Jiménez-Ávila José María, Rubio-Flores Erik Noe, González-Cisneros Arelhi Catalina, Guzmán-Pantoja Jaime Eduardo, Gutiérrez-Román Elsa Armida
Centro Médico Nacional de Occidente Hospital, Instituto Mexicano del Seguro Social. Guadalajara, Jal., Mexico.
School of Medicine, Instituto Tecnológico de Monterrey. Guadalajara, Jal., Mexico.
Cir Cir. 2019;86(1):24-32. doi: 10.24875/CIRUE.M18000004.
Low back pain is defined as pain in the upper portion of T12 and below the crease of the buttocks and functional limitation. The prevalence of low back pain gradually increases 11.4% per year. In Mexico, the clinical practice guidelines are not followed in handling low back pain, so it is important to systematize medical care more efficient, since resources are scarce. The first level doctor must meet the benchmarks according to patient need, an incomplete anamnesis is performed, inadequate physical examination, misinterpretation of clinical studies, misdiagnosis, ineffective management, and reference to second or third level not justified.
To provide recommendations for the implementation of syndromic diagnosis, management of adult carriers of low back pain, and correct reference. Implementation of clinical practice guidelines for low back pain syndrome consists of an assessment of the patient by way of "verification", which evaluates certain signs of symptoms, with a total of 37 items for rating, including the sections of clinical symptomatology, AP X-ray, lateral X-ray, sagittal (optional) and axial magnetic resonance imaging (optional), and pain type. Oriented data quickly and easily, from first contact to a syndromic diagnosis in patients with low back pain.
下背痛被定义为胸12上部至臀沟以下部位的疼痛及功能受限。下背痛的患病率每年以11.4%的速度逐渐上升。在墨西哥，处理下背痛时未遵循临床实践指南，因此鉴于资源稀缺，更高效地系统化医疗护理很重要。一级医生必须根据患者需求达到相应标准，存在病史采集不完整、体格检查不充分、对临床研究解读错误、误诊、管理无效以及不合理地转诊至二级或三级医疗机构的情况。
为实施综合征诊断、管理成年下背痛患者及正确转诊提供建议。下背痛综合征临床实践指南的实施包括通过“验证”对患者进行评估，该评估对某些症状体征进行评估，共有37项评分项目，包括临床症状学、前后位X线、侧位X线、矢状位（可选）和轴位磁共振成像（可选）以及疼痛类型等部分。能快速轻松地获取定向数据，从首次接触到对下背痛患者进行综合征诊断。
