李华东从椎间孔内外口靶点治疗腰椎间盘突出症经验  

Experience of LI Huadong in Treatment of Lumbar Disc Herniation From Targets in Internal and External Orifices of Intervertebral Foramen

作　　者：欧林宏 乔英杰 张万里 李华东(指导) OU Linhong;QIAO Yingjie;ZHANG Wanli;LI Huadong(Shenzhen Pingle Orthopedic Hospital/Shenzhen Pingshan District Hospital of Traditional Chinese Medicine,Shenzhen 518010,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;不详)

机构地区：[1]深圳平乐骨伤科医院/深圳市坪山区中医院,广东深圳518010 [2]山东中医药大学,山东济南250355 [3]山东中医药大学附属医院,山东济南250014 [4]不详

出　　处：《山东中医杂志》2022年第8期891-894,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省中医药管理局项目(编号:2019-1055)。

摘　　要：李华东老师对神经根在椎管、侧隐窝及神经根管仍有活动空间的腰椎间盘突出症患者,以椎间孔内外口处的神经根和韧带为靶点,在衷中参西思想指导下,进行分期论治。急性期选用椎间孔内外口神经阻滞术配合微针刀椎间孔内外口微韧带松解术,缓解期选用椎间孔内外口针刺神经刺激术,慢性期选用瞬时电针强刺激术。其整合针刺、针刀、药物、电针等治疗手段的优势,取得较好疗效。For patients with lumbar disc herniation whose nerve roots still have activity space in the spinal canal,lateral crypt,and nerve root canal,Professor LI Huadong,guided by the thought of“integrating traditional Chinese medicine and western medicine”,puts forward a treatment option which targets the nerve roots and ligaments at the internal and external orifices of intervertebral foramen and varies with the phase of the disease.In the acute phase,the treatment consists of the following two methods:Nerve block in the internal and external orifices of intervertebral foramen,and micro needle knife release therapy for microligaments in the internal and external orifices of intervertebral foramen.In the remission phase,nerve stimulation by acupuncture is applied in the internal and external orifices of intervertebral foramen.In the chronic phase,the patients are given instantaneous strong stimulation by electroacupuncture.Professor LI Huadong integrates the advantages of acupuncture,needle knife,medicinals,electroacupuncture and other treatment means,which has achieved good curative efficacy.

关 键 词：腰椎间盘突出症 椎间孔内外口 靶点治疗 神经阻滞术 针刺神经刺激术 瞬时电针强刺激术 

分 类 号：R249[医药卫生—中医临床基础] R274.9[医药卫生—中医学]