评估青少年的腰痛
Evaluating low back pain in adolescents.
作者信息
Garvick Sarah J, Creecy Candice, Miller Megan, Schafer Lorae, Spooner Alex, Tazewell Ann Wallace, Gregory Tanya
机构信息
Sarah J. Garvick is associate program director of the PA program at the Boone, N.C., campus of Wake Forest School of Medicine. Candice Creecy, Megan Miller, Lorae Schafer, Alex Spooner, and Ann Wallace Tazewell were students in the PA program at Wake Forest School of Medicine in Winston-Salem, N.C., when this article was written. Tanya Gregory is an assistant professor and director of student services in the PA program at Wake Forest School of Medicine in Winston-Salem. The authors have disclosed no potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2019 Dec;32(12):14-20. doi: 10.1097/01.JAA.0000604852.26078.91.
Low back pain in adolescents is a common complaint in primary care. With an average prevalence rate of 40%, adolescent low back pain correlates with greater healthcare use, higher incidences of adult back pain, and negative effects on overall well-being. A thorough history and physical examination can increase early detection and accurate diagnosis while ensuring the judicious use of diagnostic modalities. Although underlying serious pathology is rare in adolescents with low back pain, clinicians should recognize specific signs and symptoms that necessitate urgent evaluation and intervention. This article emphasizes the value of using a thorough history and physical examination to guide the initial diagnostic workup and to enhance the early detection and accurate diagnosis of adolescents who present with low back pain.
青少年腰痛是初级保健中常见的主诉。青少年腰痛的平均患病率为40%，与更多的医疗保健使用、成人背痛的更高发病率以及对整体幸福感的负面影响相关。全面的病史采集和体格检查可以提高早期发现和准确诊断，同时确保合理使用诊断方法。虽然患有腰痛的青少年潜在严重病理情况很少见，但临床医生应识别需要紧急评估和干预的特定体征和症状。本文强调了通过全面的病史采集和体格检查来指导初始诊断检查，并提高对出现腰痛的青少年的早期发现和准确诊断的价值。
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