为什么处于急性期的腰椎间盘突出症患者需要卧床休息 宋洁富 山西省人民医院 скачать в хорошем качестве

为什么处于急性期的腰椎间盘突出症患者需要卧床休息 宋洁富 山西省人民医院

为什么处于急性期的腰椎间盘突出症患者需要卧床休息 宋洁富 山西省人民医院 急性期的腰椎间盘突出患者需卧床休息来减少对神经根的压迫。这往往是指椎间盘压迫神经或者是劳累、受凉造成椎间盘对神经的挤压，或是运动过度神经根水肿。这种情况下要进行卧床休息：第一，椎间盘站立或劳动、椎间盘压力很大的时候一下就挤出来，卧床时椎间盘受力0的位置，里面有个负压，休息让它可以吸回去，哪怕回去1mm，不压神经根就好了；第二，神经根的水肿需要休息，比如手上打一巴掌或者打水肿了，一休息、凉水一敷就能好。但是，腰不能用凉水敷，所以神经水肿往往需要休息来解决。另外要注意减少腿上运动量，体位很重要，某一种体位特别疼，某一种体位不疼了、缓解了，那么要挑不疼的体位来休息。另外，有些人咳嗽一声就会加重症状，所以要避免剧烈的咳嗽。一些椎间盘突出的人走路是撅着屁股、歪着腰，这种可能是比较重即急性期。所以，一定要卧床休息，让腰慢慢放正，椎间盘可能会慢慢回去，对神经根的压迫减轻，这样就会减少症状。 Why do patients with acute lumbar disc herniation need bed rest Patients with acute lumbar disc herniation need to rest in bed to reduce the pressure on the nerve root. This often refers to the compression of the nerve by the intervertebral disc, or the compression of the nerve by the intervertebral disc caused by fatigue and cold, Or hyperkinetic nerve root edema. In this case, bed rest should be carried out: first, When the disc is standing or working, and the disc is under a lot of pressure, it will squeeze out, When lying in bed, the force on the intervertebral disc is 0, There's a negative pressure inside, Rest so it can suck back, Even if you go back 1mm, Do not press the nerve root; Secondly, The edema of the nerve root needs rest, For example, a slap on the hand or edema, A rest, a cold water can be good. But, You can't put cold water on your waist, So neuroedema often needs rest to solve. In addition, we should pay attention to reducing the amount of leg movement, Position is important, A certain position is particularly painful, Some kind of body position doesn't hurt and relieves, Then choose a position that doesn't hurt to rest. In addition, Some people get worse with a cough, So avoid a violent cough. Some people with herniated discs walk with their buttocks puckered and their waists askew, This may be a more severe acute phase. So, Be sure to stay in bed, Let the waist slowly put in place, The discs may come back slowly, The pressure on the nerve root is reduced, This will reduce symptoms.