[Prognosis in back pain].
[Prognosis in back pain].
复制标题
[背痛的预后]。
DOI：
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复制
发表时间：
1999
期刊：
影响因子：
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通讯作者：
H. Ursin
中科院分区：
文献类型：
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作者：
H. Ursin
一系列的挪威对照研究治疗腰痛方面的预后因素进行审查。强调了对照和随机研究的重要性。只有结合医学、心理和社会因素，才能达到令人满意的预测水平。重要的预后因素是侧向移动性、全身性和剧烈疼痛、对疼痛的恐惧、疼痛和病假持续时间长、对预后和工作能力的主观评价差、对自己控制健康的能力的信任度低、急性事件前体育训练和活动水平低以及其他主观健康投诉水平高。这些数据与其他国家的结果非常一致。治疗的新数据强调了患者激活的重要性，减少恐惧，避免卧床休息和不活动。
A series of Norwegian controlled studies of treatment for low back pain are reviewed with regard to the prognostic factors identified. The importance of controlled and randomized studies is emphasized. A satisfactory level of prediction can only be reached by combining medical, psychological, and social factors. Important prognostic factors are lateral mobility, generalized and intense pain, fear of pain, long duration of pain and sickness leaves, poor subjective evaluation of prognosis and ability to work, low trust in one's own ability to control health, low level of physical training and activity before the acute event, and high level of other subjective health complaints. These data are in good agreement with results from other countries. New data on treatment emphasize the importance of activation of the patient, reducing the fear and avoiding bedrest and inactivity.