|
|
Advances in the conservative treatment of lumbar intervertebral disc herniation |
ZHI Xiaocheng1 XU Jing1 QIAN Xiaozhong1,2 |
1.Department of Orthopedics, Baoshan Hospital, Shuguang Hospital Affiliated to Shanghai University of Chinese Medicine, Shanghai 201999, China;
2.Songnan Town Community Health Service Center of Baoshan District, Shanghai 201999, China |
|
|
Abstract Lumbar disc herniation (LDH) is the most common cause of lumbago-leg pain. Conservative treatment is the first choice for the treatment of lumbar disc herniation clinically. Conservative treatment is the preferred method of clinical treatment of LDH. This article reviews bed rest, traction therapy, physical therapy, drug therapy, massage acupuncture and other conservative treatment methods, summarizes the general situation of LDH conservative treatment, and points out that the combination of two or more treatments has good clinical effects, low recurrence rate, in the hope that it can better guides the clinical and provides direction for future clinical research on conservative treatment of LDH.
|
|
|
|
|
[1] Weinstein JN,Lurie JD,Tosteson TD,et al. Surgical vs. nonoperative treatment for lumbar disk herniation:the spine patient outcomes research trial (SPORT) observational cohort [J]. JAMA,2006,296(20):2441-2450.
[2] Kerr D,Zhao W,Lurie JD. What are long-term predictors of outcomes for lumbar disc herniation? A randomized and observational study [J]. Clin Orthop Relat Res,2015,473(6):1920-1930.
[3] 陈孝平.外科学[M].北京:人民卫生出版社,2006:1070.
[4] 翟浩瀚,王玉龙,潘小华.绝对卧床休息对非手术治疗腰椎间盘突出症疗效影响[J].颈腰痛杂志,2007,28(2):135-135.
[5] Zentner J,Schneider B,Schramm J. Efficacy of conservative treatment of lumbar disc herniation [J]. Neurosurg,1997,43(3):263-268.
[6] Nakagawa H,Kamimura M,Takahara K. Optimal duration of conservative treatment for lumbar disc herniation depending on the type of herniation [J]. Clin Neuro,2007,14(2):104-109.
[7] Karimi N,Akbarov P,Rahnama L. Effects of segmental traction therapy on lumbar disc herniation in patients with acute low back pain measured by magnetic resonance imaging:a single arm clinical trial [J]. J Back Musculoskelet,2017,30(2):247-253.
[8] 赵卫侠.关于牵引治疗腰椎间盘突出症的临床研究的循证医学评价[J].颈腰痛杂志,2008,29(6):523-525.
[9] 刘铭.温针配合中频治疗坐骨神经痛的临床观察[J].中国医药指南,2013,11(32):26-28.
[10] 洪雁,鹿欣.超短波并调制中频电疗治疗慢性盆腔炎疗效观察[J].中华物理医学与康复杂志,2004,26(6):375-375.
[11] 周谋望,岳寿伟,何成奇,等.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):129-135.
[12] 杨敏丽,张忍发.普拉提斯运动疗法在腰椎间盘突出症患者康复治疗中的作用[J].成都体育学院学报,2012, 38(6):92-94.
[13] Wong JJ,Cotg J,Sutton DA,et al. Clinical practice guidelines for the noninvasive management of low back pain:a systematic review by the ontario protocol for traffic injury management (OPTIMa) collaboration [J]. Eur J Pain,2017,21(2):201-216.
[14] 郭崇秋.加减桃红四物汤治疗腰腿痛[J].浙江中医药大学学报,2008,1(32):55.
[15] 杨谦祥.自拟补肾通痹汤治疗腰椎间盘突出症例[J].云南中医中药杂志,2014,35(8):46-47.
[16] 杨海龙,张永臣,贾红玲.灸治疗腰椎间盘突出症临床研究进展[J].针灸临床杂志,2015,31(9):86-90.
[17] 杨海龙,周胜红,张永臣.针灸治疗腰椎间盘突出症的机制研究进展[J].上海针灸杂志,2017,36(3):365-369.
[18] 芮兴国.针刺后配合腹部反应点速刺治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2013,32(8):678-678.
[19] 吕立江,柯雪爱,毛旭丹,等.推拿后伸扳法治疗腰椎间盘突出症临床观察[J].中国骨伤,2010,23(10):790-791.
[20] 史鹏博,李沛,张仲博,等.平乐郭氏正骨理筋手法改善腰椎间盘突出症患者腰背肌生物力学性能研究[J].上海中医药大学学报,2017,31(5):51-55.
[21] 顾非,黄湧,房敏.推拿治疗对腰椎间盘突出症患者软组织张力的影响[J].上海中医药大学学报,2011,25(6):44-46.
[22] Bradley W. An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II:guidance and recommendations [J]. Pain Physician,2013,16(2):49-283.
[23] 赵卫强.曲安奈德复合液椎管内注射治疗腰椎间盘突出症疗效观察[J].现代中西医结合杂志,2013,22(10):1072-1074.
[24] 郭新建.曲安奈德骶管硬膜外封闭治疗腰椎间盘突出症71例.[J].临床医药实践,2009,18(7):553-553.
[25] Joswig H,Neff A,Ruppert C,et al. The value of short-term pain relief in predicting the long-term outcome of lumbar transforaminal epidural steroid injections [J]. World Neurosurg,2017,107(9):764-771.
[26] Manchikanti L,Benyamin RM,Falco FJE,et al. Do epidural injections provide short- and long-term relief for lumbar disc herniation? A systematic review [J]. Clin Orthop Relat Res,2015,473(6):1940-1956.
[27] 杨凤云,邓许勇,王丽华,等.中药热奄包配合正脊手法治疗腰椎间盘突出症的临床研究[J].中国当代医药,2017,24(36):114-116.
[28] 揭牧夫,欧冠周,祝最成,等.身痛逐瘀汤加减配合中医定向透药疗法治疗腰椎间盘突出症的临床观察[J].中国当代医药,2017,24(9):119-121.
[29] 唐余金.非手术治疗腰椎间盘突出症136例的临床观察[J].中外医学研究,2017,15(9):115-116.
[30] 尹世容.针灸结合推拿治疗腰椎间盘突出症的综合效果观察[J].中外医学研究,2017,15(9):103-104.
[31] 高小勇,武娜,王丕敏,等.针刺联合腰椎牵引治疗腰椎间盘突出症例[J].中国中医骨伤科杂志,2018,26(4):54-56.
[32] 徐清平,宋登峰,朱晓峰,等.中药内服联合中医手法、针灸治疗腰椎间盘突出症的临床疗效[J].中华中医药学刊,2018,36(3):765-768.
[33] 苏永强,屈亮,谭子文,等.独活寄生汤联合腰椎手法治疗腰椎间盘突出症的临床研究[J].中国医药导报,2017, 14(19):85-88.
[34] 叶志坚,邵大清,方韬.中西医结合治疗腰椎间盘突出症疼痛的临床研究[J].中华中医药学刊,2015,33(5):1249-1251.
[35] 俞鹏飞,姜宏,刘锦涛.破裂型腰椎间盘突出症非手术治疗后的转归[J].中国脊柱脊髓杂志,2015,25(2):109-114. |
|
|
|