Nyiendo J, Haldeman S
Western States Chiropractic College, Portland, Oregon 97230.
Med Care. 1987 Jun;25(6):516-27. doi: 10.1097/00005650-198706000-00006.
A prospective study was undertaken to characterize 2,000 patients attending a chiropractic teaching clinic and the effectiveness of the care they received. Fifty-two percent of the patients were between 21 and 34 years old; 41% categorized their occupation as professional and 14% as skilled blue collar; 79% presented with musculoskeletal complaints; 44% had low back pain; 41% had complaints less than 1 month; 83% had no work time loss. Eighty-one percent of musculoskeletal diagnoses were reported as strain, with less than 1% intervertebral disc syndrome. The primary treatment approach was manipulation in 90% of cases. As a group, both patients and interns had similar expectations about the likelihood of improvement following treatment and similar assessments of the degree of improvement actually attained. Eighty-two percent of patients improved during their course of treatment. An average 4.4 patient visits were encountered per episode of care, with an average total charge of $66.00.
一项前瞻性研究旨在对2000名到整脊教学诊所就诊的患者及其接受治疗的效果进行特征描述。52%的患者年龄在21至34岁之间；41%将其职业归类为专业人员，14%归类为熟练蓝领；79%的患者有肌肉骨骼方面的主诉；44%有腰痛；41%的患者主诉时间少于1个月；83%的患者没有工作时间损失。81%的肌肉骨骼诊断报告为劳损，椎间盘综合征不到1%。90%的病例主要治疗方法是手法治疗。总体而言，患者和实习生对治疗后改善可能性的期望相似，对实际达到的改善程度的评估也相似。82%的患者在治疗过程中有所改善。每次护理平均有4.4次患者就诊，平均总费用为66.00美元。
