呼吸训练预防治疗慢性非特异性腰背痛机理分析

Mechanism of Respiratory Training in the Prevention and Treatment of Chronic Nonspecific Low Back Pain

非特异性腰背痛以保守治疗为主,通常采用多学科综合康复干预。研究发现呼吸与慢性非特异性腰背痛之间具有密切的关联。呼吸力学及化学不良可导致慢性非特异性腰背痛及其他并发症状的出现及反复发作,而腰背痛的发生同样可导致呼吸模式的异常。因此,从呼吸角度对慢性非特异性腰背痛进行相关研究显得尤为必要。本文从现代康复医学和中医学2个方面,分析慢性非特异性腰背痛的病理机制,阐述呼吸训练预防治疗慢性非特异性腰背痛的原理,介绍相关临床研究,探索呼吸训练干预方法,提高疗效。

The incidence of chronic nonspecific low back pain is high, which leads to patients＇ dysfunction and affects their over- all health. Conservative treatment is the major intervention approach for nonspecific low back pain. Multidisciplinary integrated reha- bilitation therapy is usually applied. The close association between respiration and chronic nonspecific low back pain has been founded in recent years. Respiratory mechanics and chemical abnormalities can lead to chronic nonspecific low back pain. The main manifesta- tion is the appearance and recurrence of pain and other complications. The occurrence of low back pain can also lead to abnormal breathing patterns. Therefore, it is especially necessary to study this disease from respiratory aspect. Here we analyze the pathological mechanism of chronic nonspecific low back pain, expounds the principle of prevention and treatment of this disease, and introduces relevant clinical studies from two aspects of modem rehabilitation medicine and traditional Chinese medicine to enrich its treatment system, so as to explore the intervention method of breathing training and improve treatment effects.