中医药治疗急性期腰椎间盘突出症的进展
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摘要
腰椎间盘突出症是指患者腰椎间盘纤维环破裂,髓核外突压迫神经根,其临床主要表现为腰痛、下肢疼痛或麻木等等。该病急性发作期间患者疼痛感较强,且部分患者难以行走,对其生活及工作造成的影响较大。该病西医治疗难度较大,尤其针对急性期患者,其治疗效果欠佳。中医对腰椎间盘突出症的研究较多,通过辨证施治能够有效缓解患者临床症状,降低患者疼痛感。腰椎间盘突出症临床中多应用中医药治疗,通过中药内服外用、针刺、艾灸、推拿、牵引等中医综合疗法,治疗方式多样,临床效应不一。现结合近年相关临床文献报道,对临床采用中医药治疗腰椎间盘突出症方法进展作一总结分析。
Lumbar disc herniation refers to the rupture of the annulus fibrosus of the lumbar intervertebral disc and the compression of the nerve root by the protrusion of the nucleus pulposus,with the mainly clinical manifestations of low back pain,lower limb pain or numbness,etc. During the acute onset of the disease,patients have a strong sense of pain,and some patients are difficult to walk,which has a greater impact on their lives and work. The treatment of Western medicine is very difficult,especially for patients with acute stage,the treatment effect is not good. There are many researches on lumbar intervertebral disc herniation in traditional Chinese medicine. Treatment based on syndrome differentiation can effectively relieve the clinical symptoms and reduce the pain of patients. Lumbar intervertebral disc herniation is usually treated with traditional Chinese medicine in clinic. Through the comprehensive treatment of traditional Chinese medicine,such as internal and external use of traditional Chinese medicine,acupuncture,moxibustion,massage and traction,the treatment methods are varied and the clinical effects are different. This article summarizes and analyzes the progress in the treatment of lumbar intervertebral disc herniation with traditional Chinese medicine according to the relevant clinical literature in recent years.
Lumbar disc herniation refers to the rupture of the annulus fibrosus of the lumbar intervertebral disc and the compression of the nerve root by the protrusion of the nucleus pulposus,with the mainly clinical manifestations of low back pain,lower limb pain or numbness,etc. During the acute onset of the disease,patients have a strong sense of pain,and some patients are difficult to walk,which has a greater impact on their lives and work. The treatment of Western medicine is very difficult,especially for patients with acute stage,the treatment effect is not good. There are many researches on lumbar intervertebral disc herniation in traditional Chinese medicine. Treatment based on syndrome differentiation can effectively relieve the clinical symptoms and reduce the pain of patients. Lumbar intervertebral disc herniation is usually treated with traditional Chinese medicine in clinic. Through the comprehensive treatment of traditional Chinese medicine,such as internal and external use of traditional Chinese medicine,acupuncture,moxibustion,massage and traction,the treatment methods are varied and the clinical effects are different. This article summarizes and analyzes the progress in the treatment of lumbar intervertebral disc herniation with traditional Chinese medicine according to the relevant clinical literature in recent years.
引文
[1]马永胜,杨豪.中医针灸联合独活寄生汤加减治疗急性腰间盘突出症的应用研究[J].辽宁中医杂志,2018,45(7):1491-1493.
[2]朱丹阳,郑萍.应用乌头健肾汤联合深刺夹脊穴治疗腰椎间盘突出症急性期的疗效及对TNF-α、CD62P的影响[J].四川中医,2018,36(4):119-122.
[3]张晓辉,李洁,张虹.加味平乐疏肝活血汤治疗青壮年腰椎间盘突出症急性期临床观察[J].四川中医,2016(12):162-164.
[4]陈翔,李亚亚,张大伟.拨筋归槽手法结合中药外敷治疗急性腰椎间盘突出症30例[J].现代中医药,2018,38(4):59-60.
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[7]袁红玲,梁亮标,张志鸿,等.针刺前臂反应点对腰椎间盘突出症急性期即时止痛效果的观察[J].按摩与康复医学,2017,8(4):29-30.
[8]洪秋阳,王桂玲,王世广,等.通督补肾活血针法治疗腰椎间盘突出症急性期45例临床研究[J].江苏中医药,2017,49(8):54-56.
[9]曹越,陈成,周文娟,等.生物陶瓷火罐结合痛点放血为主治疗急性期腰椎间盘突出症疗效观察[J].针灸临床杂志,2017(11):4-7.
[10]钱挺,童翔,洪艳.平衡针与推拿不同顺序组合治疗腰椎间盘突出症急性期即时疗效比较[J].新中医,2017,49(5):107-109.
[11]汪素芬,周世红.透灸法对腰椎间盘突出症急性期的疗效及复发率的影响[J].中国中医急症,2017,26(2):360-362.
[12]徐丹,李鹏鸟.艾灸治疗热敏灸感腰椎间盘突出症急性期随机平行对照研究[J].实用中医内科杂志,2017,31(6):57-60.
[13]戚艳,崔荣荣.中西医结合保守治疗腰椎间盘突出症临床观察[J].湖北中医药大学学报,2017,19(1):84-87.
[14]苏涌珑,林志刚,陈水金.三步七法治疗急性期腰椎间盘突出症35例[J].中国中医药现代远程教育,2017,15(4):110-112.
[15]戴秀霞.腰部推拿联合腹部推拿治疗腰椎间盘突出症急性期的疗效分析[J].中医临床研究,2016,8(29):65-67.
[16]薛琴,赵小燕.活血通络法药物熏蒸对腰椎间盘突出症急性期的护理体会分析[J].内蒙古中医药,2017,36(2):177.
[17]齐斌武,严文涛,郭磊.急性期腰椎间突出症保守治疗1062例[J].内蒙古中医药,2016,35(16):10.
[2]朱丹阳,郑萍.应用乌头健肾汤联合深刺夹脊穴治疗腰椎间盘突出症急性期的疗效及对TNF-α、CD62P的影响[J].四川中医,2018,36(4):119-122.
[3]张晓辉,李洁,张虹.加味平乐疏肝活血汤治疗青壮年腰椎间盘突出症急性期临床观察[J].四川中医,2016(12):162-164.
[4]陈翔,李亚亚,张大伟.拨筋归槽手法结合中药外敷治疗急性腰椎间盘突出症30例[J].现代中医药,2018,38(4):59-60.
[5]苏涌珑,林志刚,陈水金.三步七法治疗急性期腰椎间盘突出症35例[J].中国中医药现代远程教育,2017,15(4):110-112.
[6]毕文卿,何庭槐.中药熏蒸疗法辨证治疗腰椎间盘突出症急性期临床观察[J].湖北中医杂志,2018,40(7):33-35.
[7]袁红玲,梁亮标,张志鸿,等.针刺前臂反应点对腰椎间盘突出症急性期即时止痛效果的观察[J].按摩与康复医学,2017,8(4):29-30.
[8]洪秋阳,王桂玲,王世广,等.通督补肾活血针法治疗腰椎间盘突出症急性期45例临床研究[J].江苏中医药,2017,49(8):54-56.
[9]曹越,陈成,周文娟,等.生物陶瓷火罐结合痛点放血为主治疗急性期腰椎间盘突出症疗效观察[J].针灸临床杂志,2017(11):4-7.
[10]钱挺,童翔,洪艳.平衡针与推拿不同顺序组合治疗腰椎间盘突出症急性期即时疗效比较[J].新中医,2017,49(5):107-109.
[11]汪素芬,周世红.透灸法对腰椎间盘突出症急性期的疗效及复发率的影响[J].中国中医急症,2017,26(2):360-362.
[12]徐丹,李鹏鸟.艾灸治疗热敏灸感腰椎间盘突出症急性期随机平行对照研究[J].实用中医内科杂志,2017,31(6):57-60.
[13]戚艳,崔荣荣.中西医结合保守治疗腰椎间盘突出症临床观察[J].湖北中医药大学学报,2017,19(1):84-87.
[14]苏涌珑,林志刚,陈水金.三步七法治疗急性期腰椎间盘突出症35例[J].中国中医药现代远程教育,2017,15(4):110-112.
[15]戴秀霞.腰部推拿联合腹部推拿治疗腰椎间盘突出症急性期的疗效分析[J].中医临床研究,2016,8(29):65-67.
[16]薛琴,赵小燕.活血通络法药物熏蒸对腰椎间盘突出症急性期的护理体会分析[J].内蒙古中医药,2017,36(2):177.
[17]齐斌武,严文涛,郭磊.急性期腰椎间突出症保守治疗1062例[J].内蒙古中医药,2016,35(16):10.