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
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
收藏
页码:737 / 741
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