[1]杨启培,崔伟武瑞骐.慢性腰肌劳损的中西医治疗现状与进展[J].现代中医药,2023,(01):001-7.[doi:10.13424/j.cnki.mtcm.2023.01.001]
 YANG QipeiCUI WeiWU Ruiqi.Current Situation and Progress of Chinese and Western Medicine Treatment of Chronic Lumbar Muscle Strain[J].Modern Traditional Chinese Medicine,2023,(01):001-7.[doi:10.13424/j.cnki.mtcm.2023.01.001]
点击复制

慢性腰肌劳损的中西医治疗现状与进展()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年01期
页码:
001-7
栏目:
出版日期:
2023-01-20

文章信息/Info

Title:
Current Situation and Progress of Chinese and Western Medicine Treatment of Chronic Lumbar Muscle Strain
文章编号:
1672-0571(2023)01-0001-07
作者:
杨启培1崔伟2武瑞骐1
1.广西中医药大学研究生院,广西 南宁 530001;
2.广西中医药大学附属
Author(s):
YANG Qipei1CUI Wei2WU Ruiqi1
1.Graduate School of Guangxi University of Chinese Medicine,Nanning 530001,China;
2.Tianyang Hospital,Ruikang Hospital,Guangxi University of Chinese Medicine,Guangxi Baise 533600,China
关键词:
腰肌劳损腰痛消炎镇痛痹症
Keywords:
Lumbar muscle strainLumbagoAnti inflammationAnalgesiaArthralgia syndrome
分类号:
R274.34
DOI:
10.13424/j.cnki.mtcm.2023.01.001
文献标志码:
A
摘要:
腰肌劳损是指急性腰扭伤之后没有得到及时彻底的治疗遗留的慢性积累性损伤,是一种以腰部肌肉及其附着点的损伤引起的无菌性炎症为特征的疾病,属于中国医学“痛症”“筋伤”“痹证”等范畴,是临床常见病、多发病之一。该病发病缓,病程长,症状易反复,给患者的生理及心理上带来痛苦,影响患者的正常工作和生活。该病治疗主要以传统医学、现代医学、中西医结合的方式为治疗手段。近年来,中医、西医在慢性腰肌劳损的治疗上均取得了显著进展,通过查阅文献对近10年来慢性腰肌劳损的治疗方法作一综述,为其治疗提供参考和借鉴。
Abstract:
Chronic lumbar muscle strain refers to the chronic cumulative injury left after the acute lumbar sprain has not been thoroughly treated in time.It is a disease characterized by aseptic inflammation caused by the injury of lumbar muscles and their attachment points.It belongs to the “pain” “muscle injury”“arthralgia syndrome” and other categories of Chinese medicine,and is one of the common and frequently occurring clinical diseases.The disease has a slow onset,a long course,and symptoms are easy to repeat.It brings pain to the patient physically and psychologically,and affects the patients normal work and life.Traditional medicine,modern medicine and combination of traditional and western medicine are the main treatment methods for the disease.In recent years,both Chinese medicine and western medicine have made significant progress in the treatment of chronic lumbar muscle strain.This article reviews the treatment methods of chronic lumbar muscle strain in the past 10 years through literature review to provide reference and reference for its treatment.

参考文献/References:

[1]蔡燕,周宗波,桂树虹,等.加味乌附麻辛桂姜汤治疗慢性非特异性下腰痛寒湿瘀阻证的临床观察[J].中国实验方剂学杂志,2019,25(7):128,133.
[2]Knezevic NN,Candido KD,Vlaeyen JWS,et al.Low back pain[J].Lancet,2021,398(10294):78,92.
[3]张芳芳.磁共振成像对腰肌劳损腰痛的诊断价值[J].影像研究与医学应用,2019,3(17):60,61.
[4]王锴.慢性腰肌劳损的病因刍议[J].世界最新医学信息文摘,2016,16(57):43.
[5]叶启彬.腰肌劳损的发病机制与防治[J].武警医学,2017,28(11):1081,1084.
[6]李满意,张子扬,娄玉钤.腰痹的源流及相关历史文献复习(上)[J].风湿病与关节炎,2016,5(5):39,46.
[7]Iles RA,Davidson M,Taylor NF.Psychosocial predictors of failure to return to work in non-chronic non-specific low back pain:a systematic review[J].Occup Environ Med,2008,65(8):507,517.
[8]王嘉熙,孔祥豪,郭代红,等.5597例非甾体抗炎药的不良反应报告分析[J].药物流行病学杂志,2021,30(7):457,461.
[9]Kowalski ML,Makowska.JS,Blanca M,et al.Hypersensitivity to nonsteroidal anti-inflammatory drugs (NSAIDs)-classification,diagnosis and management:review of the EAACI/ENDA(#) and GA2LEN/HANNA*[J].Allergy,2011,66(7):818,829.
[10]金超琼,吕宾.非甾体抗炎药相关消化道出血及防治[J].临床内科杂志,2020,37(4):250,252.
[11]叶惠芳,王宇胜.跌打七厘片联合双氯芬酸二乙胺乳胶剂治疗急性软组织损伤性疼痛的临床效果观察[J].中国现代药物应用,2019,13(14):85,87.
[12]刘晓阳.双氯芬酸二乙胺乳胶剂治疗软组织性腰痛的疗效观察[J].临床医药实践,2011,20(7):511,513.
[13]潘伟烽,郑丽萍,颜圳伟.扶他林乳胶剂联合体外冲击波治疗慢性腰背软组织损伤性疼痛的效果分析[J].基层医学论坛,2021,25(8):1093,1094.
[14]Abbas MW,Hussain M,Qamar M,et al.Antioxidant and Anti-Inflammatory Effects of Peganum harmala Extracts: An In Vitro and In Vivo Study[J].Molecules,2021,26(19):6084.
[15]陈晓涛,刘晨.外用洛索洛芬钠治疗急慢性疼痛的荟萃分析[J].中国处方药,2021,19(9):68,70.
[16]林国钡,罗华菲.非甾体抗炎药上市外用剂型概况及新载体研究进展[J].中国医药工业杂志,2019,50(11):1246,1255.
[17]Patel HD,Uppin RB,Naidu AR,et al.Khandarkar S,Garg A.Efficacy and Safety of Combination of NSAIDs and Muscle Relaxants in the Management of Acute Low Back Pain[J].Pain Ther,2019,8(1):121,132.
[18]Pinzon RT,Wijaya VO,Paramitha D,et al.Effects of Eperisone Hydrochloride and Non-Steroid Anti-Inflammatory Drugs(NSAIDs)for Acute Non-Specific Back Pain with Muscle Spasm:A Prospective,Open-Label Study[J].Drug Healthc Patient Saf,2020,12:221,228.
[19]王显勋,马辰,帅波,等.美索巴莫注射液对全膝关节置换术后镇痛的效果评价[J].中国中医骨伤科杂志,2017,25(5):64,66.
[20]沈影超,沈忆新.乙哌立松对慢性下腰痛椎旁肌血流效应影响:随机对照观察[J].中国组织工程研究与临床康复,2009,13(7):1293,1296.
[21]孟玲利,徐全晓,石淑英,等.地奥司明及氢氯噻嗪治疗乳腺癌术后淋巴水肿的疗效分析[J].现代肿瘤医学,2022,30(9):1587,1590.
[22]何雅玲.探讨甘露醇和地塞米松在腰椎融合术后腰腿痛中的治疗作用[J].海峡药学,2016,28(4):92,94.
[23]Urits I,Burshtein A,Sharma M,et al.Low Back Pain,a Comprehensive Review:Pathophysiology,Diagnosis,and Treatment[J].Curr Pain Headache Rep,2019,23(3):23.
[24]王志威,江树连.肾痹汤结合局部封闭治疗腰椎间盘突出症临床观察[J].亚太传统医药,2021,17(12):110,112.
[25]Valencia Moya A,Navarro Suay R,Fernández González JA,et al.Selective local anesthesia versus corticosteroid infiltration on low back pain:a randomized clinical trial.Anestesia local selectiva frente a infiltración de corticosteroides en el dolor lumbar:ensayo clínico aleatorizado[J].Rev Esp Anestesiol Reanim(Engl Ed),2020,67(1):1,7.
[26]袁丽霞,孙悦,丁成华,等.基于中医温经通络理论探讨远红外线治疗慢性疼痛的生物学效应[J].世界科学技术-中医药现代化,2022,24(1):283,288.
[27]骆明军,周和平,吴晓华,等.电磁波谱治疗器治疗慢性腰肌筋膜炎的疗效观察[J].颈腰痛杂志,2012,33(2):146,147.
[28]陈惠婷.电脑低中频按摩治疗仪治疗损伤性腰痛的临床价值研究[J].基层医学论坛,2021,25(26):3846,3847.
[29]任超学,强大平,桑锰钢.手法与磁场治疗腰肌劳损疗效观察[J].陕西中医,2014,35(9):1182,1184.
[30]Fortina M,Vittoria A,Giannotti S,et al.Short time effects of a low-frequency,high intensity magnetic field in the treatment of chronic neck and low back pain[J].AIMS Public Health,2022,9(2):307,315.
[31]赵星,罗冬梅,单西瑶,等.腰椎稳定性对NLBP患者躯干肌群形态机能特性的影响[J].北京体育大学学报,2016,39(7):52,58.
[32]蒋满意,许思毛,宾恩明.核心区力量训练和电针干预对大学生腰肌劳损有协同治疗作用[J].中国组织工程研究,2019,23(27):4315,4320.
[33]张维文.《内经》疼痛机制的研究[J].中医药学刊,2004(6):1092,1106.
[34]陈贤彪,林晓芳,王春富,等.中医外治法治疗慢性腰肌劳损研究进展[J].新中医,2018,50(11):32,35.
[35]徐传英,张天嵩,朱建忠,等.三步推拿法治疗腰肌劳损近期疗效观察[J].按摩与康复医学,2019,10(1):21,22.
[36]Zhang SP,Kong LJ,Zhu QG.Efficacy of Tuina in patients with chronic low back pain:study protocol for a randomized controlled trial[J].Trials,2020,21(1):158,160
[37]孔宇,仲崇文,张欣.改良型腰椎后伸扳法治疗腰椎旋转型腰肌劳损[J].吉林中医药,2017,37(10):1053,1055.
[38]尹洪娜,李佳诺,李全,等.中医针灸的发展传承与创新[J].中华中医药杂志,2019,34(10):4467,4470.
[39]庄国柱.中医药治疗腰肌劳损研究进展[J].中国中医药现代远程教育,2021,19(8):203,205.
[40]刘大钊,羊璞,刘智斌.针灸及其相关疗法治疗慢性下腰痛的研究进展[J].中华中医药杂志,2021,36(4):2216,2218.
[41]李满意,张子扬,娄玉钤.腰痹的源流及相关历史文献复习(下)[J].风湿病与关节炎,2016,5(6):51,76.
[42]姚诗,徐春申,汪夫江,等.针灸治疗腰肌劳损的研究近况[J].广西中医药大学学报,2017,20(4):60,62.
[43]李生绍,陈心智 点校.黄帝内经灵枢[M].北京:中国古籍出版社,1997:105.
[44]骆州晓,林玉芳,金肖青.慢性疲劳综合征发病机制及灸法治疗研究进展[J].新中医,2018,50(5):196,199.
[45]陈汐,樊旭,黎运凤,等.隔姜灸治疗慢性腰肌劳损的机制探讨[J].实用中医内科杂志,2022,36(5):87,90.
[46]黄萍萍,廖军,郑佳璇,等.艾灸疗法治疗腰腿痛的文献研究[J].时珍国医国药,2015.26(2):407,408.
[47]陈影,彭雪梅,吴东南,等.艾灸盒温灸治疗肾虚型腰痛临床疗效观察[J].中医临床研究,2020,12(31):59,61.
[48]黄雪莉,方云添,郑亚珠.艾灸治疗肾虚型腰痛病的疗效观察[J].光明中医,2016,31(2):246,248.
[49]臧春柳,佘妙华,赵见文.浅析艾灸之原理[J].新中医,2020,52(19):133,135.
[50]郭爱松,金宏柱.《伤寒论》“热证忌灸”探析[J].陕西中医,2007(1):21,123.
[51]严利民,黄晓涛,王翠玉,等.独活寄生汤加减联合硬膜外冲击治疗肝肾亏虚型腰椎间盘突出症30例[J].江西中医药大学学报,2021,33(1):29,32.
[52]徐佳,李骇.身痛逐瘀汤加减辅治腰椎间盘突出症术后血瘀证临床观察[J].实用中医药杂志,2022,38(4):608,610.
[53]Casser HR.Kreuzschmerztherapie:Sind Sie up to date?[Clinical practice guideline:Non-specific low back pain][J].MMW Fortschr Med,2018,160(16):56,59.

相似文献/References:

[1]李军社 王官林 杨利学.左归丸加减配合中药热敷治疗肝肾亏虚型腰椎终板炎 20例[J].现代中医药,2018,(05):042.[doi:10.13424/j.cnki.mtcm.2018.05.014]

备注/Memo

备注/Memo:
基金项目:广西壮族自治区临床重点专科(创伤外科)建设项目;广西壮族自治区中医药管理局课题(GXZYZ20210579)
更新日期/Last Update: 2023-01-20