[1]蔡毅,赵继荣,陈祁青,等.腰椎间盘突出症的非手术疗法研究进展[J].西部中医药,2023,36(09):145-148.[doi:10.12174/j.issn.2096-9600.2023.09.32]
 CAI Yi,ZHAO Jirong,CHEN Qiqing,et al.Advances in the Research on Non-surgical Treatment of Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2023,36(09):145-148.[doi:10.12174/j.issn.2096-9600.2023.09.32]
点击复制

腰椎间盘突出症的非手术疗法研究进展
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年09期
页码:
145-148
栏目:
出版日期:
2023-09-15

文章信息/Info

Title:
Advances in the Research on Non-surgical Treatment of Lumbar Disc Herniation
作者:
蔡毅1, 赵继荣1, 陈祁青2, 陈文2, 赵宁2, 薛旭2, 马同2, 张天龙1, 杨涛1, 李玮农1, 张立存1
1.甘肃中医药大学,甘肃 兰州 730030
2.甘肃省中医院,甘肃 兰州 730050
Author(s):
CAI Yi1, ZHAO Jirong1, CHEN Qiqing2, CHEN Wen2, ZHAO Ning2, XUE Xu2, MA Tong2, ZHANG Tianlong1, YANG Tao1, LI Weinong1, ZHANG Licun1
1.Gansu University of Chinese Medicine, Lanzhou 730030, China
2.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
椎间盘移位腰椎非手术疗法综述
Keywords:
intervertebral disk displacement lumbar vertebranon-surgical treatmentsummary
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2023.09.32
文献标志码:
A
摘要:
从卧床休息及牵引、针灸、手法、物理、药物与综合治疗等方面综述近10年关于腰椎间盘突出症(lumbar disc herniation,LDH)的非手术治疗相关文献,非手术治疗以改善局部组织微循环、消除神经根水肿、解除肌肉痉挛、纠正小关节紊乱、调节腰椎力学平衡、缓解腰腿疼痛及麻木症状为主。今后当制定统一的疗效评定标准,通过大样本、多中心、多学科的发病机制理论研究为临床治疗提供参考。
Abstract:
The papers on non-surgical treatment for lumbar disc herniation (LDH) were reviewed in the recent ten years from the aspects of bed rest, traction, acupuncture, manipulation, physical therapy, medicine and comprehensive treatment, non-surgical treatment could improve local tissue microcirculation, eliminate nerve root edema, relieve muscle spasm, correct minor joint disorder, regulate the mechanical balance of the lumbar spine, mitigate pain and numbness of back and leg. However, the unified efficacy evaluation standard should be formulated in the future through large-sample, multi-center, multidisciplinary theoretical studies on the pathogenesis, in order to provide the reference for clinical therapy.

相似文献/References:

[1]张海清,赵继荣△,陈文.腰椎间盘突出症的中医药治疗概述[J].西部中医药,2012,25(12):124.
 ZHANG Hai-qing,ZHAO Ji-rong,CHEN Wen.On TCM Therapy for Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(09):124.
[2]吴建民,李红梅,蔡英,等.浅析调脊-盆-髋手法在腰椎间盘突出症中的应用[J].西部中医药,2013,26(03):92.
 WU Jianmin,LI Hongmei,CAI Ying,et al.On Manipulation of Adjusting Spine-pelvis-hip Applied to Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2013,26(09):92.
[3]柳直,李盛华△.中医体质类型对腰椎间盘突出症 臭氧髓核消融术的疗效影响[J].西部中医药,2013,26(04):79.
 LIU Zhi,LI Shenghua.Effects of TCM Constitution Types on Clinical Efficacy of Ozone Nucleus Pulposus Ablation in Treating Patients with Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2013,26(09):79.
[4]徐斌,张华.过伸复位手法在胸腰段骨折内固定术中的应用[J].西部中医药,2012,25(05):66.
 XU Bin,ZHANG Hua.Application of Hyper-extensive Reduction to Internal Fixation of Thoracolumbar Fracture[J].Western Journal of Traditional Chinese Medicine,2012,25(09):66.
[5]黄继升,谢小强.阿是穴合谷刺配合推拿治疗腰椎间盘突出症临床观察[J].西部中医药,2013,26(11):111.
 HUANG Jisheng,XIE Xiaoqiang.Clinical Observation on AShi Acupoint HeGu Needling Combined with Massage in Treating Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2013,26(09):111.
[6]王想福,石瑞芳,王兴盛,等.独活寄生汤联合经皮激光椎间盘减压治疗腰椎间盘突出症138例[J].西部中医药,2013,26(12):105.
 WANG Xiangfu,SHI Ruifang,WANG Xingsheng,et al.DuHuo JiSheng Tang and PLDD in Treating 138 Cases of Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2013,26(09):105.
[7]杨学峰.补阳还五汤加减治疗腰椎间盘突出症 50 例[J].西部中医药,2014,27(08):75.
[8]汪芝芳.针刺牵引配合骨刺定内服外敷治疗腰椎间盘突出症 196 例[J].西部中医药,2014,27(08):121.
[9]陈晓飞,周晟,汪新柱,等.腰椎数字化X线摄影焦片距120 cm与焦片距200 cm的成像对比[J].西部中医药,2015,28(03):133.
[10]朱换平,赵继荣△,邓强.杜仲腰痛丸对腰椎间盘突出症患者血清TNF-α、IL-1β的影响[J].西部中医药,2015,28(04):103.
[11]王想福,王兴盛,石瑞芳.保守疗法治疗腰椎间盘突出症120例[J].西部中医药,2012,25(12):77.
 WANG Xiang-fu,WANG Xing-sheng,SHI Rui-fang.Comprehensive Conservative Therapy for 120 Cases of Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(09):77.
[12]黄德鹏,涂世玉,王永铭,等.中医辨证分型结合臭氧消融术治疗腰椎间盘突出症145例疗效观察[J].西部中医药,2013,26(02):96.
 HUANG Depeng,TU Shiyu,WANG Yongming,et al.Clinical Observation on Syndrome Differentiation and Ozone Ablation in Treating 145 Cases of Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2013,26(09):96.
[13]张君亮,王兆江,姜益常△.选择性钉棒系统内固定及腰背肌功能锻炼治疗腰椎间盘突出症临床观察[J].西部中医药,2013,26(05):111.
 ZHANG Junliang,WANG Zhaojiang,JIANG Yichang.On Internal Fixation of Selective Screw-rod System and Functional Exercise of Lumbar Muscle in the Treatment for Lumbar Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2013,26(09):111.
[14]杨轶杰.矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察[J].西部中医药,2012,25(09):31.
 YANG Yi-jie.Matrix Acupuncture Therapy Combined with Reduction Method of Massage and Tendon-regulation in the Treatment for 62 Cases of Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(09):31.
[15]叶尚志,蔡玮,魏宁.电针结合椎旁神经阻滞治疗高位腰椎间盘突出症临床观察[J].西部中医药,2012,25(08):98.
 YE Shang-zhi,CAI Wei,WEI Ning.Clinical Observation on Electro-acupuncture and Para Spinal Nerve Block in the Treatment of Upper Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(09):98.
[16]张沛桃.推拿结合旋转复位手法治疗腰椎间盘突出症的临床观察[J].西部中医药,2012,25(07):98.
 ZHANG Pei-tao.Clinical Observation on TuiNa and Rotatory Manual Reduction in Treating Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2012,25(09):98.
[17]孙勇军,杜渐.腰椎间盘突出症手术的围手术期中西医结合护理体会[J].西部中医药,2012,25(07):119.
 SUN Yong-jun,DU Jian.Nursing Patients undergoing Surgery of Lumbar Disc Herniation with Integrated Traditional Chinese and Western Medicine[J].Western Journal of Traditional Chinese Medicine,2012,25(09):119.
[18]张胜金.壮腰祛风镇痛汤联合石拍疗法治疗腰椎间盘突出症60例[J].西部中医药,2012,25(05):68.
 ZHANG Sheng-jin.Curative Effects of ZhuangYao QuFeng ZhenTongTang and Stone-Beat Method in Treating 60 Cases of Lumbar Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(09):68.
[19]窦花园.辨证施护对腰椎间盘突出症患者护理满意度的影响[J].西部中医药,2012,25(05):101.
 DOU Hua-yuan.Influence of Syndrome Differentiation and Nursing on Satisfaction in Patients with Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(09):101.
[20]管琳君.腰椎间盘减压术联合胶原酶溶解术术后护理体会[J].西部中医药,2013,26(09):133.
 GUAN Linjun.Nursing Experience of the Patients Undergone Lumbar Intervertebral Disc Decompression and Collagenase Chemonucleolysis[J].Western Journal of Traditional Chinese Medicine,2013,26(09):133.

备注/Memo

备注/Memo:
蔡毅(1993—),男,在读硕士研究生,医师。研究方向:中医药防治脊柱相关疾患。国家自然科学基金(81760877);甘肃省科技厅重点研发项目(20YF3FA016);中医药循证能力建设项目(2019XZZX-GK005);甘肃省中医药管理局科研课题(GZK-2018-35);兰州市创新人才项目(2018-RC-99)。
更新日期/Last Update: 2023-09-15