曹奔 郭光昕 朱清广 孔令军 程艳彬 房敏

摘要 腰椎间盘突出症是引起腰腿疼痛及功能障碍的常见原因，该病症患病率高、迁延难愈，严重则可能致残，对患者的生命质量造成很大影响，对社会形成沉重负担。临床指南指出绝大多数腰椎间盘突出症患者采用保守疗法即可取得很好疗效。导引功法作为典型的中国传统运动疗法，植根于中医理论，历史悠久，具有安全有效、易于推广、简便实用的临床特色。近年来应用导引功法防治腰椎间盘突出症在临床中已有较多报道，现从4种常用的导引功法阐述其在腰椎间盘突出症中的应用概况，以期为相应基础与临床研究提供参考。

关键词 导引功法;八段锦;太极拳;易筋经;五禽戏;腰椎间盘突出症;研究进展

Abstract Lumbar disc herniation（LDH）is a common cause of pain and dysfunction of low back and leg.The disease has a high prevalence rate and is difficult to heal，which seriously may affect the quality of life of patients and brings heavy social burden.Clinical guidelines point out that the vast majority of patients with LDH can achieve good results by using conservative treatment.As a typical Chinese traditional exercise therapy，daoyin exercise，which is rooted in the theory of traditional Chinese medicine，has a long history and has the clinical characteristics of safe，effective，easy to popularize，simple and practical.In recent years，there have been many reports on the application of daoyin exercise in the prevention and treatment of LDH.This paper expounds the general situation of its application in LDH from 4 commonly used daoyin exercise，in order to provide reference for basic and clinical research.

Keywords Dao Yin Exercise; Baduanjin; Taijiquan; Yijinjing; Wuqinxi; Lumbar Disc Herniation; Research Progress

中圖分类号：R247.9;R684文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.10.027

腰椎间盘突出症（Lumbar Disc Herniation，LDH）系各种原因如外伤、腰椎退行性变等导致腰椎间盘纤维环破裂，髓核膨出或突出致使脊神经根或马尾神经受压，出现以腰痛、坐骨神经痛等症状为主要表现的综合征[1]。近年来，随着人们生产、生活方式的改变，腰椎间盘突出症患病数逐年增长，并呈年轻化趋势[2]。因手术治疗风险较大，复发率高，临床绝大多数腰椎间盘突出症患者首选保守疗法，药物治疗虽可在一定程度上改善疼痛，但对功能障碍作用局限[3]。导引功法是保守疗法中自我锻炼防治方法的典型代表，是指在中医理论指导下，通过特定的功法动作及呼吸吐纳运动以达到防病、治病目的的自我疗法。……