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慢性腰痛诊断与治疗的研究进展
牛升波1,2,杨桓1,吴江红1,杨明园1,杨长伟1*,李明1
0
(1. 海军军医大学(第二军医大学)第一附属医院骨科, 上海 200433;
2. 中国人民解放军陆军第八十三集团军医院骨科, 新乡 453004
*通信作者)
摘要:
慢性腰痛在人群与个体一生中均有较高的患病率,对患者与社会医疗保健系统造成了重大经济负担,已经成为近年的研究热点。随着研究的深入,慢性腰痛的发病机制与影响因素被陆续发现,诊断与治疗指南被持续更新。然而,因为缺乏明确的病因,慢性腰痛的概念尚不统一,其诊断与治疗也存在争议。本文对慢性腰痛的概念、发病机制与影响因素、诊断与治疗的研究进展进行综述,为其临床诊疗与研究提供参考。
关键词:  慢性腰痛  肌肉骨骼疾病  发病机制  影响因素  诊断  治疗
DOI:10.16781/j.CN31-2187/R.20211177
投稿时间:2021-11-19修订日期:2022-04-01
基金项目:海军军医大学(第二军医大学)舰载机飞行人才航空医学保障专项课题(2020-JY07).
Diagnosis and treatment of chronic low back pain: research progress
NIU Sheng-bo1,2,YANG Huan1,WU Jiang-hong1,YANG Ming-yuan1,YANG Chang-wei1*,LI Ming1
(1. Department of Orthopaedics, The First Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Orthopaedics, The 83rd Group Army Hospital of the People's Liberation Army, Xinxiang 453004, Henan, China
*Corresponding author)
Abstract:
Chronic low back pain (CLBP) has a high general population and lifetime prevalence, which causes a significant economic burden to patients and social health care system, and has become a research focus in recent years. With the deepening of research, the pathogenesis and influencing factors of CLBP have been found one after another, and the diagnosis and treatment guidelines have been continuously updated. However, due to the absence of definite etiology, the concept of CLBP is still not unified, and its diagnosis and treatment are also controversial. This article reviews the research progress on the concept, pathogenesis and influencing factors, and diagnosis and treatment of CLBP, so as to provide reference for the clinical diagnosis, treatment and research.
Key words:  chronic low back pain  musculoskeletal disease  pathogenesis  influencing factors  diagnosis  treatment