腰椎间盘突出症的中西医治疗进展  

Progress in Traditional Chinese and Western Medicine Treatment of Lumbar Intervertebral Disc Herniation

作　　者：王俊霖 陈子昕 王树人[2] 

机构地区：[1]黑龙江中医药大学,黑龙江 哈尔滨 [2]黑龙江中医药大学附属第一医院,黑龙江 哈尔滨

出　　处：《中医学》2024年第6期1166-1170,共5页Traditional Chinese Medicine

摘　　要：腰椎间盘突出症(LDH)是由椎间盘退行性改变引起的纤维环断裂,使髓核单独或与软骨终板或纤维环突出,对神经根产生压迫或炎症刺激,引起腰部疼痛,此病经常累及下肢,出现疼痛、麻木等症状,使病人的生活质量显著下降。腰椎间盘突出症属于“腰痛”“脊痛”“痹病”的范畴,其发病机制与肾虚,风、湿、热等为其主要病机。目前,治疗腰椎间盘突出的方法有很多,有内服中药、中药外用、推拿、针灸、中医保健运动等疗法。腰椎间盘突出症的治疗方法主要为手术治疗和非手术治疗。手术虽能取得较好的疗效,但存在损伤血管、神经及血栓形成的危险,且术后恢复周期较长。研究表明,80%~90%的椎间盘病人经非手术疗法可完全治愈或减轻,因此在临床中被广泛应用。本文就其治疗方法进行论述,为此病的防治提供参考。Lumbar disc herniation (LDH) is a fibrous ring rupture caused by degenerative changes in the intervertebral disc, causing the nucleus pulposus to protrude alone or with the cartilage endplate or fibrous ring, compressing or inflammatory stimulation of the nerve roots, causing lower back pain. This disease often affects the lower limbs, presenting symptoms such as pain and numbness, significantly reducing the patient’s quality of life. Lumbar disc herniation belongs to the categories of “lower back pain”, “spinal pain”, and “bi disease”. Its pathogenesis is related to kidney deficiency, wind, dampness, heat, and other factors. At present, there are many ways to treat lumbar disc herniation, including oral Chinese medicine, external use of Chinese medicine, massage, acupuncture and moxibustion, Chinese medicine health care exercise and other treatments. The treatment methods for lumbar disc herniation mainly include surgical treatment and non-surgical treatment. Although surgery can achieve good therapeutic effects, there is a risk of damaging blood vessels, nerves, and thrombosis, and the postoperative recovery period is relatively long. Research has shown that 80%~90% of intervertebral disc patients can be completely cured or relieved through non-surgical therapy, making it widely used in clinical practice. This article discusses its treatment methods and provides reference for the prevention and treatment of this disease.

关 键 词：腰椎间盘突出症 中西医 治疗方法 研究进展 

分 类 号：R68[医药卫生—骨科学]