“腰突”病因竟这么多！看看你中招没？

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                    <p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">现在越来越多的人腰腿部经常莫名其妙的疼痛，到医院一检查，腰椎间盘突出了，到底为什么腰椎间盘突出这么猖狂，不论老人、年轻人都不放过呢？导致你现在坐立难安的“真凶”到底是谁呢？</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　<strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">“腰突”幕后凶手众多</strong></span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　“导致腰椎间盘突出的原因很多，其中，椎间盘的退行性变，是发生腰椎间盘突出的基本因素。”我院疼痛科周红刚主任介绍说，椎间盘的生理退变从20岁即开始，30岁时退变已明显，而损伤、积累性劳损是椎间盘的退变性的主要原因，也是腰椎间盘突出的重要因素。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　有很多长期从事弯腰工作或者经常弯腰提取重物者，会使腰部过度负荷、劳损，容易形成积累性劳损，加速椎间盘的退变，在椎间盘退变的基础上于异常姿势下，椎间盘反复承受生理性应力或超生理性应力的作用，就会导致椎间盘纤维环破裂，髓核突出。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　而腰部的特殊运动方式及运动突发性冲击力、持续压力、腰部的过度伸屈及旋转可使椎间盘内的压力增高几倍或几十倍，易导致椎间盘损伤，多是软骨板破裂、髓核突出或脱出、纤维环很少发生破裂。在腰部失去肌肉保护或准备不充分的情况下，腰部的急性损伤即可造成椎间盘的突出。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　不少人认为，腰椎间盘突出是一种老年人才会患的病，年轻人如果没有外伤，是不会患这种病的。周主任说，这种观点是完全错误的，相反，随着人们生活习惯的改变，越来越多的年轻人忍受着腰椎间盘突出症带来的痛苦，“年轻人，学生，特别是一些白领阶层的人，每天都坐在电脑前，回家窝在沙发里看电视、玩手机，这些因为长时间的静力性腰椎前屈而引起的椎间盘、脊柱肌群和椎间韧带等的疲劳，导致腰椎间盘突出症发生在20多岁的年轻人身上。”</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　随着私家车的增多，一些人出门就开车，当他们在坐位承受颠簸时，遭受持续垂直震动的作用，腰椎间盘内压持续性增高，而持续震动亦可累及微循环，产生椎间盘营养障碍，氧分压和细胞活性明显减低，从而加速腰椎间盘退变的进程，长此以往，就可能引起腰椎间盘突出。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　听到打喷嚏导致腰椎间盘突出时，也许你感到不可思议，这却是真可以发生的。周主任说，当有剧烈的咳嗽、打喷嚏、屏气、便秘等明显腹压增高的情况下，这些动作均可使椎管内压力增加，影响椎节与椎管之间的平衡，促使髓核突出。另外，吸烟、受寒与潮湿、过度肥胖等均可导致腰椎间盘突出。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　</span><strong style="font-size: 16px; line-height: 1.5em; margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">治疗遵循“阶梯疗法”</strong></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　针对这一现象，给大家介绍6种自查腰椎间盘突出症的办法，希望大家重视腰椎间盘突出症的发生！</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　1.仰卧位，然后坐起，观察自己下肢是否因疼痛而使膝关节屈曲。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　2.仰卧位，自行或旁人用手轻轻触后腰部、腰椎正中及两侧，检查是否有明显的压痛。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　3.轻轻咳嗽一声或数声，腰痛是否加重。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　4.仰卧位，患侧膝关节伸直，并将患肢抬高，观察是否因疼痛而使其高度受到限制。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　5.在急性扭伤后，是否跛行。如走路时一手扶腰或患侧，下肢怕负重，而呈一跳一跳的步态，或是喜欢身体前倾，而臀部凸向一侧。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　6.仰卧位休息后，疼痛仍不能缓解；在侧卧位、弯腰屈髋、屈膝时，疼痛症状能否缓解。</span></p><p style=""><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important; word-wrap: break-word !important;">　　腰椎间盘突出了该怎么办呢？周主任告诉大家不要着急，腰椎间盘突出的治疗方法很多，要遵循“阶梯疗法”，早期可到正规医疗单位使用保守治疗，如口服药物、针灸、按摩、牵引等方法缓解症状；如果经过3个月的保守治疗症状没有明显减轻者，或对于症状严重的腰椎间盘突出，只要影像学比较严重，症状发生出现时不用再保守即可进行微创治疗；对于有严重椎体滑脱、先天性椎管狭窄的患者就要采用开放手术治疗。</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; min-height: 1em; white-space: pre-wrap; color: rgb(62, 62, 62); line-height: 24px; font-family: Arial, Verdana, sans-serif; font-size: 12px; background-color: rgb(249, 249, 249); box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">广州市设备维修有限公司<br style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; 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