腰椎间盘突出症非药物保守治疗的研究进展  

Research progress in non-pharmacological conservative treatment of lumbar intervertebral disc herniation

作　　者：孔博 颜威 刘素君 贾友冀[2] 奚小冰[2] 李中伟 KONG Bo;YAN Wei;LIU Sujun;JIA Youji;XI Xiaobing;LI Zhongwei(Wuxi Xinwu District Xinrui Hospital,Wuxi Branch of Ruijin Hospital Affliated to Shanghai JiaoTong University School of Medicine,Wuxi,Jiangsu 214145,China;Ruijin Hospital Affliated to Shanghai Jiao Tong University School of Medicine,Shanghai200025,China)

机构地区：[1]无锡市新吴区新瑞医院,上海交通大学医学院附属瑞金医院无锡分院,江苏无锡214145 [2]上海交通大学医学院附属瑞金医院,上海200025

出　　处：《上海中医药杂志》2022年第4期97-101,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫计委上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)项目(ZY[2018-2020]-FWTX-4021,ZY-[2018-2020]-CCCX-1011);上海市自然科学基金面上项目(20ZR1433800)。

摘　　要：腰椎间盘突出症是骨伤科临床中的常见病、多发病。目前,腰椎间盘突出症的治疗主要分为手术治疗和(非手术)保守治疗。长期的临床实践和研究表明,非药物保守治疗方案对腰椎间盘突出症具有较好的疗效和较高的临床应用价值。综述了卧床休息、针灸、推拿、导引、牵引、体外冲击波等非药物保守治疗方案的研究现状和发展趋势,为提高腰椎间盘突出症的临床疗效提供参考和思路。Lumbar intervertebral disc herniation is a common disease which occurs frequently in the orthopedic clinic. At present,the treatment of lumbar intervertebral disc herniation is mainly divided into surgical treatment and(non-surgical)conservative treatment. Long-term clinical practice and research have shown that the non-pharmacological conservative treatment has a better therapeutic effect and higher clinical application value for lumbar intervertebral disc herniation. The article reviewed the current research status and development trend of non-pharmacological conservative treatment options such as bed rest,acupuncture,Tuina,Daoyin,traction and extracorporeal shock wave,and provided references and ideas for improving the therapeutic effect of lumbar intervertebral disc herniation in the clinic.

关 键 词：腰椎间盘突出症 非药物治疗 非手术治疗 针灸 推拿 导引 体外冲击波 综述 

分 类 号：R681.53[医药卫生—骨科学]