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慢性下背痛患者的就医行为。

Care-seeking among individuals with chronic low back pain.

作者信息

Carey T S, Evans A, Hadler N, Kalsbeek W, McLaughlin C, Fryer J

机构信息

Department of Medicine, University of North Carolina at Chapel Hill, USA.

出版信息

Spine (Phila Pa 1976). 1995 Feb 1;20(3):312-7. doi: 10.1097/00007632-199502000-00009.

DOI:10.1097/00007632-199502000-00009
PMID:7732467
Abstract

STUDY DESIGN

This was a stratified, random telephone survey of adults in North Carolina.

OBJECTIVE

To determine the prevalence of chronic low back pain and the extent to which treatment is sought for this condition.

SUMMARY OF BACKGROUND DATA

Chronic low back pain is a major problem. Previous studies often have combined acute and chronic back pain.

METHODS

Telephone interviews regarding back pain were conducted with 4437 North Carolina adults during 1992.

RESULTS

Chronic back pain affects 3.9% of the North Carolina population. Thirty-four percent considered themselves permanently disabled and 52% assessed their overall health as fair or poor. The median number of bed-disability days per year was three. Seventy-three percent saw a health care provider. Of those who sought care, 91% saw a medical doctor, 29% saw a physical therapist, and 25% saw a chiropractor. Use of technology was extensive: 37% received a computed tomography scan, 25% received a magnetic resonance imaging scan, and 10.4% underwent surgery.

CONCLUSIONS

Chronic back pain is common, and the level of care-seeking and costs of care among those afflicted are extremely high.

摘要

研究设计

这是一项针对北卡罗来纳州成年人的分层随机电话调查。

目的

确定慢性下腰痛的患病率以及针对该病症寻求治疗的程度。

背景数据总结

慢性下腰痛是一个主要问题。以往的研究常常将急性和慢性背痛合并在一起。

方法

1992年期间,对4437名北卡罗来纳州成年人进行了关于背痛的电话访谈。

结果

慢性背痛影响了北卡罗来纳州3.9%的人口。34%的人认为自己永久残疾,52%的人将自己的整体健康状况评估为一般或较差。每年卧床残疾天数的中位数为3天。73%的人去看了医疗服务提供者。在寻求治疗的人中,91%看了医生,29%看了物理治疗师,25%看了脊椎按摩师。技术的使用很广泛:37%的人接受了计算机断层扫描,25%的人接受了磁共振成像扫描,10.4%的人接受了手术。

结论

慢性背痛很常见,患者的就医水平和医疗费用极高。

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