关于腰痛的信息和治疗方法。

S. Lindequist, B. Lundberg, R. Wikmark, B. Bergstad, G. Lööf, A. C. Ottermark
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引用次数: 48

摘要

在一系列连续的56名区卫生部门下腰痛患者中,24人在背部学校接受了特殊训练和指导,而对照组的32人即使定期就诊,也没有得到同样的密切关注。这两组人被发现具有相同的特征。在症状和病假的初始持续时间或观察年内复发的次数及其持续时间方面,均未显示出显著差异。对这种缺乏积极影响的解释是,在这个相对异质性更大的群体中,实际程序的影响较小。然而,在对照组中,由于其他不同原因而请病假的患者更多。不出所料,接受治疗的患者也更满意。因此,我们得出结论,最初的治疗可以局限于背部护理的建议,最好是卧床休息几天,对背部有具体的建议,必要时开止痛药。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Information and regime at low back pain.
In a consecutive series of 56 District Health patients with low back pain, 24 had special training and instructions in a Back School, while the 32 in a control group--even if seen regularly, did not get the same intense attention. The two groups were found to have the same characteristics. No significant differences could be demonstrated either concerning the initial duration of symptoms and sick leave or the number of recurrences and their duration during the observation year. The interpretation of this lack of positive effect is, that in this comparatively more heterogenous population the actual procedure has less influence. However, there were more patients with periods of sick-leave for different other reasons in the control group. Not surprisingly the treated group of patients were also more satisfied. We therefore conclude, that the initial treatment could be limited to advice about back care, preferably a few days bed-rest, with concrete advice about the back and prescriptions for analgesics when needed.
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