[1]吴天宇,刘子璇,杨浦鑫,等.腰椎间盘突出症保守治疗进展[J].中华老年骨科与康复电子杂志,2024,(06):379-384.[doi:10.3877/cma.j.issn.2096-0263.2024.06.009]
　Wu Tianyu,Liu Zixuan,Yang Puxin,et al.Progress in Conservative Treatment of Lumbar Disc Herniation[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(06):379-384.[doi:10.3877/cma.j.issn.2096-0263.2024.06.009]
点击复制

腰椎间盘突出症保守治疗进展()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年06期
页码:
379-384
栏目:
综述
出版日期:
2024-12-05

文章信息/Info

Title:
Progress in Conservative Treatment of Lumbar Disc Herniation
作者:
吴天宇; 刘子璇; 杨浦鑫; 贾思明; 丁凯; 程晓东; 李泳龙; 陈伟; 吕红芝; 张奇
050051石家庄，河北省骨科研究所，河北省骨科生物力学重点实验室，河北医科大学第三医院创伤急救中心
Author(s):
Wu Tianyu;  Liu Zixuan;  Yang Puxin;  Jia Siming;  Ding Kai;  Cheng Xiaodong;  Li Yonglong;  Chen Wei;  Lyu Hongzhi;  Zhang Qi.
Orthopedic Research Institution of Hebei Province, Key Laboratory of Biomechanics of Hebei Province, Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijia zhuang 050051, China
关键词:
腰椎间盘突出症;  保守治疗;  物理治疗;  牵引治疗;  药物治疗
Keywords:
Lumbar disc herniation;  Conservative treatment;  Physical therapy;  Traction therapy;  Pharmacological treatment
DOI:
10.3877/cma.j.issn.2096-0263.2024.06.009
文献标志码:
A
摘要:
腰椎间盘突出症（LDH）是脊柱外科中的常见疾病，主要表现为腰腿痛、下肢麻木等症状，严重影响患者的生活质量。LDH的治疗主要分为保守治疗和手术治疗。多数患者无需手术治疗。保守治疗方法多样，每种治疗机理不同，兼具优势与局限性，多种疗法联合应用值得关注。不同患者病情、病程差异较大，如何为患者制定个性化治疗方案值得深入探讨。本文综述了LDH保守治疗的最新进展，包括牵引、运动疗法、物理因子治疗、推拿、针灸等非药物疗法，以及药物治疗的应用现状。通过分析各治疗方式的机制、疗效和适应证，旨在为临床实践提供参考，促进LDH保守治疗的规范化和个体化。
Abstract:
Lumbar disc herniation (LDH) is a common disease in spinal surgery, with the main clinical manifestations including lower back and leg pain, and numbness in the lower limbs, which severely impact patients’ quality of life. The treatment of LDH is primarily divided into conservative treatment and surgical treatment. Most patients do not require surgical treatment. There are various methods of conservative treatment, each with different mechanisms of action. These methods have both advantages and limitations. The combined use of multiple therapies is worth attention. Due to the significant differences in the condition and disease progression among patients, exploring how to formulate personalized treatment plans for them is a topic deserving in-depth discussion. This article reviews the latest advances in the conservative treatment of LDH, including non-pharmacological treatments such as traction, exercise therapy, physical factor therapy, massage, and acupuncture, as well as the current status of pharmacological treatment. By analyzing the mechanisms, efficacy, and indications of each treatment, the aim is to offer a reference for clinical practice and to promote the standardization and individualization of conservative treatment for LDH.

相似文献/References:

[1]吴卫卫 高文双 郑娅 张静.悬吊核心训练对腰椎间盘突出症患者的疗效观察[J].中华老年骨科与康复电子杂志,2019,(05):255.[doi:10.3877/cma.j.issn.2096-0263.2019.05.003]
　Wu Weiwei,Gao Wenshuang,Zheng Ya,et al.The effect of sling exercise therapy with lumbar disc herniation patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(06):255.[doi:10.3877/cma.j.issn.2096-0263.2019.05.003]
[2]张巍,吴永东,李祎,等.脊柱微创髓核摘除术对腰椎间盘突出症患者血清TXB2、PGE2、IL-6水平及腰椎功能的影响[J].中华老年骨科与康复电子杂志,2020,(05):279.[doi:10.3877/cma.j.issn.2096-0263.2020.05.006]
　Zhang Wei,Wu Yongdong,Li Yi,et al.Effect of spinal minimally invasive nucleus pulpectomy on the levels of serum TXB2, PGE2, IL-6 and lumbar spine function in patients with lumbar disc herniation[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(06):279.[doi:10.3877/cma.j.issn.2096-0263.2020.05.006]

备注/Memo

备注/Memo:
基金项目：河北省科技厅项目（21377731D）；国家自然科学青年基金项目（82102584）
更新日期/Last Update: 2025-03-10