| 应帅宇,张骁,蔡阁,等.罗华送分期治疗退行性腰椎椎管狭窄症经验[J].浙江中医药大学学报,2024,48(11):1424-1428. |
| 罗华送分期治疗退行性腰椎椎管狭窄症经验 |
| LUO Huasong’s Experience of Staged Treatment about Degenerative Lumbar Spinal Stenosis |
| DOI：10.16466/j.issn1005-5509.2024.11.015 |
| 中文关键词: 退行性腰椎椎管狭窄 分期治疗 综合治疗 推拿正骨 康复锻炼 筋骨平衡 名医经验 罗华送 |
| 英文关键词: degenerative lumbar spinal stenosis staged treatment comprehensive treatment massage and bone-setting rehabilitation exercises balance between the tendons and bones famous doctor’s experience LUO Huasong |
| 基金项目:浙江省中医药科技计划项目(2023ZL546)；浙江省基础公益研究计划项目(LGF22H270015)；杭州市医学重点学科建设项目(2020SJZDXK05) |
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| 中文摘要: |
| [目的] 总结罗华送教授治疗退行性腰椎椎管狭窄症的诊疗思路及临床经验。[方法] 通过跟师临诊，收集临床典型病案，从“分期论治”和“筋骨平衡”两个方面，总结分析罗师治疗退行性腰椎椎管狭窄症治疗策略，并附医案一则加以验证。[结果] 罗师认为，退行性腰椎椎管狭窄症反复发作是椎管内外因素共同导致，强调治疗本病不仅要缓解椎管内因素，同时要重视椎管外致病因素的解除，从“筋骨平衡”指导思想出发，分期采用推拿正骨结合康复锻炼的综合治疗手段，减少疾病反复发作，改善患者生活质量。文末所举验案，乃患者劳累后不慎扭伤，导致疾病急性发作，罗师通过推拿正骨与康复锻炼相结合，终得良效。[结论] 罗师治疗退行性腰椎椎管狭窄症，紧扣病机，重视椎管内外致病因素共同处理，形成了中西医结合、分期论治的保守治疗策略，拓宽了诊疗思路，其经验值得借鉴和推广。 |
| 英文摘要: |
| [Objective] To summarize Professor LUO Huasong’s diagnostic and therapeutic ideas and clinical experience in treating degenerative lumbar spinal stenosis. [Methods] By following Professor LUO and collecting typical clinical cases， this paper summarized and analyzed Professor LUO’s treatment strategy for degenerative lumbar spinal stenosis in terms of “staged treatment” and “balance of tendons and bones”， and attached a medical case for verification. [Results] Professor LUO believes that the recurrent episodes of degenerative lumbar spinal stenosis are caused by both internal and external factors of the spinal canal. Professor LUO emphasizes that the treatment of this disease should not only alleviate the factors within the spinal canal， but also pays attention to the lifting of the pathogenic factors outside the spinal canal， starting from the guiding principle of “balance between the tendons and bones”， and adopting the comprehensive treatment of massage and bone-setting combined with rehabilitation exercises in stages， so as to reduce recurrent episodes of the disease and improve the life quality of the patients. The case cited at the end of the article was a patient accidentally sprained after exertion， resulting in an acute attack of the disease， Professor LUO treated through the combination of massage and bone-setting and rehabilitation exercises， and finally achieved good results. [Conclusion] Professor LUO’s treatment of degenerative lumbar spinal stenosis， close to the disease mechanism， the importance of internal and external causative factors of the spinal canal to deal with the formation of a combination of traditional Chinese medicine and western medicine， staged treatment of conservative treatment strategy， broadening the diagnosis and treatment of ideas， the experience is worth learning and popularization. |
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