腰椎间盘突出症保守疗法与护理进展

Progress in conservative therapy and nursing of lumbar disc herniation

腰椎间盘突出症是常见的临床疾患之一,青壮年是腰椎间盘突出症的高发人群,他们占该疾病发病人数的75%以上。腰椎间盘突出症的主要病因是腰椎间盘的髓核、纤维环及软骨板,尤其是髓核,存在不同程度的退行性改变。在外力因素作用下,椎间盘的纤维环破裂,髓核组织从破裂处突出(或脱出),导致相邻脊神经根遭受刺激或压迫,从而产生腰部疼痛、下肢麻木等临床症状。目前,腰椎间盘突出症的治疗主要采用保守疗法。笔者现就腰椎间盘突出症的保守治疗与护理进展进行综述。

Lumbar disc herniation is one of the common clinical diseases. Young and middle-aged people are the high-risk group of lumbar disc herniation. They account for more than 75% of the total number of patients with this disease. The main causes of lumbar disc herniation are nucleus pulposus, annulus fibrosus and cartilage plate, especially nucleus pulposus, which have degenerative changes in varying degrees. Under the action of external forces, the annulus fibrosus of the intervertebral disc ruptures, and the nucleus pulposus protrudes(or prolapses)from the rupture, resulting in the stimulation or compression of the adjacent spinal nerve roots, resulting in clinical symptoms such as lumbar pain and numbness of the lower extremities. At present, the treatment of lumbar disc herniation is mainly conservative. This article reviews the progress of conservative treatment and nursing of lumbar disc herniation.