腰痛的诊疗进展

被引：5

作者：

俞晓杰 ^{[1
]}

王祥瑞 ^{[2
]}

机构：

[1] 上海交通大学医学院附属仁济医院康复医学科

[2] 上海交通大学医学院附属仁济医院麻醉疼痛科

来源：

国际麻醉学与复苏杂志 | 2011年 / 06期

关键词：

腰痛; 循证医学; 镇痛;

D O I：

暂无

中图分类号：

R681.5 [脊柱及背疾病];

学科分类号：

摘要：

背景腰痛,又称下背痛,是引起功能障碍的主要原因。目的在众多腰痛的诊断和治疗方法中,提供基于循征医学的腰痛诊断和治疗进展。内容临床医生应该首先把腰痛患者归类为机械性、神经性或继发性腰痛,进而给予相应的检查和治疗。趋向机械性腰痛不应该常规使用影像学检查。腰痛患者的一线药物治疗是对乙酰氨基酚或非类同醇类抗炎药。腰痛的物理治疗、神经阻滞和手术等还存在争议,应该根据循征医学证据选择医师所熟悉的治疗。

引用

页码：737 / 741

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