坐骨神经痛如何康复?

2021-11-30 康复医学研究 康复医学研究

由于坐骨神经痛成因众多,胡乱服药或「自」疗,可能令问题加剧。

相信很多人对「坐骨神经痛」(Sciatica) 这个医学名词一点也不会感到陌生,甚至有不少在职人士都被这个病患困扰多年。坐骨神经痛的患者,通常会感到下肢出现痛楚,而痛楚的部位则视乎那一条神经根受压,并伴随麻痺的感觉。严重时,甚至出现下肢肌肉力量减弱、肌肉萎缩、皮肤感觉麻木及肌腱反射下降等等。

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长期坐立及过度劳动的工作,加上缺乏适当的休息,使脊椎承受极大的压力及负荷,这些日积月累的劳损,都会加剧腰背退化的速度,而大大增加患上坐骨神经痛的风险。

      

坐骨神经线 (Sciatic Nerve)

坐骨神经是人体最粗大的一组神经线,它是由五条神经根汇集而成:第四、五腰神经根(L4 ,L5)及第一、二、三神经根(S1, S2, S3) (图一)。

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坐骨神经线由腰椎开始,经过臀部的梨状肌(piriformis muscle)沿著大腿后方一直伸延至小腿及足底部。它是由腰椎第四、五条神经根及第一、二及第三条神经根汇聚而成。(图二)

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坐骨神经痛的成因

在医学上,坐骨神经痛是一种病症,并不是一个诊断,因为它只说明了那条神经线受压,但没有确切地指出受压的病源及病机。

引致坐骨神经痛的成因有很多,通常与腰椎周围的组织病变而压著神经线有直接的关系;当中包括,腰椎间盘突出、脊椎狭窄、脊椎脱位、腰椎骨刺增生、脊椎间孔收窄、梨状肌综合症等等,需经过医护人员的检查及评估后,才可以作出准确的诊断及治疗。

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坐骨神经痛的症状

坐骨神经痛的患者,通常会感到下肢出现痛楚,而痛楚的部位则视乎那一条神经根受压,并伴随麻痺的感觉。严重时,甚至出现下肢肌肉力量减弱、肌肉萎缩、皮肤感觉麻木及肌腱反射下降等等。

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如何诊断坐骨神经痛

医生及物理治疗师藉著临床的检查及X光照片(图三),确定坐骨神经线受压的成因,以便作出正确的诊断。

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直抬腿测试(Straight Leg Raise Test)是一个很常用的临床检测,用以评估坐骨神经痛的严重性。检查时,患者需平卧于床上,物理治疗师会轮流抬高双腿,观察患者的徵状,并作出量度及比较(图四)。一般正常健康的人士,均可把直腿抬高至70-90度,并只感到后大腿肌肉被牵拉的感觉。倘若神经根受到压迫,抬腿的高度会有明显的限制,并产生腰痛、腿痛及麻痺等徵状,这些都是直抬腿测试的阳性反应,严重的患者甚至无法抬高过30度。

直抬腿测试除了应用于临床评估外,更可以用作日后治疗复元的指标,患者经过一轮的治疗而病情有改善后,抬腿的高度会明显增加,而抬腿时出现的不适亦会大大减少。

如有需要,医生会建议作进一步的检查,如磁力共振造影(MRI),确定坐骨神经线受压的程度。

 

坐骨神经痛的治疗

物理治疗:牵引治疗、干扰电治疗、超声波治疗、热疗、手力治疗及运动、针灸

     

麦肯基疗法(McKenzie Therapy) 

药物治疗:由医生处方的止痛、消炎药物及相关药物

姿势纠正:减少脊椎部压力,以免脊椎进一步退化及退化

工作间的设计:有助保持良好姿势,减少颈椎退化的速度

手术治疗:适用于症状严重的案例,详情请向骨科专科医生查询

坐骨神经痛的家居护理

  • 姿势纠正:

坐立时保持腰椎正常的生理弧度(适量前弧),减少脊椎骨、椎间盘等压力,以免退化加剧避免长期侧坐一侧,令臀部过份受压

避免长期保持弯身向前

抬举重物时保持腰部挺直

侧睡时用枕头放大腿间,以减少腰部扭力

仰睡时用枕头承托大腿及膝,减少腰部压力

  • 腰背运动:

持续进行由物理治疗师处方的针对性腰背运动,直至痛楚消失,康复后亦可继续练习

  • 家居治疗:

 

每天进行热敷1-3次,每次15-20分钟,纾缓腰部肌肉绷紧及痛楚,减少腰椎压力

  • 减少穿著高跟鞋

  • 控制体重

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结语

由于坐骨神经痛成因众多,胡乱服药或「自」疗,可能令问题加剧。及早发现问题的根源,并寻求正确的诊治,不致使病情恶化。除了进行适当的治疗、学习一套针对性的腰背运动、及纠正日常生活和工作的姿势,保持脊椎健康,减少坐骨神经痛复发。

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    2022-01-08 ms8000000124644941

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    2021-12-02 贵阳
  4. [GetPortalCommentsPageByObjectIdResponse(id=1182360, encodeId=0a021182360bf, content=可, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3f46455448, createdName=ms8000000124644941, createdTime=Sat Jan 08 21:53:09 CST 2022, time=2022-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519917, encodeId=cfdf151991e9d, content=<a href='/topic/show?id=7835414e572' target=_blank style='color:#2F92EE;'>#坐骨神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41475, encryptionId=7835414e572, topicName=坐骨神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6a111300563, createdName=lishiwen, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540846, encodeId=55fa1540846a7, content=<a href='/topic/show?id=ac8de440615' target=_blank style='color:#2F92EE;'>#神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74406, encryptionId=ac8de440615, topicName=神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d8213287489, createdName=贵阳, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571818, encodeId=0af115e1818fd, content=<a href='/topic/show?id=9e40414e44c' target=_blank style='color:#2F92EE;'>#坐骨神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41474, encryptionId=9e40414e44c, topicName=坐骨神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4cdc15767871, createdName=ycmayy, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076021, encodeId=59af10e602177, content=牵引治疗、干扰电治疗、超声波治疗、热疗、手力治疗及运动、针灸, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=929f5533449, createdName=赵伟丽, createdTime=Wed Dec 01 22:30:38 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075754, encodeId=fc5310e575411, content=不错的内容, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad431973539, createdName=1e167f5cm82(暂无匿称), createdTime=Wed Dec 01 09:05:51 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075701, encodeId=d5b910e570100, content=不错不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Wed Dec 01 07:16:02 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075604, encodeId=28f610e5604f2, content=写的挺不错,全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5e051451243, createdName=liya_dr, createdTime=Tue Nov 30 22:37:22 CST 2021, time=2021-11-30, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1182360, encodeId=0a021182360bf, content=可, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3f46455448, createdName=ms8000000124644941, createdTime=Sat Jan 08 21:53:09 CST 2022, time=2022-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519917, encodeId=cfdf151991e9d, content=<a href='/topic/show?id=7835414e572' target=_blank style='color:#2F92EE;'>#坐骨神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41475, encryptionId=7835414e572, topicName=坐骨神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6a111300563, createdName=lishiwen, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540846, encodeId=55fa1540846a7, content=<a href='/topic/show?id=ac8de440615' target=_blank style='color:#2F92EE;'>#神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74406, encryptionId=ac8de440615, topicName=神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d8213287489, createdName=贵阳, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571818, encodeId=0af115e1818fd, content=<a href='/topic/show?id=9e40414e44c' target=_blank style='color:#2F92EE;'>#坐骨神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41474, encryptionId=9e40414e44c, topicName=坐骨神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4cdc15767871, createdName=ycmayy, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076021, encodeId=59af10e602177, content=牵引治疗、干扰电治疗、超声波治疗、热疗、手力治疗及运动、针灸, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=929f5533449, createdName=赵伟丽, createdTime=Wed Dec 01 22:30:38 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075754, encodeId=fc5310e575411, content=不错的内容, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad431973539, createdName=1e167f5cm82(暂无匿称), createdTime=Wed Dec 01 09:05:51 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075701, encodeId=d5b910e570100, content=不错不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Wed Dec 01 07:16:02 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075604, encodeId=28f610e5604f2, content=写的挺不错,全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5e051451243, createdName=liya_dr, createdTime=Tue Nov 30 22:37:22 CST 2021, time=2021-11-30, status=1, ipAttribution=)]
    2021-12-01 赵伟丽

    牵引治疗、干扰电治疗、超声波治疗、热疗、手力治疗及运动、针灸

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1182360, encodeId=0a021182360bf, content=可, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3f46455448, createdName=ms8000000124644941, createdTime=Sat Jan 08 21:53:09 CST 2022, time=2022-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519917, encodeId=cfdf151991e9d, content=<a href='/topic/show?id=7835414e572' target=_blank style='color:#2F92EE;'>#坐骨神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41475, encryptionId=7835414e572, topicName=坐骨神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6a111300563, createdName=lishiwen, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540846, encodeId=55fa1540846a7, content=<a href='/topic/show?id=ac8de440615' target=_blank style='color:#2F92EE;'>#神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74406, encryptionId=ac8de440615, topicName=神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d8213287489, createdName=贵阳, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571818, encodeId=0af115e1818fd, content=<a href='/topic/show?id=9e40414e44c' target=_blank style='color:#2F92EE;'>#坐骨神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41474, encryptionId=9e40414e44c, topicName=坐骨神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4cdc15767871, createdName=ycmayy, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076021, encodeId=59af10e602177, content=牵引治疗、干扰电治疗、超声波治疗、热疗、手力治疗及运动、针灸, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=929f5533449, createdName=赵伟丽, createdTime=Wed Dec 01 22:30:38 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075754, encodeId=fc5310e575411, content=不错的内容, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad431973539, createdName=1e167f5cm82(暂无匿称), createdTime=Wed Dec 01 09:05:51 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075701, encodeId=d5b910e570100, content=不错不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Wed Dec 01 07:16:02 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075604, encodeId=28f610e5604f2, content=写的挺不错,全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5e051451243, createdName=liya_dr, createdTime=Tue Nov 30 22:37:22 CST 2021, time=2021-11-30, status=1, ipAttribution=)]
    2021-12-01 1e167f5cm82(暂无匿称)

    不错的内容

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1182360, encodeId=0a021182360bf, content=可, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3f46455448, createdName=ms8000000124644941, createdTime=Sat Jan 08 21:53:09 CST 2022, time=2022-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519917, encodeId=cfdf151991e9d, content=<a href='/topic/show?id=7835414e572' target=_blank style='color:#2F92EE;'>#坐骨神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41475, encryptionId=7835414e572, topicName=坐骨神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6a111300563, createdName=lishiwen, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540846, encodeId=55fa1540846a7, content=<a href='/topic/show?id=ac8de440615' target=_blank style='color:#2F92EE;'>#神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74406, encryptionId=ac8de440615, topicName=神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d8213287489, createdName=贵阳, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571818, encodeId=0af115e1818fd, content=<a href='/topic/show?id=9e40414e44c' target=_blank style='color:#2F92EE;'>#坐骨神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41474, encryptionId=9e40414e44c, topicName=坐骨神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4cdc15767871, createdName=ycmayy, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076021, encodeId=59af10e602177, content=牵引治疗、干扰电治疗、超声波治疗、热疗、手力治疗及运动、针灸, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=929f5533449, createdName=赵伟丽, createdTime=Wed Dec 01 22:30:38 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075754, encodeId=fc5310e575411, content=不错的内容, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad431973539, createdName=1e167f5cm82(暂无匿称), createdTime=Wed Dec 01 09:05:51 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075701, encodeId=d5b910e570100, content=不错不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Wed Dec 01 07:16:02 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075604, encodeId=28f610e5604f2, content=写的挺不错,全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5e051451243, createdName=liya_dr, createdTime=Tue Nov 30 22:37:22 CST 2021, time=2021-11-30, status=1, ipAttribution=)]
    2021-12-01 微风山谷smile

    不错不错

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1182360, encodeId=0a021182360bf, content=可, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3f46455448, createdName=ms8000000124644941, createdTime=Sat Jan 08 21:53:09 CST 2022, time=2022-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519917, encodeId=cfdf151991e9d, content=<a href='/topic/show?id=7835414e572' target=_blank style='color:#2F92EE;'>#坐骨神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41475, encryptionId=7835414e572, topicName=坐骨神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6a111300563, createdName=lishiwen, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540846, encodeId=55fa1540846a7, content=<a href='/topic/show?id=ac8de440615' target=_blank style='color:#2F92EE;'>#神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74406, encryptionId=ac8de440615, topicName=神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d8213287489, createdName=贵阳, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571818, encodeId=0af115e1818fd, content=<a href='/topic/show?id=9e40414e44c' target=_blank style='color:#2F92EE;'>#坐骨神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41474, encryptionId=9e40414e44c, topicName=坐骨神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4cdc15767871, createdName=ycmayy, createdTime=Thu Dec 02 06:29:44 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076021, encodeId=59af10e602177, content=牵引治疗、干扰电治疗、超声波治疗、热疗、手力治疗及运动、针灸, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=929f5533449, createdName=赵伟丽, createdTime=Wed Dec 01 22:30:38 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075754, encodeId=fc5310e575411, content=不错的内容, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad431973539, createdName=1e167f5cm82(暂无匿称), createdTime=Wed Dec 01 09:05:51 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075701, encodeId=d5b910e570100, content=不错不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Wed Dec 01 07:16:02 CST 2021, time=2021-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1075604, encodeId=28f610e5604f2, content=写的挺不错,全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5e051451243, createdName=liya_dr, createdTime=Tue Nov 30 22:37:22 CST 2021, time=2021-11-30, status=1, ipAttribution=)]
    2021-11-30 liya_dr

    写的挺不错,全面

    0

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