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頁籤選單縮合
題 名 | 下背部疼痛的復發率 |
---|---|
作 者 | 詹美華; 吳英黛; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 14 1989.10[民78.10] |
頁 次 | 頁25-33 |
分類號 | 418.92 |
關鍵詞 | 下背部疼痛; 復發; |
語 文 | 中文(Chinese) |
中文摘要 | 作者從民國七十一年八月至七十三年八月間來就醫之下背疼痛患者進 行追蹤評估,除卻壓迫性骨折(compression fracture),脊柱側彎(scoliosis)所致的背 痛患者,以及終止治療後,痊癒未達3個月者,皆本列為研究對象外。其餘的病 患皆用電話去追蹤,但最後能追蹤得到完整資料的僅九十七人次。 結果97位當中,男性53位,女性44位;因增殖性椎關節病變(spondylosis)而下背痛 者34位,椎間軟骨突出者(HIVD)29位,柔軟組織受傷(soft tissue injury)27位,其他 病變,包括脊椎脫位(spondylolisthesis)等7位。追蹤的結果:60位(61.9)曾經再復發, 但其中僅27位(27.8)需要再尋求治療。病人認為復發的原因,以"工作,勞累"最多, 就整個系列而言,復發率隨著年齡的增加而降低。40歲以下的年輕患者其復發率 最高(72.3),但需要治療者僅佔27.7。65歲以上患者的復發率最低,且皆不需要再 尋求治療(p<0.05)。又女性患老的復發率大於男性患者,但無統計上的意義。不 同的病變中,以柔軟組織受傷的復發率最高,但亦無統計上的意義(P<0.1)。 日常生活中,對腰椎活動量需求的多寡。會影響下背部疼痛患者的復發率 (p<0.05),尤其走「靜態」生活模式的病患群與「過度活動」模式的患者之間, 其復發率之差距最顯著(P<0.01);但「動態」與「過度活動」兩組間的差別就不明 顯(P<0.1),至於病患本身是否具有防範下背疼痛再發作的常識。對下背部疼痛復 發率的高低。亦具統針上的意義(P<0.01)。 |
英文摘要 | This survey of low back pain recurrenceis mainly on the patients who were treatedin the rehabilitation department of NationalTaiwan University Hospital from Aug. 1982 toAug. 1984. Patients with low back pain whichwas caused by abnormal structures, such as compression fracture, scollosis, psychogenic factorsor status post lumbar operation, are excli."led.Patients whose pain could not be relieved bytreatment or the relief time less than 3 monthsare not included in the study, too. All theremaining cases were followed by a phone callinterview and only ninety persons have completedata on our quastionaire. Among the 97 subjects, 60 persons(61.9) have recurrence but only 27 subjects(27.8) require medical consultation andtreatment. The reported main reason of recurrence is overwork. The recurrence rateof female patients (70.5) appears to begreater than the male patients (54.7). Malepatients under age of 30 have higher recurrencerate than the other age group. Patients withsoft tissue Injury have the highest recurrencerate (70.4). On the other hand patientswith herniated disc have to the lowestrecurrence. However, there was no significantdifference among the different diagnosis. This study also shows that the dallyactivity level of lumbar spine would influencethe recurrence of low back pain (p < 0.05). Theknowledge of low back pain protection hasshown correlation with the low back painrecurrence. |
本系統中英文摘要資訊取自各篇刊載內容。