腰椎间盘突出症康复治疗进展  

Progress on rehabilitation treatment of lumbar disc herniation

作　　者：怀娟[1] 岳寿伟[1] HUAI Juan;YUE Shouwei(Department of Rehabilitation Medicine,Qilu Hospital of Shandong University,Jinan,Shandong 250012,P.R.China)

机构地区：[1]山东大学齐鲁医院康复医学科,济南250012

出　　处：《华西医学》2018年第10期1311-1315,共5页West China Medical Journal

基　　金：国家自然科学基金(81772436;81401862)

摘　　要：腰椎间盘突出症(lumbar disc herniation,LDH)是临床常见多发病,造成腰痛及下肢放射痛,严重影响患者的功能,造成沉重的家庭和社会负担。其危险因素包括腰椎所受压力过大、腰椎过度扭曲及屈曲、不良姿势、肥胖、职业性因素包括重体力劳动及长时间驾驶等。其康复治疗方法主要包括卧床休息、药物治疗、物理治疗、运动疗法、手法治疗、针灸治疗、硬膜外注射治疗等。该文就LDH的流行病学、临床特点、康复治疗等作一综述,以提高对LDH康复治疗的认识,为临床治疗LDH提供参考。Lumbar disc herniation （LDH） is very prevalent in clinical practice. It manifests as low back pain and pain radiating to the leg, followed by disfunction and large family and social cost. Risk factors for LDH include biomechanical stress on the lumbar spine, specifically torsion and hyperflexion, poor posture, obesity, and occupational hazards including heavy manual labor or prolonged driving. Rehabilitation therapy mainly includes bed rest, drug therapy, physical therapy, exercise, manipulation therapy, acupuncture treatment, epidural injection treatment and so on. This review summarizes the current status of epidemiology, clinical features and rehabilitation treatment of LDH so as to improve our understanding of it and to provide a reference for clinical treatment.

关 键 词：腰椎间盘突出症 疼痛 康复治疗 

分 类 号：R681.5[医药卫生—骨科学]