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关于腰部疼痛的非手术治疗方法的最新情况

André Wan Wen Tsai¹, Márcio Fin², Ibrahim Afrânio Willi Liu³

¹Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

Revista brasileira de ortopedia

|November 6, 2025

概括

腰部疼痛 (LBP) 管理包括识别疼痛模式和利用多模式止痛药. 治疗结合了药理学,非药理学和干预方法,以减少疼痛和改善功能.

科学领域:

疼痛管理疼痛管理
肌肉骨系统疾病肌肉骨系统疾病
临床治疗学临床治疗学

背景情况:

腰部疼痛 (LBP) 是一个广泛的全球健康问题.
非特异性LBP约占90%的病例,缺乏明显的解剖病理原因.
有效的LBP治疗需要识别红/黄色标志和分类疼痛类型 (nociceptive,神经病,nociplastic或混合).

研究的目的:

概述急性和慢性腰部疼痛的综合治疗方法.
强调多式止痛药在LBP管理中的重要性.
讨论LBP的药理,非药理和干预治疗选择.

主要方法:

审查目前治疗腰部疼痛的治疗策略.
对药理学药物的讨论,包括止痛药,NSAID,肌肉松剂和辅助药物.
探索非药理方法,如物理疗法 (热,激光,冲击波) 和干预程序 (针,射频).

主要成果:

急性LBP通常具有有利的预后,目的是防止慢性.
慢性LBP管理侧重于减少疼痛,改善功能和提高生活质量.
多模式止痛,整合各种治疗方式,是急性和慢性LBP的指导原则.

结论:

治疗LBP应该是个性化的,考虑到疼痛模式和患者的期望.
药理疗法,包括NSAIDs和阿片类药物,需要小心剂量和持续时间.
非药物和干预疗法在神经调节和肌肌关节治疗中起着至关重要的作用,与教育和康复措施一起.

关键词:

止痛药止痛药止痛药是一种止痛药.进行保守的治疗.腰部疼痛腰部疼痛腰部疼痛腰部疼痛多模式治疗多模式治疗肌肉骨系统疼痛的情况

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