非手术疗法治疗腰椎间盘突出症的循证实践指南

2024-02-01 中国骨科相关专家小组(统称) 中国循证医学杂志 发表于上海

本指南可供中西医骨科相关从业人员参考和使用。

中文标题:

非手术疗法治疗腰椎间盘突出症的循证实践指南

发布日期:

2024-02-01

简要介绍:

腰椎间盘突出症(LDH)是导致腰腿痛最常见原因之一,严重影响患者的生活质量。非手术疗法作为LDH 的一线治疗方案,可缓解80%~90% LDH 患者的临床症状。本指南遵循《中国制订/修订临床诊疗指南的指导原则(2022 版)》和《世界卫生组织指南制定手册(2014 版)》,成立指南工作组。结合文献回顾和专家调研,确定14 个临床问题。通过系统的证据检索、评价与分级,形成推荐意见决策表;采用德尔菲法对初步形成的推荐意见进行专家共识,最终形成19 条非手术疗法治疗LDH 的推荐意见。本指南可供中西医骨科相关从业人员参考和使用。
 

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    2024-04-16 ms8000001100470630 来自湖北省

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拓展阅读

【热点解读】腰椎间盘突出症中医循证实践指南

这是第一部严格按照国内外规范采用GRADE方法制订的中医药治疗腰椎间盘突出症的中医循证指南,希望指南中推荐意见可以帮助医护工作者更好地照护腰椎间盘突出症患者。

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临床上腰大肌有明显压痛并向腰丛神经支配区放射的疾病较为常见,如腰大肌综合征、腰肌劳损、肌筋膜炎、以及腰椎间盘突出等。

一名60岁男性患者,既往病史包括颈椎间盘突出症,出现了3年来逐渐加重的疲劳和双侧上肢无力

主诉:一名60岁男性患者,既往病史包括颈椎间盘突出症,出现了3年来逐渐加重的疲劳和双侧上肢无力

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通过增加腰神经根的牵引力,可以显着减少局部粘连,增加神经根的活动度,减轻对神经的压力。术后早期、合理、系统的康复锻炼可以刺激神经元突触,促进神经功能恢复,减少功能障碍和疼痛,降低术后腰腿痛的发生率。

Euro Radio:双能量CT在评估腰椎间盘突出症中的诊断准确性

腰椎退行性病变并伴有腰椎间盘突出是下腰痛最常见的原因之一,也是脊柱手术的主要原因。考虑到绝大多数人在一生中都会有一次或多次下腰痛的经历,因此早期发现及治疗对于避免高额的治疗费用和不良后果至关重要。

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