A prospective study of low back pain in a general population. III. Medical service--work consequence.
A prospective study of low back pain in a general population. III. Medical service--work consequence.
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一项针对普通人群腰痛的前瞻性研究。
DOI：
10.2340/165019771983158996
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
F. Biering
中科院分区：
文献类型：
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作者：
F. Biering
在有下腰痛(LBP)的参与者中，约60%的人表示疼痛导致他们咨询全科医生，约25%的人咨询专科医生，约15%的人咨询脊医。大约30%的人对他们的腰椎进行了X光检查。理疗是LBP最常见的治疗方法。手法疗法是最常似乎能满足LBP患者的治疗方法，尽管这些病例可能是较轻微的LBP急性发作。在LBP投诉者中，4.5%的人因LBP入院，1%的人因LBP而接受手术。22.5%的参与者因LBP而缺勤，这些参与者曾在某个时间从事有报酬的工作。另有10%的人认为有必要在工作中特别小心。因腰痛而改变工作或工作职能的比例为6.3%。在那些在考试时受雇的人中，6.7%的人在过去一年内因为LBP而休假，这一缺勤率相当于每人每年约两天。以前，特别是最近对医疗服务的使用被证明是LBP在随后一年的预测指标，而与工作相关的参数似乎没有一个是良好的预测因子，这可能是因为与这些参数相关的不确定性。
Of participants with low back pain (LBP) at some time, about 60% said the pain had led them to consult their general practitioner, about 25% a specialist, and about 15% a chiropractor. About 30% had had an X-ray taken of their lumbar spine. Physiotherapy was the most common treatment given for the LBP. Manipulative therapy was the treatment which most often seemed to satisfy those with LBP although these cases might have been the milder acute attacks of LBP. Of the LBP complainers, 4.5% had been admitted to hospital and 1% operated on because of LBP. Work absence because of LBP occurred by 22.5% of the participants who were gainfully employed at some time. An additional 10% found it necessary to take special care on the job. Change of job or work function because of LBP was accomplished by 6.3%. Among those gainfully employed at the time of the examination, 6.7% had taken days-off within the past year because of LBP, an absence rate which corresponded to about two days per year per person. Previous, particularly recent use of medical services turned out to be a prognostic indicator for LBP in the follow-up year, while none of the work related parameters seemed to be good predictors, which may be because of the uncertainties related to these parameters.