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应对职业性背痛:预防与治疗策略的系统评价

Addressing Occupational Back Pain: A Systematic Review of Preventive and Therapeutic Strategies.

作者信息

Gari Dania, Alabdulhadi Abdulhadi A, Alahmari Abdulrahman A, Alsalman Zahrah A, Alshehri Hani S

机构信息

Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Khobar, SAU.

Home Health Care, Prince Saud Bin Jalawi Hospital, Alahsa, SAU.

出版信息

Cureus. 2023 Nov 13;15(11):e48744. doi: 10.7759/cureus.48744. eCollection 2023 Nov.

Abstract

Occupational back pain has emerged as a significant public health concern. Despite several efforts to mitigate the adverse effects of occupational back pain, this issue still persists across the globe. This systematic review summarizes the preventive and therapeutic options available for managing occupational back pain. A systemic search was carried out in various databases including PubMed, Web of Science, CINAHL Ultimate, and Scopus to identify relevant literature. The search was also extended to Google Scholar to identify more relevant studies. A combination of keywords was used during the search. Studies were included if they focused on occupational back pain, investigated preventive and treatment options, and were published in English. A total of 20 relevant studies, including 62,176 participants, were included in this systemic review. Out of these 20 studies, 10 were randomized control trials, four were cross-sectional studies, two were longitudinal studies, one was a single-blinded clinical study, two were prospective studies, and the remaining one was a pilot study. This systemic review identified various interventions to improve occupational back pain. The common therapeutic strategies included educational programs, physio and rehab interventions, acupuncture, mixed treatment strategies, reflexology, massage, yoga, active physical therapy, and real-time occupational internet-based interventions. Some studies also reported the effectiveness of opioid therapy and non-steroidal anti-inflammatory drugs for managing back pain. Findings indicated that these therapies effectively reduced occupational back pain and improved quality of life. However, opioid therapy uses also raised safety concerns. The findings of this systemic review highlight the importance of adopting evidence-based strategies to address occupational back pain effectively.

摘要

职业性背痛已成为一个重大的公共卫生问题。尽管为减轻职业性背痛的不良影响做出了多项努力,但这个问题在全球范围内仍然存在。本系统评价总结了可用于管理职业性背痛的预防和治疗方案。在包括PubMed、科学网、CINAHL Ultimate和Scopus在内的多个数据库中进行了系统检索,以识别相关文献。检索还扩展到谷歌学术以识别更多相关研究。检索过程中使用了关键词组合。如果研究聚焦于职业性背痛、调查了预防和治疗方案且以英文发表,则纳入研究。本系统评价共纳入了20项相关研究,包括62176名参与者。在这20项研究中,10项为随机对照试验,4项为横断面研究,2项为纵向研究,1项为单盲临床研究,2项为前瞻性研究,其余1项为试点研究。本系统评价确定了各种改善职业性背痛的干预措施。常见的治疗策略包括教育项目、物理治疗和康复干预、针灸、综合治疗策略、反射疗法、按摩、瑜伽、主动物理治疗以及基于互联网的实时职业干预。一些研究还报告了阿片类药物疗法和非甾体抗炎药治疗背痛的有效性。研究结果表明,这些疗法有效地减轻了职业性背痛并改善了生活质量。然而,阿片类药物疗法的使用也引发了安全问题。本系统评价的结果凸显了采用循证策略有效解决职业性背痛问题的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c227/10718315/8e636cbd5ea8/cureus-0015-00000048744-i01.jpg

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