[1]秦晓宽,孙凯,徐卫国,等.腰椎间盘突出症中医循证实践指南[J].西部中医药,2024,37(05):1-15.[doi:10.12174/j.issn.2096-9600.2024.05.01]
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腰椎间盘突出症中医循证实践指南
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年05期
页码:
1-15
栏目:
医学指南
出版日期:
2024-05-15

文章信息/Info

Title:
An Evidence-based Guideline on Treating Lumbar Disc Herniation with Traditional Chinese Medicine
作者:
秦晓宽1, 孙凯1, 徐卫国2, 高景华1, 姜宏3, 陈薇4, 张玲5, 李振华6, 李无阴7, 袁普卫8, 杨克新1, 童培建9, 钟远鸣10, 朱晓峰11, 万小明12, 何承建13, 王艳国14, 徐西林15, 黄勇16, 张智海17, 黄异飞18, 郭伟19, 曹俊岭20, 冯天笑1,21, 王旭22, 尹煜辉1, 王浩22, 孙传睿22, 肖想玉22,23, 魏戌22, 朱立国1
关键词:
循证实践指南; 腰椎间盘突出症; 中医药; 中西医结合
Keywords:
evidence-based guideline; lumbar disc herniation; Traditional Chinese medicine; integrating Chinese and Western medicine
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2024.05.01
文献标志码:
A
摘要:
背景腰椎间盘突出症是导致腰痛最常见的原因之一，给患者和社会带来了沉重的经济负担。对绝大部分患者而言，保守治疗是首选。中医药是保守治疗的重要组成部分，日益受到国际的关注。 方法组建多学科专家组成的工作组，通过系统文献检索和专家共识确定指南需解决的临床问题，采用GRADE方法对证据质量和推荐意见强度进行分级。 结果指南最终形成20条推荐意见，涉及身痛逐瘀汤、肾着汤、四妙散、独活寄生汤、腰痹通胶囊、腰痛宁胶囊、恒古骨伤愈合剂、手法、针刀、针刺、电针、中医传统功法（太极拳、八段锦、易筋经）及联合西医常规治疗。西医常规治疗包括非甾体抗炎药物、营养神经类药物、牵引等。 结论这是第一部严格按照国内外规范采用GRADE方法制订的中医药治疗腰椎间盘突出症的中医循证指南，希望指南中推荐意见可以帮助医护工作者更好地照护腰椎间盘突出症患者。
Abstract:
BackgroundLumbar disc herniation (LDH), as one of the most common causes of lower back pain, imposes a heavy economic burden on patients and society. Conservative management is the first-line choice for the majority of LDH patients. Traditional Chinese medicine (TCM) is an important part of conservative treatment and has attracted more and more international attention. MethodsWe formed a guideline panel of multidisciplinary experts. The clinical questions were identified on the basis of a systematic literature search and a consensus meeting. We searched the literature for direct evidence on the management of LDH, and assessed its certainty generated recommendations using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. ResultsThe guideline panel made twenty recommendations, which covered use of Shentong Zhuyu Tang, Shenzhuo Tang, Simiao San, Duhuo Jisheng Tang, Yaobitong capsule, Yaotongning capsule, Henggu bone injury healing agent, manipulation, needle knife, acupuncture, electroacupuncture, Chinese exercise techniques(Tai Chi, Baduanjin, or Yijinjing) and integrative medicine, such as combined non-steroidal anti-inflammatory drugs, neural nutrition, and traction. ConclusionThis is the first LDH treatment guideline for TCM and integrative medicine with a systematic search, synthesis of evidence, and using the GRADE method to rate the quality of evidence. We hope these recommendations can help healthcare workers care for LDH patients.

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备注/Memo

备注/Memo:
秦晓宽（1996—），男，在读博士研究生。研究方向：脊柱退行性疾病研究。；孙凯（1990—），男，主治医师。研究方向：脊柱退行性疾病研究。国家重点研发计划项目（2021YFC1712800，2021YFC1712803）；中国中医药循证能力提升项目（ZZ13-024-7）；国家中医药传承创新团队项目（ZYYCXTD-C-202003）。
更新日期/Last Update: 2024-05-15