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腰酸背痛不是天气惹的祸

已有 2913 次阅读 2014-7-15 07:14 |个人分类:期刊论文|系统分类:论文交流| 天气, 疼痛


常常听人说起,他或她的有风湿毛病的膝关节是一只“晴雨表”,能准确预测天气的变化。如果关节疼痛加剧,表示即将出现刮风下雨的坏天气,反之则预示要转为雨过天晴的好天气。在我的印象中似乎有这么回事,也就相信了风湿关节痛是由天气变化引起的说法。

据世界卫生组织(WHO)的资料,我们每个人一生中都经历过腰酸背痛,这使得任何时间点都有多达33%的人受累,这种疼痛主要涉及骨骼、肌肉、韧带、肌腱和神经,但不清楚它们是否也像类风湿性关节炎那样因天气变化而变化。

澳大利亚的研究人员最近发现,突发的急性腰背疼痛与温度、湿度、气压、风向和降雨等无关,风速过高及沙尘暴会使疼痛轻微加剧,但无显著临床意义,此结果发表在最新出版的《关节炎护理及研究》(Arthritis Care & Research)杂志上。

该研究为期一年,从2011年10月开始至2012年11月结束,共有993名患者参与研究。研究人员通过对“病例窗口”(患者最先意识到疼痛时的天气)数据与“对照窗口”(疼痛发作前一周及一月的天气)数据的比较得出上述结论。

不过,这类腰背疼痛尚未被明确定义为风湿或类风湿病。研究人员表示,他们下一步将研究天气参数对纤维肌痛、类风湿性关节炎、骨关节炎等相关疾病的影响。我个人的体会,急性腰背疼痛不太像风湿或类风湿,似乎与肠道感染的关系更密切,因为腹泻时会有疼痛加剧的感觉,有待进一步证实。




Low back pain? Don't blame the weather


Date:
July 10, 2014
Source:
Wiley
Summary:
Sudden, acute episodes of low back pain are not linked to weather conditions such as temperature, humidity, air pressure, wind direction and precipitation, researchers have determined. These findings indicate that the risk of low back pain slightly increases with higher wind speed or wind gusts, but was not clinically significant.


Australian researchers reveal that sudden, acute episodes of low back pain are not linked to weather conditions such as temperature, humidity, air pressure, wind direction and precipitation. Findings published in Arthritis Care & Research, a journal of the American College of Rheumatology (ACR), indicate that the risk of low back pain slightly increases with higher wind speed or wind gusts, but was not clinically significant.

According to the World Health Organization (WHO) nearly everyone experiences low back pain at some point in their life, making it the most prevalent musculoskeletal condition and affecting up to 33% of the world population at any given time. Those with musculoskeletal (bone, muscle, ligament, tendon, and nerve) pain report that their symptoms are influenced by the weather. Previous studies have shown that cold or humid weather, and changes in the weather increase symptoms in patients with chronic pain conditions.

"Many patients believe that weather impacts their pain symptoms," explains Dr. Daniel Steffens with the George Institute for Global Health at the University of Sydney, Australia. "However, there are few robust studies investigating weather and pain, specifically research that does not rely on patient recall of the weather."

For the present case-crossover study 993 patients seen at primary care clinics in Sydney were recruited between October 2011 and November 2012. Weather data from the Australian Bureau of Meteorology were sourced for the duration of the study period. Researchers compared the weather at the time patients first noticed back pain (case window) with weather conditions one week and one month before the onset of pain (control windows).

Results showed no association between back pain and temperature, humidity, air pressure, wind direction or precipitation. However, higher wind speed and wind gusts did slightly increase the chances of lower back pain, but the amount of increase was not clinically important.

"Our findings refute previously held beliefs that certain common weather conditions increase risk of lower back pain," concludes Dr. Steffens. "Further investigation of the influence of weather parameters on symptoms associated with specific diseases such as fibromyalgia, rheumatoid arthritis, and osteoarthritis are needed."

Story Source:

The above story is based on materials provided by Wiley. Note: Materials may be edited for content and length.

Journal Reference:

  1. Daniel Steffens, Chris G. Maher, Qiang Li, Manuela L. Ferreira, Leani S.M. Pereira, Bart W. Koes, Jane Latimer. Weather does not affect back pain: Results from a case-crossover study. Arthritis Care & Research, 2014; DOI: 10.1002/acr.22378




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