛清单修订版》和《个性化数字评定量表》。

结果

近四分之一的受访者报告称,受影响个体对强烈撞击或压力不敏感。我们的研究结果突出了SNIBCPS患者早期和过去的痛苦经历,他们有一系列表达疼痛的行为。

讨论

我们的研究结果提高了对SNIBCPS患者进行适当检查的认识。尽管样本量较小,但我们的研究结果表明,SNIBCPS患者的疼痛和损伤可能未被报告,个性化的家长观察量表可能对其医疗服务提供者和照料者有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2cd/12380670/535c1c2fa4b6/fpain-06-1540422-g001.jpg

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