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中西医治疗退行性腰椎滑脱研究进展
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Abstract:
退行性腰椎滑脱是一种常见的脊柱退行性疾病，主要表现为腰椎椎体滑脱并伴随神经压迫症状。中医认为该病与肝脾肾亏虚，外感风寒湿邪、劳伤瘀血相关，治疗以补益肝肾、活血化瘀为主，常用中药内服、针灸、推拿缓解症状、增强脊柱稳定性。西医治疗以手术和保守治疗为主，手术治疗则针对严重病例进行固定椎体和椎管减压，保守治疗包括药物镇痛、物理治疗(牵引)。两者均可有效改善症状、提高生活质量。根据患者的情况，我们可以进行中西医结合对疾病进行治疗，中西医结合可以更好地治疗本病。本文针对不同方法治疗腰椎滑脱进行总结，为该病的临床治疗提供参考。
Degenerative lumbar spondylolisthesis is a common degenerative disease of the spine, mainly manifested as lumbar spondylolisthesis with nerve compression symptoms. Traditional Chinese medicine believes that the disease is related to deficiency of liver, spleen and kidney, exogenous wind cold and dampness, and blood stasis due to fatigue. The treatment is mainly to tonify the liver and kidney, promote blood circulation and remove blood stasis. Traditional Chinese medicine, acupuncture and massage are commonly used to relieve symptoms and enhance spinal stability. Western medicine treatment is mainly based on surgery and conservative treatment, while surgical treatment is for severe cases with fixed vertebral body and spinal canal decompression. Conservative treatment includes drug analgesia and physical therapy (traction). Both can effectively improve symptoms and quality of life. According to the situation of patients, we can treat the disease with the combination of traditional Chinese and Western medicine, and the combination of traditional Chinese and Western medicine can better treat the disease. This paper summarizes the different methods for the treatment of lumbar spondylolisthesis, and provides reference for the clinical treatment of the disease.
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