急性下腰痛：其预后的系统评价
Acute low back pain: systematic review of its prognosis.
作者信息
Pengel Liset H M, Herbert Robert D, Maher Chris G, Refshauge Kathryn M
机构信息
School of Physiotherapy, University of Sydney, PO Box 170, Lidcombe NSW 1825, Australia.
出版信息
BMJ. 2003 Aug 9;327(7410):323. doi: 10.1136/bmj.327.7410.323.
Abstract
OBJECTIVES
To describe the course of acute low back pain and sciatica and to identify clinically important prognostic factors for these conditions.
DESIGN
Systematic review.
DATA SOURCES
Searches of Medline, Embase, Cinahl, and Science Citation Index and iterative searches of bibliographies.
MAIN OUTCOME MEASURES
Pain, disability, and return to work.
RESULTS
15 studies of variable methodological quality were included. Rapid improvements in pain (mean reduction 58% of initial scores), disability (58%), and return to work (82% of those initially off work) occurred in one month. Further improvement was apparent until about three months. Thereafter levels for pain, disability, and return to work remained almost constant. 73% of patients had at least one recurrence within 12 months.
CONCLUSIONS
People with acute low back pain and associated disability usually improve rapidly within weeks. None the less, pain and disability are typically ongoing, and recurrences are common.
摘要
目的
描述急性腰痛和坐骨神经痛的病程，并确定这些病症临床上重要的预后因素。
设计
系统评价。
数据来源
检索Medline、Embase、Cinahl和科学引文索引，并对参考文献进行迭代检索。
主要观察指标
疼痛、功能障碍和重返工作岗位情况。
结果
纳入了15项方法学质量各异的研究。疼痛（平均降低初始评分的58%）、功能障碍（58%）和重返工作岗位情况（最初缺勤者中有82%重返工作岗位）在1个月内迅速改善。直至约3个月时仍有进一步改善。此后，疼痛、功能障碍和重返工作岗位的水平几乎保持不变。73%的患者在12个月内至少复发1次。
结论
患有急性腰痛及相关功能障碍的患者通常在数周内迅速改善。尽管如此，疼痛和功能障碍通常会持续存在，且复发很常见。
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