摘要
目的:为探讨近年来"骨盆前倾-腰曲增加"型慢性非特异性下腰痛的治疗现状及存在问题,以期提供进一步的治疗思路。方法:通过全方面检索中国知网、万方数据库、维普网、PubMed等信息检索平台,对近10年相关文献进行整理分析。结果:"骨盆前倾-腰曲增加"型慢性非特异性下腰痛与髂腰肌劳损有关,治疗方式多样,较倾向于非手术治疗,其中针灸推拿为该病的常见治疗方式,且疗效显著、副作用小,其作用机制为消炎止痛,改善循环,促进组织再生,恢复肌肉功能,恢复骨骼系统力学平衡。结论:针灸推拿治疗"骨盆前倾-腰曲增加"型慢性非特异性下腰痛临床效果显著,副作用小,可结合针刀、现代康复疗法、运动疗法等治疗。但评价标准不统一,欠缺客观性观察指标,样本量小,难以实现双盲,有待进一步研究。
Objective: To explore the current situation and problems of the treatment of chronic nonspecific low back pain with "pelvic anteversion-increased lumbar flexion" in recent years, in order to provide further treatment ideas. Methods: Through comprehensive search of information retrieval platforms such as CNKI(China National Knowledge Infrastructure), Wanfang Database, Weipu.com, and PubMed, relevant literatures in the past 10 years were collated and analyzed. Results: The chronic nonspecific low back pain of "pelvic anteversion and lumbar curvature increase" type is related to iliopsoas muscle strain, which is treated in various ways and tends to be non-surgical treatment. Among them, acupuncture and massage is the common treatment of the disease, with significant curative effect and small side effects. Its mechanism is to eliminate inflammation and pain, improve circulation, promote tissue regeneration, restore muscle function and restore the mechanical balance of skeletal system. Conclusion: Acupuncture and massage treatment "pelvis forward-lumbar curve increase" chronic non-specific low back pain clinical effect is significant, side effects are small, can be combined with Acupotomology, modern rehabilitation therapy, sports therapy and so on. However, the evaluation criteria are not uniform, lack of objective observation indicators, small sample size, and it is difficult to achieve double-blindness, which needs further research.
出处
《大众科技》
2020年第2期60-63,共4页
Popular Science & Technology
基金
国家自然科学基金青年基金项目(No.81804215)。
关键词
针灸推拿
骨盆前倾-腰曲增加型
慢性非特异性下腰痛
临床研究进展
综述
acupuncture and massage
pelvic anteversion-increased lumbar curvature
chronic non-specific low back pain
clinical research progresss
overview
