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<div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div class="i2i2jyu4k" id="content" style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">颈椎疼痛、腰椎间盘突出，现在这些几乎成了办公室人群和“低头族”们最常见的病症。长期的一个姿势办公或是长时间低头玩手机，造成了脊柱的慢行劳损，久而久之除了腰颈椎疼痛之外，很多相关病症都会接踵而至，做好脊柱健康?；そ叵档轿颐敲扛鋈艘簧慕】?。为此本报记者采访了海军总医院疼痛诊疗中心首席专家王燮荣教授，请他谈一下如何有效预防脊柱损伤和损伤后的有效治疗。</p><p style="text-align:center;"><a href="/upload/resources/image/2017/01/18/1500033.jpg" target="_blank"><img src="/upload/resources/image/2017/01/18/1500033_600x600.jpg" title="C2017-01-18zx601_P_1_56_484_1023_1089" alt="C2017-01-18zx601_P_1_56_484_1023_1089" suffix="jpg"/></a></p><p style="text-align:center;"><br/></p><p style="text-indent: 2em; text-align: left;"><strong>平衡是脊柱健康基础</strong></p><p style="text-indent: 2em; text-align: left;">“脊柱包括其骨性结构和周围的软组织（肌肉韧带）、神经血管等，这些是密不可分的。”与很多人集中于研究脊柱的骨性组织不一样，王燮荣提出了一个广义的“脊柱”概念，把周围的肌肉软组织和神经血管看成脊柱不可分割的一个整体。王燮荣教授将中医阴阳平衡的整体学理论引入到脊柱学研究中来，提出了脊柱内外平衡理论。内平衡是指脊柱的骨性平衡系统，又称静力性平衡系统；包括在脊柱周围的肌肉软组织靠着肌肉收缩产生运动，称为动力性平衡系统。两者只有相互协调达到平衡才能保持脊柱的真正健康。</p><p style="text-indent: 2em; text-align: left;">王燮荣教授指出，脊柱只有在内外平衡下才能维持正常的生理状态。如果脊柱两侧的肌肉出现平衡失调，肌肉长度就会出现一边长一边短的状况，两侧的肌肉拉力就会不一样，在这种不平衡的状况下，骨关节会发生错位和旋转进而引起脊柱的错位、弯曲或扭转的情况，就会出现一系列临床表现，症状轻的我们称之为亚健康，严重的就会出现各种疾病。这种情况发生在脊柱上部就会表现为颈椎病等，在腰背部则会引起背部神经疼痛、胸闷气短等，再往下位置会出现腰椎间盘突出、腰椎劳损、腰腿痛等情况。</p><p style="text-indent: 2em; text-align: left;"><strong>什么引发了损伤发生</strong></p><p style="text-indent: 2em; text-align: left;">脊柱的损伤除了一些突发意外造成的暴力性损伤之外，慢性劳损引起的损伤现在越来越多。王燮荣教授介绍，现在他们科室每天接诊的慢性脊柱损伤的病人越来越多。</p><p style="text-indent: 2em; text-align: left;">“基本我们接诊的大多数患者都是慢性脊柱损伤的，以前腰椎病是干重体力活的工人、农民比较容易得，现在反而是办公室的工作人员得腰椎病的情况比较多。”王燮荣教授谈到现在他们接诊的这类患者特别多，有时都忙不过来?；颊叩哪炅淇缍纫埠艽螅有『⒌嚼先烁髂炅涠蔚亩加?。</p><p style="text-indent: 2em; text-align: left;">办公室长期一个姿势坐着不动会造成静力性肌紧张，有些人伏案工作时会习惯性弯腰驼背状态，脊柱长期维持在非正常状态，就会造成肌肉韧带劳损。而一些不良的生活习惯，如“低头族”们长期低头玩手机，坐在沙发上歪着脖子看电视、看书等，都会造成脊柱的慢行劳损。</p><p style="text-indent: 2em; text-align: left;">王燮荣教授指出，现在脊柱弯曲劳损的情况有低龄化趋势。孩子的脊柱弯曲情况越来越差，一部分是由于先天性的脊柱发育不全，但这只占到很少的一部分。更多的青少年脊柱侧弯机理目前还不清楚，推测可能与母亲怀孕时骨盆、腰椎位置不正或是胎位不正有关，也可能是在分娩时，孩子受到外力拉伸导致其柔软的颈椎扭曲了。</p><p style="text-indent: 2em; text-align: left;"><strong>脏器病变不是孤立事件</strong></p><p style="text-indent: 2em; text-align: left;">王燮荣教授觉得现代医学对于人体脏器的局部研究已经很深入，但是对于这些脏器与支配它们活动的神经之间的关系研究还不多。脊柱作为人体重要的神经中枢，通过其连接的交感神经和副交感神经影响控制着各内脏器官的运动。所以，脊柱损伤在王燮荣看来绝不仅是局限于脊柱部位的损害，脊柱的损伤可以通过神经产生对全身性的影响。这就是一直所倡导的脊柱医学，围绕着脊柱做一些内脏相关病变的研究，他认为很多疾病的病因与脊柱存在关联，不应孤立地去研究，看是否存在脊柱损伤压迫神经的状况。</p><p style="text-indent: 2em; text-align: left;">他以我们常见的胃病为例，很多长期患胃病的病人胃部存在溃疡、糜烂、幽门螺旋杆菌感染等症状。经常去做胃镜检查，吃了药后会好一些，但过了一段时间后又会反复发作。王燮荣认为，这可能与脊柱的弯曲、错位有关，脊柱的中下段充满着交感神经和副交感神经，它们控制着脏器的活动。在脊柱发生错位，交感神经和副交感神经或许是受到压迫，或是受到牵拉。结果是，如果造成了副交感神经兴奋，引起胃部蠕动增加，引起胃酸分泌增多，长期胃酸分泌过多，胃黏膜就会被破坏，血管也会受到损伤，最终引起胃出血。这种情况下，幽门螺旋杆菌也会乘虚而入；反之而如果是交感神经兴奋，胃的蠕动会减慢，会出现胃部胀气。所以，很多疾病的治疗要从内因上找原因，再配合局部的脏器治疗。</p><p style="text-indent: 2em; text-align: left;"><strong>脊柱?；ひ岽┮簧?/strong></p><p style="text-indent: 2em; text-align: left;">由于脊柱的损伤现在存在低龄化的趋势，王燮荣觉得对于脊柱健康的?；ひ油尥拮テ?，甚至在怀孕期间就要做好保护预防工作。孕妇要注意预防脊柱错位和骨盆位置不正，避免造成孩子脊柱发育的先天畸形。同时，脊柱健康的?；ひ岽┤松母鞲鼋锥?，从婴幼儿到青壮年再到中老年期间都要注意。</p><p style="text-indent: 2em; text-align: left;">中老年要注意有病早治，没病早防，腰腿痛、膝关节疾病及时看。同时，锻炼的方式要注意适度合理，如膝关节疼痛的患者就不宜爬山锻炼，那样只会导致病情越来越严重，应选择轻度适宜的锻炼。</p><p style="text-indent: 2em; text-align: left;">青壮年要注意平时不要疲劳过度，要注意适度锻炼调节。平时办公或开车时，要注意1小时左右起来活动下，做做工间操，伸展一下躯体。游泳也是很好的锻炼。王燮荣教授建议大家要改掉跷二郎腿的坏习惯，长期跷二郎腿会造成骨盆扭曲和脊柱弯曲，时间长了可能会造成有些人眉毛、肩膀不一样高，脖子也是歪的，走路姿势异常，严重的还会出现两条腿长短不一的情况。对于已经出现脊柱错位、扭曲的患者，王燮荣教授建议不是特别严重的病情并不一定要动手术。王燮荣教授在长期临床中摸索出了一套手法，可以帮助矫正脊柱扭曲不太严重的问题，对于一些严重的情况会利用针刀配合手法矫正的方式，收到了不错的治疗效果，他建议少用药物，矫正后要加强对脊柱的保护。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：呵护脊柱预防脊柱损伤颈椎疼痛腰椎间盘突出</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2016-07-06/903425.shtml">黄振?。?#32;康复早介入生命可以有奇迹</a></li> </ul> </div>  <div id="i2i2jyu4k" 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