下腰痛-一种新概念

下腰痛患者的临床治疗不仅限于脊柱力学或者机械不稳因素，更应考虑到机能性紊乱因素。最近一期欧洲脊柱杂志刊登一篇文章介绍下腰痛的新概念，很有裨益，值得脊柱外科医生和患者共同关注： 该文采用循证医学方法证明社会心理因素在下腰痛中起到重要作用，对于下腰痛患者，手术前需要进行良好的医患沟通包括介绍疾病的自然史、告知有关治疗的优缺点等，以便达到预期的治疗目的。现摘抄其摘要及结论部分。宁夏医科大学总医院骨科戈朝晖

【Abstract】Recently a new concept for explaining

backache,‘‘biopsychosocial pain syndrome,’’ has been

suggested. Psychosocial factors play an important role in
the development and persistence of backache from an early
stage. Diagnosis and treatment of backache should be based
on the new concept. A good relationship between doctors
and patients influences treatment outcome and patient
satisfaction. Treatment should be decided by patients
themselves, after being informed of the natural history of
the disease and the merit and demerit of the treatment.

 

Conclusion
The studies mentioned above show a deep association
between backache and psychosocial factors. Diagnosis and
treatment of backache should be based on the new concept,
‘‘biopsychosocial pain syndrome’’ model. A good relationship
between doctors and patients influences treatment
outcome and patient satisfaction. Treatment should be
decided with informed decision. The choice of treatment
should be made by patients themselves after being informed
of the natural history of the disease and the merit and
demerit of the treatment. Both functional disorder as well as
mechanical disorder, should be targeted in the treatment.