Wiesel S W, Cuckler J M, Deluca F, Jones F, Zeide M S, Rothman R H
Spine (Phila Pa 1976). 1980 Jul-Aug;5(4):324-30. doi: 10.1097/00007632-198007000-00006.
The roles of bedrest, antiinflammatory medication, and analgesic medication in the treatment of acute back strain were objectively analyzed to determine whether they have a measurable effect on the return of patients to full daily activities as well as on the relief of pain. Two hundred patients were studied prospectively. Each patient had the diagnosis of acute back strain, which was defined as nonradiating low-back pain. The results of the patient's neurologic examination, straight leg raising test, and lumbosacral spine roentgenograms had to be within normal limits for the patient to be included in the study. The results showed that bedrest, as compared with ambulation, will decrease the amount of time lost from work by 50%. Bedrest will also decrease the amount of discomfort by 60%. Analgesic medication, when combined with bedrest, will further decrease the amount of pain incurred, particularly when used in the first three days of the healing process. However, analgesic medication will not allow a more prompt return to work. Antiinflammatory medication, when added to bedrest in the treatment of lumbago, does not provide an advantage over bedrest alone.
对卧床休息、抗炎药物和止痛药物在急性腰扭伤治疗中的作用进行了客观分析，以确定它们对患者恢复日常全部活动以及缓解疼痛是否有可测量的效果。对200例患者进行了前瞻性研究。每位患者均诊断为急性腰扭伤，定义为非放射性下腰痛。患者的神经学检查、直腿抬高试验和腰骶部脊柱X线片结果必须在正常范围内，患者才能纳入研究。结果显示，与走动相比，卧床休息可使误工时间减少50%。卧床休息还可使不适程度降低60%。止痛药物与卧床休息相结合，将进一步减轻所遭受的疼痛程度，尤其是在愈合过程的头三天使用时。然而，止痛药物并不能使患者更快地恢复工作。在腰痛治疗中，抗炎药物与卧床休息相结合，并不比单纯卧床休息更具优势。
