腰椎间盘突出症中医治疗方法的研究进展
莫伟,许金海,叶洁,邬学群,马俊明,杨龙,莫文
摘要(Abstract):
腰椎间盘突出症的发病率呈逐年增高趋势,其治疗包括口服中药及中成药物、针灸推拿、中药骶管注射等不同方法。中医药在腰椎间盘突出症的治疗中取得了不错疗效,但由于腰椎间盘突出症的作用机制复杂,涉及多学科,有些治疗方法的疗效和安全性未得到肯定答案,仍需要进一步研究。
关键词(KeyWords): 腰椎间盘突出症;中药治疗;针灸推拿;中医综合治疗
基金项目(Foundation): 上海市中医药事业发展三年行动计划:上海市骨退行性病中医临床研究基地建设(ZY3-LCPT-1-1003);; 上海市卫生系统优秀学科带头人培养计划:腰椎间盘突出症中医规范化治疗方案研究(XBR2013104)
作者(Author): 莫伟,许金海,叶洁,邬学群,马俊明,杨龙,莫文
参考文献(References):
- [1]陈孝平,汪建平,秦新裕,等.外科学[M].北京:人民卫生出版社,2013:753.
- [2]秦晓洁,陈丽,许艳.浅谈腰椎间盘突出症的中医疗法[J].当代医药论丛,2014,12(1):164-165.
- [3]Schulz CA,Hondras MA,Evans RL,et al.Chiropractic and self-care for back-related leg pain:design of a randomized clinical trial[J].Chiropractic&Manual Therapies,2011,22(19):8.
- [4]Fritz JM,Thackeray A,Childs JD,et al.A randomized clinical trial of the effectiveness of mechanical traction for sub-groups of patients with low back pain:study methods and rationale[J].BMC Musculoskelet Disord,2010,30(11):81.
- [5]Bronfort G,Maiers MJ,Evans RL,et al.Supervised exercise,spinal manipulation,and home exercise for chronic low back pain:a randomized clinical trial[J].Spine J,2011,11(7):585-598.
- [6]Bishop FL,Zaman S,Lewith GT.Acupuncture for low back pain:a survey of clinical practice in the UK[J].Complement Ther Med,2011,19(3):144-148.
- [7]Hall AM,Maher CG,Lam P,et al.Tai Chi Exercise for Treatment of Pain and Disability in People With Persistent Low Back Pain:A Randomized Controlled Trial[J].Arthritis Care Res(Hoboken),2011,63(11):1576-1583.
- [8]Kreiner DS,Hwang SW,Easa JE,et al.An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy[J].Spine J,2014,14(1):180-191.
- [9]刘锦涛,俞鹏飞,李晓春,等.姜宏教授治疗破裂型腰椎间盘突出症临床经验举隅[J].中国中医骨伤科杂志,2010,18(8):57-58.
- [10]严上洪.中医治疗腰椎间盘突出症疗效观察[J].中国中医急症,2014,23(4):685-686.
- [11]王义斌.自拟腰腿宁治疗腰椎间盘突出症[J].中国中医药,2013,11(11):137.
- [12]郭文娟.中医治疗腰椎间盘突出症58例[J].中国中医药,2011,9(18):27-28.
- [13]徐金海,莫文,施杞,等.益气化瘀补肾法治疗腰椎间盘突出症的随机对照临床研究[J].世界科学技术-中医药现代化,2013,15(5):1074-1080.
- [14]梁惠娇,梁真娇,王小平.基于薄层CT图像三维数字化重建人体手太阴肺经[J].中西医结合学报,2012,10(12):1400-1402.
- [15]戚秀中,刘栋,顾瞻,等.何为“经络”[J].辽宁中医药大学学报,2015,17(7):171-173.
- [16]王红,周勇忠,袁志强.神经根注射配合经络排刺治疗腰椎间盘突出症60例[J].中国针灸,2015,35(8):858.
- [17]宋振宁.针刺治疗腰椎间盘突出症82例[J].中国科技教育,2011,26(4):138.
- [18]柯玲玲.腹针疗法配合针刺委中穴治疗腰椎间盘突出症的临床研究[J].中医临床研究,2013,5(11):54-55.
- [19]李峥.针灸结合推拿手法治疗腰椎间盘突出症72例的效果观察[J].临床医药文献杂志,2015,2(6):1039-1040.
- [20]赵环宇.手法治疗腰椎间盘突出症疗效观察[J].陕西中医,2011,32(8):977.
- [21]Mc Morland G,Suter E,Casha S,et al.Manipulation or microdiskectomy for sciatica?A prospective randomized clinical study[J].J Manipulative Physiol Ther,2010,33(8):576-584.
- [22]张柳青.经络学说起源于循经感传导[J].世界中医药,2012,7(1):5-6.
- [23]王晓锋.中药内服外用配合物理理疗治疗腰椎间盘突出临床观察[J].辽宁中医杂志,2013,40(3):491-492.
- [24]许晓民.独活寄生汤加减联合电针治疗腰椎间盘突出症疗效探讨[J].中医临床研究,2014,6(35):50-51.
- [25]张喜秋,刘仍军.身痛逐瘀汤加减配合按摩药浴治疗腰椎间盘突出症[J].中国实用医药,2012,7(14):169-170.
- [26]柳霞,刘益善,马新平.骶管注射脉络宁复合液治疗急性腰椎间盘突出症230例的临床研究[J].世界中医药,2011,6(3):196-197.
- [27]唐皓,仇湘中,余娜.中药治疗腰椎间盘突出症临床用药规律的聚类分析[J].湖南中医杂志,2014,30(3):12-15.