Kikuchi Shinichi
Department of Orthopaedic Surgery, Fukushma Medical University School of Medicine, 1-Hikarigaoka, Fukushima, 960-1295, Japan.
Eur Spine J. 2008 Dec;17 Suppl 4(Suppl 4):421-7. doi: 10.1007/s00586-008-0747-1. Epub 2008 Nov 13.
Recently a new concept for explaining backache, "biopsychosocial pain syndrome," has been suggested. Psychosocial factors play an important role in the development and persistence of backache from an early stage. Diagnosis and treatment of backache should be based on the new concept. A good relationship between doctors and patients influences treatment outcome and patient satisfaction. Treatment should be decided by patients themselves, after being informed of the natural history of the disease and the merit and demerit of the treatment.
最近,一种用于解释背痛的新概念——“生物心理社会疼痛综合征”被提了出来。从早期阶段起,心理社会因素就在背痛的发生和持续存在中发挥着重要作用。背痛的诊断和治疗应基于这一新概念。医患之间良好的关系会影响治疗效果和患者满意度。在患者了解疾病的自然病程以及治疗的优缺点后,应由患者自己决定治疗方案。