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An evidence‐based guideline on treating lumbar disc herniation with traditional Chinese medicine

医学 指南 针灸科 腰椎间盘突出症 腰痛 手法治疗 物理疗法 循证医学 分级(工程) 中医药 替代医学 传统医学 重症监护医学 外科 腰椎 病理 土木工程 工程类
作者
Xiaokuan Qin,Kai Sun,Weiguo Xu,Jing-Hua Gao,Hongwei� Jiang,Wei Chen,Ling Zhang,Zhenhua Li,Wuyin Li,Puwei Yuan,Kexin Yang,Peijian Tong,Yuanming Zhong,Xiaofeng Zhu,Xiaoming Wan,Chengjian He,Yanguo Wang,Xilin Xu,Yong Huang,Zhihai Zhang,Yifei Huang,Wei Guo,Junling Cao,Tianxiao Feng,Sheng Wang,Yuhui Yin,Hao Wang,Chuanrui Sun,Xiangyu Xiao,Xu Wei,Liguo Zhu
出处
期刊:Journal of Evidence-based Medicine [Wiley]
卷期号:17 (1): 187-206 被引量:4
标识
DOI:10.1111/jebm.12598
摘要

Abstract Background Lumbar disc herniation (LDH), as one of the most common causes of lower back pain, imposes a heavy economic burden on patients and society. Conservative management is the first‐line choice for the majority of LDH patients. Traditional Chinese medicine (TCM) is an important part of conservative treatment and has attracted more and more international attention. Study design Evidence‐based guideline. Methods We formed a guideline panel of multidisciplinary experts. The clinical questions were identified on the basis of a systematic literature search and a consensus meeting. We searched the literature for direct evidence on the management of LDH and assessed its certainty‐generated recommendations using the grading of recommendations, assessment, development, and evaluation (GRADE) approach. Results The guideline panel made 20 recommendations, which covered the use of Shentong Zhuyu decoction, Shenzhuo decoction, Simiao San decoction, Duhuo Jisheng decoction, Yaobitong capsule, Yaotongning capsule, Osteoking, manual therapy, needle knife, manual acupuncture, electroacupuncture, Chinese exercise techniques (Tai Chi, Baduanjin, or Yijinjing), and integrative medicine, such as combined non‐steroidal anti‐inflammatory drugs, neural nutrition, and traction. Recommendations were either strong or weak, or in the form of ungraded consensus‐based statement. Conclusion This is the first LDH treatment guideline for TCM and integrative medicine with a systematic search, synthesis of evidence, and using the GRADE method to rate the quality of evidence. We hope these recommendations can help support healthcare workers caring for LDH patients.
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