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中国医药导刊 ›› 2020, Vol. 22 ›› Issue (6): 381-384.

• 临床医学 • 上一篇    下一篇

神经根型颈椎病的中西医治疗概况

   李建垒1, 宋永伟2*   

  1. 1. 河南中医药大学, 河南 郑州 450000;
    2. 河南省洛阳正骨医院/河南省骨科医院, 河南 洛阳 471002
  • 收稿日期:2020-04-24 修回日期:2020-05-12 出版日期:2020-06-28 发布日期:2020-07-22
  • 基金资助:
    河南省科技攻关项目(项目编号:152102310163;项目名称:中药熏蒸疗法治疗腰椎增生性脊柱炎的临床疗效评价);河南省重点中医学科(专科)学术带头人培养项目(项目编号:2015ZY03006);河南省中医药专项(项目编号:2019ZY2085;项目名称:卧位偏向牵引治疗神经根型颈椎病的临床疗效研究)

General Situation on Treating Cervical Spondylotic Radiculopathy with Traditional Chinese and Western Medicine

  1. 1. Henan University of Traditional Chinese Medicine, Henan Zhengzhou 450000, China;
    2. Luoyang Orthopedic Hospital, Henan Luoyang 471002, China

  • Received:2020-04-24 Revised:2020-05-12 Online:2020-06-28 Published:2020-07-22

摘要: 经根型颈椎病(cervical spondylotic radiculopathy,CSR)是临床常见的颈椎病,是由颈椎间盘组织退行性改变及其继发病理改变引起的神经根病变,临床表现为:颈椎周围疼痛,活动时加重,时而出现强迫位伴活动受限,颈椎关节压痛、僵硬,上肢放射痛或者麻木,对患者正常工作及生活造成很大影响。中医、西医对其病因认识有所不同,诊疗侧重点也存在差别。在治疗层面上,中医、西医治疗神经根型颈椎病各有特色,中医讲究减轻病痛,无创并且廉价,而西医则注重疗效的及时和肯定性,中西医结合综合治疗神经根型颈椎病效果更加明显。本文通过搜索相关文献并进行概括,横向比较不同治疗方法的疗效,旨在综合论述中西医治疗本病的特色,以期为临床提供参考和借鉴。

关键词: font-size:medium, ">神经根型颈椎病;中医;西医;中西医结合疗法;研究进展

Abstract:  Cervical spondylotic radiculopathy (CSR) is a common cervical spondylosis. It is caused by degenerative changes of cervical intervertebral disc tissue and its secondary pathological changes. The clinical manifestations include that it is pain around the cervical spine, which is worse during activity, and there are occasionally compulsive positions with limited mobility, tenderness, stiffness of the cervical spine joints, upper limb radiation pain or numbness. CSR has great impact on the normal work and life of patients. Traditional Chinese medicine and western medicine have different understanding of its etiology and different emphasis on diagnosis and treatment. On the treatment level, traditional Chinese medicine and western medicine have their own characterstics in the treatment of CSR. Traditional Chinese medicine pays attention to relieve the disease, which is non-invasive and low cost, while western medicine pays attention to the timely and affirmative curative effect, and the combination treatment of traditional Chinese and western medicine has more obvious effect on CSR. By searching related literatures and summarizing them, the curative effects of different treatment methods were compared horizontally in this article, so as to provide reference for clinical.

Key words: font-size:medium, ">Cervical spondylotic radiculopathy; Traditional Chinese medicine; Western medicine; Integrated traditional Chinese and western medicine; Research progress

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