腰椎间盘突出症非药物保守治疗的研究进展

Research progress in non-pharmacological conservative treatment of lumbar intervertebral disc herniation

腰椎间盘突出症是骨伤科临床中的常见病、多发病。目前,腰椎间盘突出症的治疗主要分为手术治疗和(非手术)保守治疗。长期的临床实践和研究表明,非药物保守治疗方案对腰椎间盘突出症具有较好的疗效和较高的临床应用价值。综述了卧床休息、针灸、推拿、导引、牵引、体外冲击波等非药物保守治疗方案的研究现状和发展趋势,为提高腰椎间盘突出症的临床疗效提供参考和思路。

Lumbar intervertebral disc herniation is a common disease which occurs frequently in the orthopedic clinic. At present,the treatment of lumbar intervertebral disc herniation is mainly divided into surgical treatment and(non-surgical)conservative treatment. Long-term clinical practice and research have shown that the non-pharmacological conservative treatment has a better therapeutic effect and higher clinical application value for lumbar intervertebral disc herniation. The article reviewed the current research status and development trend of non-pharmacological conservative treatment options such as bed rest,acupuncture,Tuina,Daoyin,traction and extracorporeal shock wave,and provided references and ideas for improving the therapeutic effect of lumbar intervertebral disc herniation in the clinic.