腰部疼痛是什么,我们为什么要注意
Jan Hartvigsen1, Mark J Hancock2, Alice Kongsted1
1Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
Lancet (London, England)
|March 26, 2018
概括
腰部疼痛是全球最常见的残疾原因, 尤其是在低收入国家, 需要紧急的研究和全球行动.
科学领域:
- 公共卫生
- 流行病学
- 治疗疼痛
背景情况:
- 腰部疼痛是一个普遍的健康问题,遍及所有收入国家和年龄段.
- 在全球范围内,由于人口增长和老龄化,LBP的残疾人增加了54% (1990-2015年),对低收入和中等收入国家产生了不成比例的影响.
- 腰痛是全球残疾的主要原因,只有少数病例被确诊为特定的病理原因.
研究的目的:
- 突出全球日益严重的腰部疼痛问题,
- 确定持续性,致残性腰部疼痛的危险因素和预测因素.
- 强调需要加强研究和全球倡议来管理腰部疼痛.
主要方法:
- 这项研究综合了现有的全球数据和关于腰痛患病率,残疾和风险因素的研究结果.
- 分析包括因腰部疼痛而调整的残疾寿命 (DALYs) 的趋势.
- 综述包括中央疼痛调节和疼痛认知在慢性腰部疼痛中的作用的证据.
主要成果:
- 腰部疼痛是全球残疾的主要原因,残疾年数显著增加.
- 报告腰部疼痛的危险因素包括体力苛刻的工作,相关疾病,吸烟,肥胖和低社会经济地位.
- 持续致残的腰部疼痛与初始疼痛强度高,心理困扰和多部位疼痛相关,受中心疼痛机制的影响.
结论:
- 腰部疼痛是一个日益严重的全球公共卫生问题,尤其是在资源有限的环境中.
- 有效管理需要解决风险因素,了解疼痛机制,并考虑社会经济和文化背景.
- 迫切需要加大研究力度和协调全球战略, 以减轻日益严重的腰痛.
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