Non-specific low back pain
Non-specific low back pain
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DOI：
10.1016/s0140-6736(11)60610-7
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发表时间：
2012-02-04
期刊：
影响因子：
168.9
通讯作者：
Cedraschi, Christine
中科院分区：
文献类型：
--
作者：
Balague, Federico;Mannion, Anne F.;Cedraschi, Christine
非特异性下腰痛已成为全球主要的公共卫生问题。据报道，腰痛的终生患病率高达84%，慢性腰痛的患病率约为23%，其中11-12%的人口因腰痛而致残。机械因素，如提升和携带，可能没有主要的致病作用，但遗传体质是重要的。大多数诊断指南包括病史采集和临床检查，但应限制使用临床影像学诊断。许多治疗的作用机制尚不清楚，大多数治疗的效果都很低。疼痛管理应考虑患者的偏好和临床证据，但通常建议在适当支持下进行自我管理，并应避免手术和过度治疗。
Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11-12% of the population being disabled by low back pain. Mechanical factors, such as lifting and carrying, probably do not have a major pathogenic role, but genetic constitution is important. History taking and clinical examination are included in most diagnostic guidelines, but the use of clinical imaging for diagnosis should be restricted. The mechanism of action of many treatments is unclear, and effect sizes of most treatments are low. Both patient preferences and clinical evidence should be taken into account for pain management, but generally self-management, with appropriate support, is recommended and surgery and overtreatment should be avoided.