Low back pain
Low back pain
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DOI：
10.1016/s0095-4543(03)00114-3
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发表时间：
2004-03-01
期刊：
影响因子：
1.9
通讯作者：
Devereaux, MW
中科院分区：
文献类型：
--
作者：
Devereaux, MW
下背痛是在美国看医生的最常见原因之一。在每年因腰痛就诊的1500万人次中，很大一部分是初级保健医生。通才需要能够采取重点病史，并进行有针对性的身体/神经系统检查，以选择需要更积极的早期诊断评估的小部分患者。还需要对主要的临床综合征有一定的工作知识。全科医生需要知道什么时候对病人进行诊断检查和治疗方法，而不需要转诊给专科医生。
Low back pain is one of the most common reasons for seeing a physician in the United States. Of the 15 million office visits per year for low back pain, a large percentage are to primary care physicians. The generalist needs to be able to take a focused history and perform a directed physical /neurologic examination to select the small percentage of patients who require a more aggressive early diagnostic evaluation. Also necessary is a working knowledge of the major clinical syndromes. The generalist needs to know when to subject the patient to a diagnostic work-up and the approach to treatment often without need for referral to a specialist.