[1]李俊龙,周 景,刘斯文,等.中医外治法在腰椎间盘突出症急性期的应用进展*[J].陕西中医杂志,2019,(8):1145-1147,1152.
 LI Junlong,ZHOU Jing,LIU Siwen,et al.Clinical research progress of external therapy of TCM for acute lumbar disc herniation[J].,2019,(8):1145-1147,1152.
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中医外治法在腰椎间盘突出症急性期的应用进展*
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《陕西中医》杂志[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年8期
页码:
1145-1147,1152
栏目:
综述
出版日期:
2019-08-05

文章信息/Info

Title:
Clinical research progress of external therapy of TCM for acute lumbar disc herniation
文章编号:
DOI:10.3969/j.issn.1000-7369.2019.08.044
作者:
李俊龙周 景刘斯文李华南张 玮骆雄飞房 纬△
天津中医药大学第一附属医院 (天津300193)
Author(s):
LI JunlongZHOU JingLIU Siwenet al.
Tianjin University of Traditional Chinese Medcine (Tianjin 300193 )
关键词:
中医外治法腰椎间盘突出症急性期临床研究实验研究综述
Keywords:
Key words External therapy of TCMLumbar disc herniationAcute stageClinical researchExperimental studyReview
分类号:
R681.53
文献标志码:
A
摘要:
摘 要 腰椎间盘突出症(LDH),是因腰椎间盘变性、纤维环破裂、髓核组织突出压迫和刺激腰骶神经根、马尾神经所引起的一种综合征,常发生于青、中年,好发部位为L4/5,L5/S1。临床多见患者以腰腿痛就诊,急性期患者常体现剧烈疼痛,活动受限且诉求直接,临床医生在诊疗手段的选择方面易受多方面因素限制,往往选择建议患者卧床休息及口服或注射西药治疗。中医理论指导下的多种类型外治疗法全面多样,对于急性疼痛治疗手段疗效确切,预后较好,且与常规治疗结合具有疗效增益作用。近年来中医外治法在现有基础上不断完善发展,对LDH急性期的治疗受到广泛肯定。本文将中医外治法在腰椎间盘突出症急性期的应用研究进展汇总整理,并对今后研究加以展望。
Abstract:
Abstract Lumbar disc herniation (LDH) is a syndrome caused by lumbar disc degeneration,rupture of annulus fibrosus,nucleus pulposus protrusion and stimulation of lumbosacral nerve roots,cauda equina,often occurs in young and middle-aged,and the predilection is L4. /5,L5/S1. More common clinical patients with low back pain,acute patients often show severe pain,limited mobility and straightforward appeal. Clinicians are susceptible to many factors in the choice of diagnosis and treatment,often choose to recommend bed rest and oral or injection of non-steroidal anti-inflammatory drugs. The various types of external treatments under the guidance of TCM theory are comprehensive and diverse. The treatment of acute pain is effective and has a good prognosis. Combined with conventional treatment,it has an effect of increasing the curative effect. In recent years,the external treatment of Chinese medicine has been continuously improved on the existing basis,and the treatment of acute phase of LDH has been widely recognized. In this paper,the application of TCM external treatment in the acute phase of lumbar disc herniation is summarized. Propose the future research direction.

参考文献/References:

[1] 中国康复医学相关专家组.“腰椎间盘突出症的康复治疗”中国专家共识[J].中国康复医学杂志,2017,32(2):130-135.
[2] Anthony Delitto,Steven Z,Linda Van Dillen,et al. Low back pain clinical practice guideline[J]. Orthop Sports Phys Ther,2012,42(4):A1-57.
[3] 董 桦,王金贵.辨证分期推拿治疗腰椎间盘突出症随机对照研究[J].辽宁中医杂志,2014,41(7):1505-1507.
[4] 沙洪标.辨证分期推拿法在腰椎间盘突出症综合治疗方案中的应用[J].中医临床研究,2017,9(31):43-46.
[5] 孙 钰,杨 可,王小燕,等.针灸治疗腰椎间盘突出症的思路与方法[J].针灸临床杂志,2018,34(11):1-5.
[6] Chou R,Qaseem A,Snow V,et al.Diagnosis and treatment of low back pain:a joint clinical practice guideline from the american college of physicians and the american pain society[J]. Ann Intern Med,2007:147-148.
[7] 沈世英,李昌剑.保守治疗在腰椎间盘突出症中的疗效分析[J].时珍国医国药,2014,25(7):1670-1671.
[8] 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.
[9] 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.
[10] 廖 琦.针刺运动疗法治疗腰椎间盘突出症急性发作[J].中国中医急症,2016,25(6): 1103-1105.
[11] 陈 勇.针灸治疗急性腰椎间盘突出症疼痛效果及对部分指标的影响观察[J].内蒙古中医药,2017,5(9):133-134.〖JY〗(下转第1152页)〖FL)〗
[12] 徐嘉琼,侯小琦.温针治疗对腰椎间盘突出症急性发作期患者水肿、疼痛和运动功能的影响[J].临床合理用药,2018,11(8A):104-106.
[13] 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.
[14] 池伟东,庄娟娜,吴俊哲,等.腰三针联合分经辨证取穴配合揿针留针候气治疗腰椎间盘突出症急性期临床研究[J].浙江中医药大学学报,2018,42(8):654-658.
[15] 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.
[16] 闫振界,闫 梅,王换新.小针刀治疗急性腰椎间盘突出症的效果临床观察[J].黑龙江中医药,2018,61(2):79-80.
[17] 王国建,刘建峰.贺氏温通法治疗腰椎间盘突出症的临床研究[J].针灸临床杂志,2018,34(3):51-54.
[18] 林志刚,林 坚.腰部推拿配合拍打委中穴治疗急性腰椎间盘突出症的临床研究[J].河北中医,2017,39(7):1082-1085.
[19] 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.
[20] 毕文卿.中药熏蒸蒸汽温度对腰椎间盘突出症急性期的临床研究[J].内蒙古中医药,2018,37(8):95-128.
[21] 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,2017,33(11):4-7.
[22] 孙 梅,方红玲,高培培,等.腹式呼吸训练缓解腰椎间盘突出症患者急性期疼痛的效果观察[J].中国临床医生杂志,2013,41 (12):49-50.
[23] Chen BL,Guo JB,Zhang HW,et al. Surgical versus non-operative treatment for lumbar disc herniation:a systematic review and meta-analysis[J]. Clin Rehabil,2018,32:146-160.

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备注/Memo

备注/Memo:
*国家中医药管理局“十二五”推拿学重点学科中医药部门公共 卫生服务补助基金资助项目(2018ZDXK005)
更新日期/Last Update: 2019-08-15