Chavannes A W, Gubbels J, Post D, Rutten G, Thomas S
J R Coll Gen Pract. 1986 Jun;36(287):271-3.
In a nationwide study of the treatment of acute low back pain with and without radiation in general practice in the Netherlands the subjective well-being of patients was evaluated by means of a short questionnaire sent to patients four weeks after the initial contact with their general practitioner.After this period pain had disappeared in 28% of the patients, was diminished in 47%, was unchanged in 2% and was aggravated in 4%. There was no difference in the pain score of patients with and without follow-up encounters with their general practitioner. In all instances patients with low back pain without radiation fared significantly better than those with radiation. Radiation of pain was not constant - during the four-week follow-up period it developed in 19% of the patients originally without radiation and it disappeared in 44% of the patients originally suffering radiation.
在荷兰针对全科医疗中急性腰痛伴或不伴放射性疼痛治疗的一项全国性研究中，通过在患者首次联系全科医生四周后向其发送简短问卷，对患者的主观幸福感进行了评估。在此期间，28%的患者疼痛消失，47%的患者疼痛减轻，2%的患者疼痛未变，4%的患者疼痛加重。有或没有与全科医生进行后续接触的患者，其疼痛评分没有差异。在所有情况下，无放射性疼痛的腰痛患者的情况明显好于有放射性疼痛的患者。疼痛的放射性并不恒定——在四周的随访期内，最初无放射性疼痛的患者中有19%出现了放射性疼痛，而最初有放射性疼痛的患者中有44%疼痛消失了。
