社会心理因素与下腰痛（Social psychological factors and low back pain）.docVIP

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社会心理因素与下腰痛（Social psychological factors and low back pain）.doc

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社会心理因素与下腰痛（Social psychological factors and low back pain）

社会心理因素与下腰痛（Social psychological factors and low back pain） Social psychological factors and low back pain Update Date: 2007-12-08 Click: #e# Low back pain (low back, pain, LBP) is one of the most common diseases in Department of orthopedics and rehabilitation clinic met in the United States, low back pain after upper respiratory tract infection in second, 1, 2; Zheng Yinggang Qingdao Medical Institute survey of five industries in China to 10087 workers, low back pain prevalence rate was 11.5%. 3. Although LBP is very common, but there are still many uncertain problems, traditionally, the severity of clinical workers often based on physical examination to determine the severity of LBP, and the correlation between radiological clinical manifestations is similar to the symptoms, patients with the same diagnosis, take biological treatment with, its curative effect is also great the difference. With the change of medical model, more and more attention has been paid to the role of social psychological factors in LBP. Studies have shown that social psychological factors have a high correlation with the occurrence, development and prognosis of LBP. [4~13]. This article will discuss the relationship between social psychological factors and LBP from the aspects of the mechanism of pain, LBP, the personality characteristics of LBP patients and the signs of LBP. First, the mechanism of pain and LBP Since twentieth Century, for an experimental study of increased pain, has accumulated a lot of data, but the debate and disagreement, in fact, until now, people still know very little about the pain. In the aspect of the pathogenesis of pain although there are still many different theories, but Melzack and Wall then put forward 1965 gate control theory (gate control theory) 14 because it can better explain the clinical and therapeutic effect of pain, is now more and more people accept the view that glial cells after spinal cord. Angle (SG) can change the membrane potential of the aff