腰椎间盘突出症的中医药治疗进展

Progress of Traditional Chinese Medicine in the treatment of Lumbar disc herniation

腰椎间盘突出症(lumbar disc herniation,LDH)是脊柱科的常见病和多发病,其好发于L4/L5以及L5/S1椎间盘。LDH治疗可分为手术治疗和保守治疗。研究表明,除了出现马尾综合征或者运动神经元损伤表现的患者需要手术外,绝大多数LDH的患者可采取保守治疗。随着科学技术及现代医学的发展,中医药治疗LDH的机理被逐渐阐明,其临床疗效正被逐渐认可,用中医药治疗LDH不仅可以有效缓解患者的疼痛等症状,而且还具有副作用小、操作便捷以及成本低廉的特点。本文通过搜索查阅国内、外中医药治疗LDH的文献报道,从中药、针灸推拿、正骨、小针刀、穴位注射、牵引、刮痧拔罐等方面阐述各自的疗效机制,以期为临床上治疗LDH提供借鉴和参考。

Lumbar disc herniation(LDH)is a common and frequently occurring disease in the Department of spine,and it often occurs in L4/L5 and L5/S1 intervertebral discs. Lumbar disc herniation in the treatment can be divided into surgical treatment and conservative treatment,Research shows that in addition to the emergence of cauda equina syndrome or motor neuron injury in patients need surgery,the vast majority of patients with lumbar disc herniation can take conservative treatment. With the development of science and technology and modern medicine,the mechanism of traditional Chinese medicine in the treatment of lumbar disc herniation is gradually clarified,and its clinical efficacy is gradually recognized. The treatment of lumbar disc herniation with traditional Chinese medicine can not only effectively relieve the pain and other symptoms of patients,but also has the characteristics of small side effects,convenient operation and low cost. Through searching and consulting the literature reports on the treatment of lumbar disc herniation with traditional Chinese medicine at home and abroad,this paper expounds their respective therapeutic mechanisms from the aspects of traditional Chinese medicine,acupuncture and massage,bone setting,small needle knife,acupoint injection,traction,scraping and cupping,in order to provide reference for clinical treatment of lumbar disc herniation.