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Yujian Liu¹, Kangzhe Peng², Jian Lu³

¹Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

BMC health services research

|November 22, 2025

概括

物理治疗 (PT) 对于非特异性肩部疼痛 (NSSP) 的处方较为少,而不是针对特定的肩部疼痛 (SSP). 这项研究分析了国家数据,以突出这些在肩膀疼痛管理中使用PT的差异.

科学领域:

整形外科整形外科整形外科
物理疗法物理治疗
医疗保健服务研究医疗服务研究

背景情况:

有限的国家数据存在于非特异性肩部疼痛 (NSSP) 的门诊诊所.
了解NSSP与特定肩部疼痛 (SSP) 的治疗差异对于优化护理至关重要.

研究的目的:

为了比较使用物理治疗 (PT) 诊断的NSSP标签与SSP标签的门诊访问.
通过使用国家数据,识别NSSP和SSP访问之间的PT处方率的差异.

主要方法:

从2007年至2016年使用了国家门诊医疗调查 (NAMCS) 数据库.
根据诊断,分层划分肩部疼痛访问到NSSP和SSP组.
采用多变量后勤回归来分析PT利用率,根据患者,实践和访问特征进行调整.

主要成果:

大约有86.49万名成年人出院治疗肩部疼痛.
带有NSSP标签的访问占肩部疼痛总访问量的28.1% (24.31万).
在NSSP访问中,PT在10.8%的NSSP访问中被处方,而在SSP访问中,PT在22.2%的SSP访问中被处方,即使在调整后 (aOR=0.62) 也存在统计学上显著的差异.

结论:

在门诊护理中,在非特异性和特异性肩部疼痛诊断之间,在物理治疗利用方面存在显著的差异.
这些发现强调需要解决管理差异,并促进所有肩部疼痛表现的适当PT使用.
进一步的研究可能会为减少肩部疼痛物理治疗处方差异的指导方针提供信息.

关键词:

诊断标签诊断标签诊断标签非特定的肩部疼痛 (NSSP)物理治疗 (PT) 物理治疗特定的肩部疼痛 (SSP)

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