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\u56fe\u7247\u6765\u6e90\uff1a123RF<\/p>\n\n\n\n

\u6587\u7ae0\u6765\u6e90: \u817e\u8baf \u2013 \u65b0\u95fb\u53d6\u81ea\u5404\u5927\u65b0\u95fb\u5a92\u4f53\uff0c\u65b0\u95fb\u5185\u5bb9\u5e76\u4e0d\u4ee3\u8868\u672c\u7f51\u7acb\u573a\uff01<\/p>\n\n\n\n

\u5927\u591a\u6570\u4eba\u4e00\u751f\u90fd\u4f1a\u7ecf\u5386\u8170\u75db\uff08LBP\uff09\u30022020\u5e74\uff0c\u5168\u7403\u5927\u7ea6\u6bcf13\u4eba\u4e2d\u5c31\u67091\u4eba\uff08\u76f8\u5f53\u4e8e6.19\u4ebf\u4eba\uff09\u60a3\u6709\u8170\u75db\uff0c\u5176\u75c5\u4f8b\u6570\u6bd41990\u5e74\u589e\u52a0\u4e8660%\u3002\u52302050\u5e74\uff0c\u8170\u75db\u75c5\u4f8b\u6570\u9884\u8ba1\u589e\u52a0\u81f38.43\u4ebf\u4eba<\/strong>\u3002\u6162\u6027\u539f\u53d1\u6027\u8170\u75db\uff08CPLBP\uff09\u6307\u975e\u57fa\u7840\u75be\u75c5\u6216\u5176\u4ed6\u75c5\u75c7\u5bfc\u81f4\u7684\u6301\u7eed\u8d85\u8fc73\u4e2a\u6708\u7684\u75bc\u75db\uff0c\u521d\u7ea7\u4fdd\u5065\u4e2d90%\u7684\u6162\u6027\u8170\u75db\u4e3aCPLBP\u3002<\/p>\n\n\n\n

\u76ee\u524d\u8fd8\u6ca1\u6709\u6307\u5357\u4ece\u5168\u7403\u516c\u5171\u536b\u751f\u7684\u89d2\u5ea6\uff0c\u8003\u8651\u5168\u6c11\u5065\u5eb7\u8986\u76d6\u7b49\u56e0\u7d20\uff0c\u6765\u8bc4\u4f30\u6210\u4eba\uff08\u7279\u522b\u662f\u8001\u5e74\u4eba\uff09\u6162\u6027\u8170\u75db\u7684\u7ba1\u7406\u3002\u8fd1\u671f\uff0c\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\uff08WHO\uff09\u53d1\u5e03\u7684CPLBP\u6307\u5357\uff0c\u586b\u8865\u4e86\u8fd9\u4e00\u7a7a\u767d\uff0c\u8be5\u6307\u5357\u5efa\u8bae\u91c7\u53d6\u975e\u624b\u672f\u5e72\u9884\u7684\u63aa\u65bd<\/strong>\uff0c\u4ee5\u5e2e\u52a9CPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u3002\u8fd9\u4e9b\u63aa\u65bd\u5305\u62ec5\u5927\u7c7b\uff1a<\/p>\n\n\n\n

\u6807\u51c6\u5316\u548c\u7ed3\u6784\u5316\u6559\u80b2\uff1b\u7269\u7406\u5e72\u9884\uff1b\u5fc3\u7406\u5e72\u9884\uff1b\u836f\u7269\uff1b\u7531\u591a\u5b66\u79d1\u63d0\u4f9b\u7684\u591a\u7ec4\u5206\u5e72\u9884\u3002<\/strong><\/p>\n\n\n\n

\u672c\u6587\u5217\u4e3e\u4e865\u4e2a\u5e72\u9884\u7c7b\u522b\u768425\u79cd\u5e72\u9884\u63aa\u65bd\uff0c\u5305\u62ec\uff1a6\u9879\u63a8\u8350\u4f7f\u7528\u300112\u9879\u4e0d\u63a8\u8350\u4f7f\u7528\u30011\u9879\u826f\u597d\u5b9e\u8df5\u58f0\u660e\u548c6\u9879\u5e72\u9884\u63aa\u65bd\u65e0\u63a8\u8350<\/strong>\u3002\u5177\u4f53\u5982\u4e0b\uff1a<\/p>\n\n\n\n

6\u9879\u63a8\u8350\u4f7f\u7528\u63aa\u65bd<\/strong><\/p>\n\n\n\n

1. \u6559\u80b2\uff1a\u7ed3\u6784\u5316\u548c\u6807\u51c6\u5316\u7684\u6559\u80b2\u548c\/\u6216\u54a8\u8be2<\/strong><\/p>\n\n\n\n

\u7ed3\u6784\u5316\u548c\u6807\u51c6\u5316\u7684\u6559\u80b2\u548c\/\u6216\u5efa\u8bae\u5e72\u9884\u53ef\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

2. \u7269\u7406\u5e72\u9884\uff1a\u7ed3\u6784\u5316\u8fd0\u52a8\u7597\u6cd5\u6216\u8ba1\u5212<\/strong><\/p>\n\n\n\n

\u7ed3\u6784\u5316\u8fd0\u52a8\u7597\u6cd5\u6216\u8ba1\u5212\u53ef\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4f7f\u7528\uff0c\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

3. \u5fc3\u7406\u5e72\u9884<\/strong><\/p>\n\n\n\n

\u64cd\u4f5c\u6027\u7597\u6cd5\uff08\u4e5f\u5373\u5f3a\u5316\u7597\u6cd5\uff09<\/strong>\uff1a\u8be5\u7597\u6cd5\u53ef\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

\u8ba4\u77e5\u884c\u4e3a\u7597\u6cd5\uff08CBT\uff09<\/strong>\uff1a\u8be5\u7597\u6cd5\u53ef\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

4. \u836f\u7269\u5e72\u9884\uff1a\u975e\u753e\u4f53\u6297\u708e\u836f\uff08NSAIDs\uff09<\/strong><\/p>\n\n\n\n

NSAIDs\u53ef\u4f5c\u4e3aCPLBP\u6210\u4eba\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4f7f\u7528\uff0c\u4e2d\u7b49\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

5. \u751f\u7269-\u5fc3\u7406-\u793e\u4f1a\u6cbb\u7597<\/strong><\/p>\n\n\n\n

\u7531\u591a\u5b66\u79d1\u56e2\u961f\u63d0\u4f9b\u7684\u751f\u7269-\u5fc3\u7406-\u793e\u4f1a\u6cbb\u7597\u53ef\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4f7f\u7528\uff0c\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

12\u9879\u4e0d\u63a8\u8350\u4f7f\u7528\u63aa\u65bd<\/strong><\/p>\n\n\n\n

\u8be5\u6307\u5357\u6982\u8ff0\u4e86\u5728\u5927\u591a\u6570\u60c5\u51b5\u4e0b\u4e0d\u5efa\u8bae\u60a3\u8005\u91c7\u53d6\u768412\u9879\u5e72\u9884\u63aa\u65bd\uff0c\u5177\u4f53\u5982\u4e0b\uff1a<\/p>\n\n\n\n

1. \u7269\u7406\u5e72\u9884<\/strong><\/p>\n\n\n\n

\u7275\u5f15<\/strong>\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

\u6cbb\u7597\u6027\u8d85\u58f0<\/strong>\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

\u7ecf\u76ae\u795e\u7ecf\u7535\u523a\u6fc0\uff08TENS\uff09<\/strong>\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

\u8f85\u52a9\u5668\u5177<\/strong>\uff1a\u8170\u90e8\u652f\u67b6\u3001\u8170\u5e26\u548c\/\u6216\u652f\u6491\u7269<\/p>\n\n\n\n

\u8170\u690e\u652f\u67b6\u3001\u8170\u5e26\u548c\/\u6216\u652f\u6491\u7269<\/strong>\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

2. \u836f\u7269\u5e72\u9884<\/strong><\/p>\n\n\n\n

1\uff09\u5168\u8eab\u836f\u7269\u6cbb\u7597<\/strong><\/p>\n\n\n\n

\u963f\u7247\u7c7b\u9547\u75db\u836f<\/strong>\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u4e2d\u7b49\u8d28\u91cf\u8bc1\u636e\uff09<\/p>\n\n\n\n

\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u518d\u6444\u53d6\u6291\u5236\u5242\uff08SNRI\uff09\u6297\u6291\u90c1\u836f<\/strong>\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u4f4e\u8d28\u91cf\u8bc1\u636e\uff09<\/p>\n\n\n\n

\u4e09\u73af\u7c7b\u6297\u6291\u90c1\u836f\u3001\u6297\u60ca\u53a5\u836f\u3001\u9aa8\u9abc\u808c\u677e\u5f1b\u5242\u548c\u7cd6\u76ae\u8d28\u6fc0\u7d20<\/strong>\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

2\uff09\u53ef\u6ce8\u5c04\u5c40\u90e8\u9ebb\u9189\u5242<\/strong><\/p>\n\n\n\n

\u53ef\u6ce8\u5c04\u5c40\u90e8\u9ebb\u9189\u5242\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

3. \u4f53\u91cd\u7ba1\u7406\uff1a\u836f\u7269\u51cf\u80a5<\/strong><\/p>\n\n\n\n

\u836f\u7269\u51cf\u80a5\u4e0d\u5e94\u4f5c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u5e38\u89c4\u6cbb\u7597\u7684\u4e00\u90e8\u5206\u3002\uff08\u6709\u6761\u4ef6\u63a8\u8350\u4e0d\u4f7f\u7528\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09<\/p>\n\n\n\n

\u826f\u597d\u5b9e\u8df5\u58f0\u660e\uff081\u9879\uff09<\/strong><\/p>\n\n\n\n

\u79fb\u52a8\u8f85\u52a9\u5668\u5177<\/strong>\uff1a\u5e94\u4ee5\u4eba\u4e3a\u672c\uff0c\u4e3aCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u63d0\u4f9b\u4f18\u8d28\u7684\u79fb\u52a8\u8f85\u52a9\u5668\u5177\u3002\uff08\u826f\u597d\u5b9e\u8df5\u58f0\u660e\uff09<\/p>\n\n\n\n

\u5e72\u9884\u63aa\u65bd\u65e0\u63a8\u8350\uff086\u9879\uff09<\/strong><\/p>\n\n\n\n

1.\u5fc3\u7406\u5e72\u9884<\/strong><\/p>\n\n\n\n

\u5e94\u7b54\u6027\u7597\u6cd5<\/strong>\u5e94\u7528\u4e8eCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u7684\u5229\u5f0a\u5c1a\u4e0d\u6e05\u6670\uff0c\u56e0\u6b64\u65e0\u63a8\u8350\u3002\uff08\u65e0\u63a8\u8350\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09\u3002<\/p>\n\n\n\n

\u8ba4\u77e5\u7597\u6cd5<\/strong>\u5e94\u7528\u4e8eCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u7684\u5229\u5f0a\u5c1a\u4e0d\u6e05\u6670\uff0c\u56e0\u6b64\u65e0\u63a8\u8350\u3002\uff08\u65e0\u63a8\u8350\uff0c\u6781\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09\u3002<\/p>\n\n\n\n

\u6b63\u5ff5\u51cf\u538b\u7597\u6cd5<\/strong>\u5e94\u7528\u4e8eCPLBP\u6210\u4eba\uff08\u5305\u62ec\u8001\u5e74\u4eba\uff09\u7684\u5229\u5f0a\u5c1a\u4e0d\u6e05\u6670\uff0c\u56e0\u6b64\u65e0\u63a8\u8350\u3002\uff08\u65e0\u63a8\u8350\uff0c\u4f4e\u786e\u5b9a\u6027\u8bc1\u636e\uff09\u3002<\/p>\n\n\n\n

2. \u836f\u7269\u5e72\u9884<\/strong><\/p>\n\n\n\n

\u5bf9\u4e59\u9170\u6c28\u57fa\u915a<\/strong>\uff1a\u65e0\u63a8\u8350\u3002\u76ee\u524d\u8fd8\u6ca1\u6709\u8bd5\u9a8c\u8bc4\u4f30\u5bf9\u4e59\u9170\u6c28\u57fa\u915a\u5728\u6210\u4ebaCPLBP\u6cbb\u7597\u4e2d\u7684\u5229\u5f0a\u3002\uff08\u65e0\u63a8\u8350\uff09<\/p>\n\n\n\n

\u82ef\u4e8c\u6c2e\u5353\u7c7b<\/strong>\uff1a\u65e0\u63a8\u8350\u3002\u76ee\u524d\u8fd8\u6ca1\u6709\u8bd5\u9a8c\u8bc4\u4f30\u82ef\u4e8c\u6c2e\u5353\u7c7b\u836f\u7269\u5728\u6210\u4ebaCPLBP\u6cbb\u7597\u4e2d\u7684\u5229\u5f0a\u3002\uff08\u65e0\u63a8\u8350\uff09<\/p>\n\n\n\n

3. \u4f53\u91cd\u7ba1\u7406\uff1a\u975e\u836f\u7269\u51cf\u80a5<\/strong><\/p>\n\n\n\n

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WHO\u5168\u6c11\u5065\u5eb7\u8986\u76d6\/\u751f\u547d\u5386\u7a0b\u52a9\u7406\u603b\u5e72\u4e8bBruce Aylward\u535a\u58eb<\/strong>\u8bf4\uff1a\u201c\u4e3a\u4e86\u5b9e\u73b0\u5168\u6c11\u5065\u5eb7\u8986\u76d6\uff0c\u8170\u75db\u95ee\u9898\u4e0d\u5bb9\u5ffd\u89c6\uff0c\u56e0\u4e3a\u5b83\u662f\u5168\u7403\u81f4\u6b8b\u7684\u4e3b\u8981\u539f\u56e0\u3002\u5404\u56fd\u5728\u52a0\u5f3a\u521d\u7ea7\u536b\u751f\u4fdd\u5065\u65b9\u6cd5\u7684\u540c\u65f6\uff0c\u53ef\u4ee5\u901a\u8fc7\u7eb3\u5165\u5173\u952e\u7684\u3001\u53ef\u5b9e\u73b0\u7684\u5e72\u9884\u63aa\u65bd\u6765\u5e94\u5bf9\u8fd9\u4e00\u666e\u904d\u5b58\u5728\u4f46\u5f80\u5f80\u88ab\u5ffd\u89c6\u7684\u6311\u6218\u3002\u201d<\/p>\n\n\n\n

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