补充维生素D作为镇痛药对腰痛患者的影响:文献综述

Martdwitanti Ajeng Kumalaningtyas, Devi Usdiana Rosyidah, S. Sulistyani, Dodik Nursanto
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引用次数: 0

摘要

背景:腰痛(LBP)是一种肌肉骨骼疾病,其特征是源自脊柱肌肉、神经和其他器官的下背部剧烈疼痛。成年人经历50% - 80%的症状,与其他疾病相比,它是导致残疾的主要原因。造成疼痛的风险因素之一是缺乏维生素D。维生素D有助于维持脊柱旁肌无力和萎缩(如腰痛)患者的肌肉骨骼健康。由于围绕这个话题的争议,本研究将专门研究给予维生素D作为止痛药对腰痛患者的影响。这有望成为印尼治疗腰痛的典范。目的:本研究旨在专门研究给予维生素D作为镇痛药对腰痛患者的影响。方法:本研究采用文献复习法。数据取自过去10年在Google Scholar、PubMed和Science Direct上发表的文章,然后根据限制标准和PICO剔除这些文章。结果:共纳入文献988篇,按限制标准排除,共纳入文献15篇。对15篇文章的回顾发现了几个主题;单独使用维生素D作为镇痛药(9篇),维生素D与轻度体育锻炼联合使用(4篇),使用维生素D对疼痛没有明显改变(2篇)。结论:通过注意最佳剂量和给药时间,维生素D作为一种镇痛药在腰痛患者的愈合过程中有帮助的潜力。维生素D也有可能预防疾病或减轻腰痛患者的严重程度。
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The Effect of Vitamin D Supplement as Analgesic in Low Back Pain Patients: A Literature Review
Background: Low back pain (LBP) is a musculoskeletal disease characterized by severe pain in the lower back that originates in the spine's muscles, nerves, and other organs. Adults experience 50-80 percent of the symptoms, and it is the leading cause of disability when compared to other diseases. One of the risk factors for pain is vitamin D deficiency. Vitamin D aids in the maintenance of musculoskeletal health in patients with paraspinal muscle weakness and atrophy, such as those with LBP. Because of the controversy surrounding this topic, this research will specifically examine the effect of giving vitamin D as an analgesic in patients with low back pain. This is expected to serve as a model for the treatment of low back pain in Indonesia. Purpose: This research aims to specifically examine the effect of giving vitamin D as an analgesic to patients suffering from low back pain. Method: This research used the literature review method. Data were taken from articles published in Google Scholar, PubMed, and Science Direct in the last 10 years, which were then eliminated based on restriction criteria and PICO. Results: There were 988 articles found and then excluded based on the restriction criteria, yielding 15 articles to be reviewed. A review of 15 articles discovered several themes; vitamin D alone acted as an analgesic (9 articles), vitamin D combined with light physical exercise (4 articles), and the use of vitamin D did not show significant changes in pain (2 articles). Conclusion: By paying attention to the optimal dose and duration of administration, Vitamin D has the potential to aid in the healing process as an analgesic in patients suffering from low back pain. Vitamin D also has the potential to prevent disease or lessen its severity in people suffering from low back pain.
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