中医药治疗腰椎骨性关节炎研究进展
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摘要
腰椎骨性关节炎(LOA),又称腰椎小关节炎、腰椎小关节综合征、腰椎小关节病,是临床较为常见的以腰痛为主要症状的腰椎退行性骨关节疾病,好发于中老年人,临床上多采用口服非甾体抗炎药、理疗、外敷等治疗方法,亦有学者提倡手术治疗。各种治疗方法有利有弊,其中在费用、不良反应等方面,中医药治疗LOA较西医治疗更具有优势。笔者从中医起源、中药疗法、针灸、理疗等方面对中医药治疗LOA作一综述,以为临床研究、诊疗作参考。
Lumbar osteoarthritis(LOA),also known as lumbar facet osteoarthritis,lumbar facet joint syndrome,lumbar facet joint disease,is a relatively common clinical lumbar degenerative joint disease with the main symptom of lumbar pain,which mainly occurs among middle-aged and old people. Clinically it is usually given oral non-steroidal anti-inflammatory drugs, physical therapy and external application for treatment, and there are also scholars advocating surgical treatment. Each treatment has advantages and disadvantages. Among them,Chinese medicine is more advantageous than western medicine in treating lumbar osteoarthritis in terms of costs and adverse reactions. The authors reviewed the Chinese medicine for treating lumbar osteoarthritis from the aspects of medical origin, Chinese medicine therapy, acupuncture, physical therapy thus to provide references for clinical research, diagnosis and treatment.
Lumbar osteoarthritis(LOA),also known as lumbar facet osteoarthritis,lumbar facet joint syndrome,lumbar facet joint disease,is a relatively common clinical lumbar degenerative joint disease with the main symptom of lumbar pain,which mainly occurs among middle-aged and old people. Clinically it is usually given oral non-steroidal anti-inflammatory drugs, physical therapy and external application for treatment, and there are also scholars advocating surgical treatment. Each treatment has advantages and disadvantages. Among them,Chinese medicine is more advantageous than western medicine in treating lumbar osteoarthritis in terms of costs and adverse reactions. The authors reviewed the Chinese medicine for treating lumbar osteoarthritis from the aspects of medical origin, Chinese medicine therapy, acupuncture, physical therapy thus to provide references for clinical research, diagnosis and treatment.
引文
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[17]王飞龙.按揉肾俞穴为主治疗腰椎骨性关节炎(肾虚型)的临床研究[D].济南:山东中医药大学,2015.
[2]张超,杨少锋.补肾活血汤综合治疗腰椎骨性关节炎60例疗效观察[J].湖南中医杂志,2014,30(10):69-70.
[3]易详明.独活寄生汤加减治疗腰椎骨性关节炎的效果观察[J].中国药物经济学,2014(S1):88-89.
[4]薄云,李淑贤,赵丽艳,等.疏肝滋肾汤治疗腰椎骨性关节炎的疗效观察[J].中华中医药杂志,2017,32(10):4762-4764.
[5]吴海斌,张昊天.中医内服外敷治疗腰椎骨性关节炎的效果观察[J].齐齐哈尔医学院学报,2016,37(8):1036-1037.
[6]郭清影.中西医结合治疗老年性腰椎骨性关节炎的临床效果观察[J].中医临床研究,2016,8(29):62-63.
[7]王志旭,穆丽娟.双醋瑞因联合独活寄生汤治疗腰椎骨性关节炎的疗效观察[J].甘肃科技,2016,32(9):121-123.
[8]潘敏良.独活寄生汤颗粒治疗肾虚型腰椎骨关节炎的临床疗效观察[D].广州:广州中医药大学,2009.
[9]朱虹,徐东浩,蒋生云,等.针药结合治疗肾虚型腰椎骨性关节炎的临床观察[J].社区医学杂志,2015,13(1):37-39.
[10]张静,杨晓利,张竞,等.腰痛宁胶囊对腰椎骨性关节炎患者血清IL-1β、TGF-β1的影响[J].中成药,2015,37(4):916-918.
[11]王惠,袁强,苗柳,等.腰痛宁胶囊治疗腰椎骨性关节炎寒湿瘀阻型72例临床观察[J].中医杂志,2015,56(17):1491-1494.
[12]郑皓.新止骨增生丸治疗腰椎骨性关节炎疗效观察[J].临床合理用药杂志,2014,7(14):26-27.
[13]黄阿勇,栗国强,曹连波,等.活血痹痛膏治疗血瘀寒湿阻络型腰椎骨性关节炎60例疗效观察[J].中医杂志,2016,57(1):46-50.
[14]彭博文,董晓俊.物理四联序贯疗法治疗腰椎小关节骨性关节炎的临床研究[J].中西医结合研究,2014,6(1):6-9.
[15]冯玉.腰部松解术治疗腰椎骨性关节炎所致腰痛的临床疗效与其作用原理探讨[D].武汉:湖北中医药大学,2016.
[16]贺会清,屈勇,彭家龙.“双固强通”针灸法治疗腰椎骨性关节炎疗效观察[J].湖北中医杂志,2017,39(9):49-51.
[17]王飞龙.按揉肾俞穴为主治疗腰椎骨性关节炎(肾虚型)的临床研究[D].济南:山东中医药大学,2015.