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普通人群下背痛的前瞻性研究。I. 发病率、复发率及病因

A prospective study of low back pain in a general population. I. Occurrence, recurrence and aetiology.

作者信息

Biering-Sørensen F

出版信息

Scand J Rehabil Med. 1983;15(2):71-9.

PMID:6223365
Abstract

A general population of 928 men and women aged 30, 40, 50, and 60 years underwent a lower back examination as part of a general health survey. A 12 month follow-up questionnaire was completed by 99% of them. At the end of the follow-up year, the life time prevalence rates for low back pain (LBP) were 68-70% for men and rose with increasing age from 62% to 81% among women. The one year incidence of first attacks of LBP was 11% among the 30-year-olds and decreased in the older age-groups. Recurrences of LBP in the follow-up year were more frequent among those who had more recently and frequently experienced LBP before. Among those who had experienced LBP on some occasion, 23-31% had such symptoms daily or at least once a week. Heavy lifting, twisting and trauma were the most commonly stated causes of LBP, which 52-60% of the participants claimed to be work-related. A gradual onset and exacerbation of the LBP were of some prognostic value in the follow-up year, while the alleged cause of previous LBP was not.

摘要

作为一项普通健康调查的一部分,928名年龄在30岁、40岁、50岁和60岁的男性和女性接受了下背部检查。其中99%的人完成了一份为期12个月的随访问卷。在随访年末,男性下背痛(LBP)的终生患病率为68%-70%,女性则随着年龄增长从62%升至81%。30岁人群中首次发作LBP的一年发病率为11%,且在年龄较大的组中有所下降。在随访年中,之前近期和频繁经历过LBP的人LBP复发更为频繁。在曾有过LBP经历的人群中,23%-31%的人每天或至少每周一次有此类症状。搬运重物、扭转和外伤是最常提及的LBP病因,52%-60%的参与者称这些病因与工作相关。LBP的逐渐发作和加重在随访年中有一定的预后价值,而之前LBP所谓的病因则没有。

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