EPIDEMIOLOGIC STUDIES OF LOW-BACK-PAIN

EPIDEMIOLOGIC STUDIES OF LOW-BACK-PAIN
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DOI:
10.1097/00007632-198009000-00005
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发表时间:
1980-01-01
期刊:
影响因子:
3
通讯作者:
WILDER, DG
WILDER, DG
中科院分区:
医学2区
文献类型:
--
作者:
FRYMOYER, JW;POPE, MH;WILDER, DG

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对1975-1978年间进入某示范家庭医疗单位的3920例患者(女性2068例,男性1852例)的病历进行分析。男性[11%]和女性[9.5%]报告在3年的间隔期间出现过一次腰背痛。医学报告的腰痛与职业因素显著相关,例如:卡车驾驶(P<0.001)、举起、搬运、拉、推和扭动(P<所有变量均为0.001),以及非驾驶振动暴露(P<0.001)。报告腰痛的患者报告了更多的焦虑(P<0.001)和抑郁(P<0.001),并且有更多的情感压力职业(P<0.001)。有腰痛的妇女的平均怀孕次数(2.6%)高于无腰痛的妇女(1.6%)(P<0.001)。腰痛患者更有可能吸烟(P<0.001),特别是当吸烟伴有慢性咳嗽时(P<0.001)。这一人群目前正在进行前瞻性研究,以确定这些危险因素中的每一个与主诉下腰痛的相关性。
The records of 3920 patients (2068 females, 1852 males) entering a model family practice unit between 1975-1978 were analyzed. Males [11%] and females [9.5%] reported an episode of low-back pain during the 3 yr interval. The complaint of medically reported low-back pain was significantly related to occupational factors such as: truck driving (P < 0.001), lifting, carrying, pulling, pushing and twisting (P < 0.001 for all variables), and nondriving vibrational exposure (P < 0.001). Patients reporting low-back pain reported more episodes of anxiety (P < 0.001) and depression (P < 0.001), and had more emotionally stressful occupations (P < 0.001). The mean number of pregnancies was greater in women with low-back pain (2.6) than in those without (1.6) (P < 0.001). The low-back pain sufferers were more likely cigarette smokers (P < 0.001), particularly when smoking was accompanied by a chronic cough (P < 0.001). This population is currently under prospective study to define the relevance of each of these risk factors to the complaint of low-back pain.