|
中药熏蒸治疗腰椎间盘突出的研究进展
|
Abstract:
腰椎间盘突出(LDH)是脊柱慢性疾病的一种常见疾病,临床上常表现为腰痛伴有放射性的下肢麻木疼痛,由于病情难以治愈且反复发作,给病人的生活和工作带来了严重冲击。传统的治疗方法包括药物治疗、物理治疗和手术治疗,但这些方法效果不佳,而且有许多副作用和风险。近年来,中药熏蒸(CMF)治疗逐渐受到了研究者和临床医生的关注。中药熏蒸治疗是将中药药材研磨成粉末或直接使用饮片,通过加热使药物挥发,通过皮肤吸收或呼吸道吸入,发挥药疗功效。通过对相关文件的梳理,中药熏蒸治疗LDH在疼痛缓解、恢复功能、改善生活质量等方面取得了显著的效果。一项研究表明,中药熏蒸疗法可以缓解LDH患者的疼痛,从而使他们的生活质量有了明显的提高。另外,另一项研究还发现中药熏蒸治疗可以促进患者脊柱的自愈功能,有助于恢复患者的正常体位和正常活动能力。因此,治疗LDH的中药具有一定的临床应用潜力和推广价值。
Lumbar disc herniation (LDH) is a common disease of chronic spinal disorders, which is often clinically manifested as low back pain accompanied by radiating numbness and pain in the lower limbs, and it has brought serious impacts on patients’ life and work due to the difficulty in curing the condition and its recurrent episodes. Traditional treatments include medication, physiotherapy and surgery, but these methods are ineffective and have many side effects and risks. In recent years, Chinese medicine fumigation (CMF) treatment has gradually gained attention from researchers and clinicians. Chinese medicine fumigation treatment involves grinding Chinese herbal medicines into powder or directly using drinking tablets, volatilising the medicines by heating, and absorbing them through the skin or inhaling them through the respiratory tract to exert the medicinal therapeutic effects. By combing through relevant documents, Chinese medicine fumigation treatment for LDH has achieved remarkable results in pain relief, restoration of function, and improvement of quality of life. One study showed that herbal fumigation therapy relieved pain in patients with LDH, resulting in a significant improvement in their quality of life. In addition, another study also found that herbal fumigation therapy could promote the self-healing function of the spine of patients, which helped to restore their normal position and normal mobility. Therefore, traditional Chinese medicine for the treatment of LDH has certain potential for clinical application and promotion value.
[1] | 齐保玉, 王旭, 杨克新, 等. 中医手法治疗腰椎间盘突出症的研究现状与展望[J]. 世界中医药, 2023, 18(21): 3026-3030. |
[2] | 张群, 陈沈燕, 马波. 雷火灸联合中药熏蒸在气滞血瘀型腰椎间盘突出症患者中的应用效果[J]. 中西医结合护理(中英文), 2023, 9(11): 49-52. |
[3] | 徐娟, 刘海. 中药熏蒸结合中频理疗干预在腰腿疼痛患者护理中的临床效果[J]. 新疆中医药, 2023, 41(5): 80-82. |
[4] | 李弯, 李小玲, 董方圆, 张辉辉. 中药熏蒸联合传统理疗治疗腰椎间盘突出症气滞血瘀型临床观察[J]. 实用中医药杂志, 2023, 39(8): 1680-1682. |
[5] | 谭维选, 李义, 袁代富, 裘志成. 中药熏蒸联合针灸治疗老年肾虚寒湿型强直性脊柱炎的疗效及对炎症因子的影响[J]. 中国老年学杂志, 2017, 37(15): 3845-3847. |
[6] | 马静, 仇丽珍, 齐云影. 中药熏蒸对腰椎间盘突出症病人腰椎功能、神经传导速度及炎症疼痛因子水平的影响[J]. 全科护理, 2023, 21(2): 241-244. |
[7] | 秦丽, 王一哲, 郭凤莲, 习江. 中药熏蒸疼痛护理联合腰椎功能康复训练对腰椎间盘突出症病人微创术后康复效果的影响[J]. 全科护理, 2023, 21(20): 2824-2827. |
[8] | 董红坤, 王晓云, 马民. 中药熏蒸结合过伸位腰椎牵引治疗腰椎间盘突出症临床观察[J]. 实用中医药杂志, 2023, 39(4): 794-796. |
[9] | 赵晓娟, 张嘉怡. 针灸联合中药熏蒸治疗急性期腰椎间盘突出症疗效观察[J]. 黑龙江医学, 2023, 47(5): 588-591. |
[10] | 李爱群. 中药熏蒸联合穴位贴敷治疗腰椎间盘突出症的效果[J]. 内蒙古中医药, 2023, 42(3): 62-63. |
[11] | 于畅, 庞欣怡, 张力丹, 苏盼, 王战国. 中药及民族药熏蒸的临床应用及用药特点研究进展[J]. 中国民族医药杂志, 2023, 29(2): 28-32. |
[12] | 龚星星, 郭志民. 中药熏蒸疗法在骨伤科的基础及临床研究现状[J]. 中国中医骨伤科杂志, 2014, 22(10): 78-80. |
[13] | 刘仁飞. 中药熏蒸软外Ⅰ号治疗腰椎间盘突出症引起的不良反应及影响因素研究[D]: [硕士学位论文]. 郑州: 河南中医药大学, 2019. |
[14] | 吕明芳, 朱小燕, 万康敏, 胡秀武. 长蛇灸联合熏洗包熏蒸治疗气滞血瘀型腰椎间盘突出症对患者疼痛介质及炎症因子的影响[J]. 中国医学创新, 2024, 21(15): 76-80. |
[15] | 蒋云青. 艾灸联合中药熏蒸对气滞血瘀型腰椎间盘突出症患者的护理效果研究[J]. 新疆中医药, 2023, 41(5): 75-77. |
[16] | 丁锏, 袁帅, 张向东, 吕振超, 曹向阳. 中药熏蒸联合腰背肌锻炼对退行性腰椎滑脱症患者术后康复的影响[J]. 河南医学研究, 2024, 33(10): 1861-1864. |
[17] | 刘仁飞, 张淑卿, 朱梦真. 痹症病人中药熏蒸不良反应的发生情况及相关因素分析[J]. 护理研究, 2019, 33(10): 1771-1773. |
[18] | 孟亚君. 护理干预联合青鹏软膏及中药熏蒸治疗腰痛的效果观察[J]. 中国民族医药杂志, 2023, 29(12): 79-80. |
[19] | 王磊, 席光辉, 李聪, 孟双全. 中药熏蒸联合神经阻滞治疗腰椎间盘突出症临床研究[J]. 新中医, 2024, 56(5): 113-116. |
[20] | 章涛, 陈永帅. 中药熏蒸治疗骨质疏松性椎体压缩性骨折经皮椎体后凸成形术后疼痛临床研究[J]. 内蒙古中医药, 2024, 43(3): 130-132. |