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The updated cochrane review of bed rest for low back pain and sciatica.

机译：卧床休息的最新Cochrane审查可减轻腰痛和坐骨神经痛。

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STUDY DESIGN: A systematic review within the Cochrane Collaboration Back Review Group. OBJECTIVES: To report the main results from the updated version of the Cochrane Review on bed rest for low back pain. SUMMARY OF BACKGROUND DATA: There has been a growing amount of evidence showing that bed rest is not beneficial for people with low back pain. However, existing systematic reviews are unclear regarding the effects of bed rest for different types of low back pain. METHODS: All randomized studies available in systematic searches up to March 2003 were included. Two reviewers independently selected trials for inclusion assessed the validity of included trials and extracted data. Investigators were contacted to obtain missing information. RESULTS: Two new trials comparing advice to rest in bed with advice to stay active were included. There is high quality evidence that people with acute low back pain who are advised to rest in bed have a little more pain (standardized mean difference 0.22, 95% confidence interval: 0.02-0.41) and a little less functional recovery (standardized mean difference 0.29, 95% confidence interval: 0.05-0.45) than those advised to stay active. For patients with sciatica, there is moderate quality evidence of little or no difference in pain (standardized mean difference -0.03, 95% confidence interval: -0.24-0.18) or functional status (standardized mean difference 0.19, 95% confidence interval: -0.02-0.41) between bed rest and staying active. CONCLUSION: For people with acute low back pain, advice to rest in bed is less effective than advice to stay active. For patients with sciatica, there is little or no difference between advice to rest in bed and advice to stay active.
机译：研究设计：Cochrane协作后审小组的系统评价。目的：报告更新版《 Cochrane综述》关于卧床休息以减轻腰痛的主要结果。背景数据概述：越来越多的证据表明，卧床休息对腰背痛患者没有好处。但是，关于卧床休息对不同类型的下腰痛的影响，现有的系统评价尚不清楚。方法：包括截至2003年3月在系统搜索中可获得的所有随机研究。两名审阅者独立选择纳入的试验评估了纳入试验的有效性并提取了数据。与调查人员联系以获得缺少的信息。结果：包括两项比较建议卧床休息与保持活跃状态​​的新试验。有高质量的证据表明建议卧床休息的急性下背痛患者疼痛多一点（标准平均差异为0.22，95％置信区间：0.02-0.41），而功能恢复则少一些（标准平均差异为0.29） ，95％置信区间：0.05-0.45）比建议保持活跃的人高。对于坐骨神经痛患者，有中等质量的证据表明疼痛或功能状态（标准平均差异0.19、95％置信区间：-0.02）几乎没有差异（标准平均差异为-0.03，95％置信区间：-0.24-0.18）。 -0.41）在卧床休息和保持活跃之间。结论：对于急性下腰痛的人，建议卧床休息不如建议保持活跃。对于坐骨神经痛患者，建议卧床休息与保持活跃状态​​之间几乎没有差异。

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