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急性放射性下腰痛对巴西人群日常活动及功能的影响:一项横断面研究。

ACUTE RADIATING LOW BACK PAIN IMPACT ON ROUTINE AND FUNCTION OF THE BRAZILIAN POPULATION: A CROSS-SECTIONAL STUDY.

作者信息

Porceban Guilherme Henrique, França Filho Alexandre Felipe, Ueta Renato Hiroshi Salvioni, Curto David Del, Puertas Eduardo Barros, Tamaoki Marcel Jun Sugawara

机构信息

Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2023 Oct 23;31(5):e266200. doi: 10.1590/1413-785220233105e266200. eCollection 2023.

DOI:10.1590/1413-785220233105e266200
PMID:37876864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10592387/
Abstract

UNLABELLED

Acute radiating low back pain is a frequently occurring clinical condition among the population, and it represents a significant portion of urgent care in public health services.

OBJECTIVE

Consider the clinical characteristics, demographics, as well as the intensity of the pain, discomfort, and dysfunction of patients who show a clinical diagnosis that is compatible with acute radicular pain, new or reoccurring after an asymptomatic period.

METHODS

Patients that display a clinical diagnosis that is compatible with acute sciatic nerve pain, with the beginning of it starting within three months, without previous history of a similar occurrence, were seen in an orthopedic health clinic from July 2020 to January 2021.

RESULTS

A total of 42 patients were seen with a compatible diagnosis, which represents 1.4% of all medical visits. To the best of our knowledge, no studies have considered the clinical and demographic characteristics of patients with acute radicular pain in the Brazilian population. This study has found a mean value on the disfunction index that is greater than what is suggested by the current literature.

CONCLUSION

About 30% of individuals showed functional involvement that was considered crippling, which presented a stronger association with individuals with the presence of motor deficits, intensity of radiating pain, and professional inactivity.

摘要

未标注

急性放射性下腰痛是人群中常见的临床病症,在公共卫生服务的紧急护理中占很大比例。

目的

考虑临床诊断与急性神经根性疼痛相符、在无症状期后新发或复发的患者的临床特征、人口统计学特征,以及疼痛、不适和功能障碍的程度。

方法

2020年7月至2021年1月期间,在一家骨科健康诊所对临床诊断与急性坐骨神经痛相符、起病在三个月内且无类似发作既往史的患者进行了观察。

结果

共观察到42例诊断相符的患者,占所有就诊病例的1.4%。据我们所知,尚无研究考虑巴西人群中急性神经根性疼痛患者的临床和人口统计学特征。本研究发现功能障碍指数的平均值高于当前文献报道。

结论

约30%的个体出现了被认为致残的功能受累,这与存在运动功能缺损、放射性疼痛强度以及职业活动缺乏的个体有更强的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adac/10592387/efb421e562e3/1809-4406-aob-31-05-e266200-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adac/10592387/efb421e562e3/1809-4406-aob-31-05-e266200-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adac/10592387/efb421e562e3/1809-4406-aob-31-05-e266200-gf1.jpg

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Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate-A Randomized Clinical Trial.经皮内镜腰椎间盘切除术与显微椎间盘切除术治疗腰椎间盘突出症:疼痛、功能障碍及并发症发生率——一项随机临床试验
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Lower Extremity Motor Deficits Are Underappreciated in Patient-Reported Outcome Measures: Added Value of Objective Outcome Measures.
下肢运动功能障碍在患者报告的结局指标中未得到充分重视:客观结局指标的附加价值。
Neurospine. 2020 Mar;17(1):270-280. doi: 10.14245/ns.1938368.184. Epub 2020 Jan 26.
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Prognosis of sciatica and back-related leg pain in primary care: the ATLAS cohort.基层医疗中坐骨神经痛和与背部相关的腿部疼痛的预后:ATLAS 队列研究。
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