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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Family Doctor</journal-id><journal-title-group><journal-title xml:lang="en">Russian Family Doctor</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский семейный врач</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2072-1668</issn><issn publication-format="electronic">2713-2331</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">456439</article-id><article-id pub-id-type="doi">10.17816/RFD456439</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Lectures</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Лекции</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">A child with pain syndrome in the office of the general practitioner</article-title><trans-title-group xml:lang="ru"><trans-title>Ребенок с болевым синдромом на приеме у врача общей практики</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title/></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8149-7669</contrib-id><contrib-id contrib-id-type="spin">8635-8777</contrib-id><name-alternatives><name xml:lang="en"><surname>Delyagin</surname><given-names>Wassily M.</given-names></name><name xml:lang="ru"><surname>Делягин</surname><given-names>Василий Михайлович</given-names></name><name xml:lang="zh"><surname></surname><given-names></given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Professor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор</p></bio><email>delyagin-doktor@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Dmitry Rogachev National Medical Research Center of Pediatric Hematology</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева</institution></aff><aff><institution xml:lang="zh"></institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Oncology and Immunology, Pirogov Russian National Research Medical University</institution></aff><aff><institution xml:lang="ru">Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2023-05-23" publication-format="electronic"><day>23</day><month>05</month><year>2023</year></pub-date><pub-date date-type="pub" iso-8601-date="2023-07-20" publication-format="electronic"><day>20</day><month>07</month><year>2023</year></pub-date><volume>27</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>11</fpage><lpage>22</lpage><history><date date-type="received" iso-8601-date="2023-05-23"><day>23</day><month>05</month><year>2023</year></date><date date-type="accepted" iso-8601-date="2023-05-23"><day>23</day><month>05</month><year>2023</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2023, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2023, Эко-Вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2023,</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://journals.eco-vector.com/RFD/article/view/456439">https://journals.eco-vector.com/RFD/article/view/456439</self-uri><abstract xml:lang="en"><p>Pain as a problem of a pediatrician and a family doctor is very common, often requiring interdisciplinary and interprofessional approaches. The first step in optimizing pain management is its assessment and characteristics, taking into account the age and development of the patient. The priority is self-reported pain. Objectification of the characteristics of pain is achieved by using scales, including, if possible, with an objective instrumental and laboratory assessment. Various options for pain assessment scales are presented. Treatment is based on the elimination of the cause of pain, the use of drug and non-drug interventions. Information is given about the age-related characteristics of the reaction to analgesics and recommendations for their use. The planning and implementation of strategies for treating pain in children should be personalized and family oriented.</p></abstract><trans-abstract xml:lang="ru"><p>Боль в практике педиатра и семейного врача встречается очень часто и нередко вызывает необходимость междисциплинарного подхода. Первый этап оптимизации лечения боли — ее оценка с учетом возраста и развития пациента. Приоритетной является самооценка боли. Объективизация характеристик боли достигается применением шкал и, при возможности, объективных инструментально-лабораторных методов. Представлены различные варианты шкал оценки боли. Лечение строится на основе устранения причины боли, применения медикаментозных и немедикаментозных вмешательств. Даны сведения о возрастных особенностях реакции на анальгетики и рекомендации по их применению. Планирование и реализация стратегий лечения боли у детей должны быть персонализированными и ориентированными на семью.</p></trans-abstract><trans-abstract xml:lang="zh"><p/></trans-abstract><kwd-group xml:lang="en"><kwd>children</kwd><kwd>teenagers</kwd><kwd>pain</kwd><kwd>diagnostics</kwd><kwd>analgesics</kwd><kwd>nonpharmacological management</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>подростки</kwd><kwd>боль</kwd><kwd>диагностика</kwd><kwd>анальгетики</kwd><kwd>немедикаментозное лечение</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Raja S, Carr D, Cohen M, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976–1982. DOI: 10.1097/j.pain.0000000000001939</mixed-citation><mixed-citation xml:lang="ru">Raja S., Carr D., Cohen M. et al. 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