中医药治疗腰椎骨性关节炎研究进展

Research Progress of Chinese Medicine Treatment for Lumbar Osteoarthritis

腰椎骨性关节炎(LOA),又称腰椎小关节炎、腰椎小关节综合征、腰椎小关节病,是临床较为常见的以腰痛为主要症状的腰椎退行性骨关节疾病,好发于中老年人,临床上多采用口服非甾体抗炎药、理疗、外敷等治疗方法,亦有学者提倡手术治疗。各种治疗方法有利有弊,其中在费用、不良反应等方面,中医药治疗LOA较西医治疗更具有优势。笔者从中医起源、中药疗法、针灸、理疗等方面对中医药治疗LOA作一综述,以为临床研究、诊疗作参考。

Lumbar osteoarthritis（LOA）,also known as lumbar facet osteoarthritis,lumbar facet joint syndrome,lumbar facet joint disease,is a relatively common clinical lumbar degenerative joint disease with the main symptom of lumbar pain,which mainly occurs among middle-aged and old people. Clinically it is usually given oral non-steroidal anti-inflammatory drugs, physical therapy and external application for treatment, and there are also scholars advocating surgical treatment. Each treatment has advantages and disadvantages. Among them,Chinese medicine is more advantageous than western medicine in treating lumbar osteoarthritis in terms of costs and adverse reactions. The authors reviewed the Chinese medicine for treating lumbar osteoarthritis from the aspects of medical origin, Chinese medicine therapy, acupuncture, physical therapy thus to provide references for clinical research, diagnosis and treatment.