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本文引用的文献

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ISSLS prize winner: repeated disc injury causes persistent inflammation.国际腰椎研究学会奖获得者：反复椎间盘损伤会导致持续炎症。
Spine (Phila Pa 1976). 2007 Dec 1;32(25):2812-9. doi: 10.1097/BRS.0b013e31815b9850.
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Different ways to describe the benefits of risk-reducing treatments: a randomized trial.描述降低风险治疗益处的不同方式：一项随机试验。
Ann Intern Med. 2007 Jun 19;146(12):848-56. doi: 10.7326/0003-4819-146-12-200706190-00006.
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The effects of anthropometrics, lifting strength, and physical activities in disc degeneration.人体测量学、举重力量和体育活动对椎间盘退变的影响。
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Is the report of widespread body pain associated with long-term increased mortality? Data from the Mini-Finland Health Survey.与长期死亡率增加相关的全身广泛性疼痛报告？来自芬兰小型健康调查的数据。
Rheumatology (Oxford). 2007 May;46(5):805-7. doi: 10.1093/rheumatology/kel403. Epub 2006 Dec 22.
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Does minor trauma cause serious low back illness?轻微创伤会导致严重的腰痛疾病吗？
Spine (Phila Pa 1976). 2006 Dec 1;31(25):2942-9. doi: 10.1097/01.brs.0000248429.10963.13.
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United States' trends and regional variations in lumbar spine surgery: 1992-2003.1992 - 2003年美国腰椎手术的趋势及地区差异
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Chronic pain: a non-use disease.慢性疼痛：一种废用性疾病。
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背痛的新概念：生物心理社会疼痛综合征。

New concept for backache: biopsychosocial pain syndrome.

作者信息

Kikuchi Shinichi

机构信息

Department of Orthopaedic Surgery, Fukushma Medical University School of Medicine, 1-Hikarigaoka, Fukushima, 960-1295, Japan.

出版信息

Eur Spine J. 2008 Dec;17 Suppl 4(Suppl 4):421-7. doi: 10.1007/s00586-008-0747-1. Epub 2008 Nov 13.

DOI:10.1007/s00586-008-0747-1
PMID:19005700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2587659/
Abstract

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.

摘要

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。