《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (10): 972-974.

• 中医康复 • 上一篇    下一篇

365例急性期腰椎间盘突出症保守治疗临床分析

张庆寿; 孙小儒; 刘润涛; 李雄; 韩万伟; 王晓梅; 郭维   

  1. 北京市回民医院骨科,北京市 100054
  • 收稿日期:2007-05-08 出版日期:2007-10-01 发布日期:2007-10-01

Effect of Conservative Therapy on Acute Prolapse of Lumbar Intervertebral Disc: a 365 Case Report

ZHANG Qing-shou, SUN Xiao-ru, LIU Run-tao, et al   

  1. The Department of Orthopedics, the Hui Nationality Hospital of Beijing City, Beijing 100054, China
  • Received:2007-05-08 Published:2007-10-01 Online:2007-10-01

PDF (PC)

摘要： 目的观察急性期或亚急性期腰椎间盘突出症的保守治疗效果。方法365例腰椎间盘突出症患者为急性期78例、亚急性期287例,急性期患者的治疗原则为消除局部水肿和无菌性炎症;亚急性期患者的治疗原则为恢复生理或代偿平衡,松解粘连,消除神经根及局部相关组织的炎性刺激。结果急性期患者治愈60例(76.9%)、好转18例(23.1%)、未愈0例;亚急性期患者治愈186例(64.8%)、好转101例(35.2%)、未愈0例,总有效率99.7%。结论保守治疗对急性期和亚急性期腰椎间盘突出症有一定的疗效。

关键词: 腰椎间盘突出症, 保守治疗, 机制

Abstract: Objective To observe the clinical effect of conservative therapy on prolapse of lumbar intervertebral disc(PLID).Methods 365 PID patients included 78 acute cases and 287 subacute cases.The treating principle for acute cases was eliminating edema and aseptic inflammation,and that for subacute cases was releasing adhesion and removing inflammatory stimulation to nerve root.Results Of 78 acute patients,60 cases(76.9%) healed,18 cases(23.1%) improved;of 287 subacute patients,186 cases(64.8%) healed,101 cases(35.2%) improved,the effective rate of 365 patients was 99.7%.Conclusion Conservative therapy is effect on PLID at acute and subacute periods.

Key words: prolapse of lumbar intervertebral disc(PLID), conservative therapy, mechanism