华西医学

华西医学

腰椎间盘突出症康复治疗进展

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腰椎间盘突出症(lumbar disc herniation,LDH)是临床常见多发病,造成腰痛及下肢放射痛,严重影响患者的功能,造成沉重的家庭和社会负担。其危险因素包括腰椎所受压力过大、腰椎过度扭曲及屈曲、不良姿势、肥胖、职业性因素包括重体力劳动及长时间驾驶等。其康复治疗方法主要包括卧床休息、药物治疗、物理治疗、运动疗法、手法治疗、针灸治疗、硬膜外注射治疗等。该文就 LDH 的流行病学、临床特点、康复治疗等作一综述,以提高对 LDH 康复治疗的认识,为临床治疗 LDH 提供参考。

Lumbar disc herniation (LDH) is very prevalent in clinical practice. It manifests as low back pain and pain radiating to the leg, followed by disfunction and large family and social cost. Risk factors for LDH include biomechanical stress on the lumbar spine, specifically torsion and hyperflexion, poor posture, obesity, and occupational hazards including heavy manual labor or prolonged driving. Rehabilitation therapy mainly includes bed rest, drug therapy, physical therapy, exercise, manipulation therapy, acupuncture treatment, epidural injection treatment and so on. This review summarizes the current status of epidemiology, clinical features and rehabilitation treatment of LDH so as to improve our understanding of it and to provide a reference for clinical treatment.

关键词: 腰椎间盘突出症; 疼痛; 康复治疗

Key words: Lumbar disc herniation; Pain; Rehabilitation treatment

引用本文: 怀娟, 岳寿伟. 腰椎间盘突出症康复治疗进展. 华西医学, 2018, 33(10): 1311-1315. doi: 10.7507/1002-0179.201805172 复制

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