摘要
本文综述了近年来整脊及配合其他疗法治疗神经根型颈椎病(Cervical Spondylotic Radicular Disease,CSR)的临床应用进展,总结了不同的中医治疗方法及其疗效,为非手术治疗CSR提供了参考依据。整脊治疗CSR的手法可分为传统中医整脊法、美式整脊法、"三小"定点整脊法和南少林手法等,相比推拿、导引、针灸等其他外治手法,疗效显著;整脊手法治疗CSR通过改善、更正紊乱的关节从而减轻对神经根的压迫,使神经根得到松解,促进所调控肌肉恢复正常生理状态,疗效确切,同时配合其他外治方法如针灸、推拿、磁振热、刃针、针刀、深刺大椎穴、神经松动术、穴位注射或口服药物联用,能取得更好的治疗效果。目前临床应用整脊手法治疗CSR存在以下问题:一是整脊学术流派多,手法各异,实施者操作差别大,需要规范操作手法;二是各文献中实验方案设计不严谨、不统一,导致疗效评价不具备可比性;三是临床疗效评价多以主观症状的改善为主,如能科学结合影像学指标、生理生化检测指标进行评价,则更为客观、合理。
This article reviews the recent progress of clinical application of chiropractic on treating cervical spondylotic radiculopathy(CSR), which summarizes the treatment methods and their curative effects to provide references for non-surgical treatment program. Chiropractic treatments of CSR include traditional Chinese medicine chiropractic treatment, American chiropractic treatment, "three small" fixed-point chiropractic treatment, South Shaolin manipulation, etc. Compared with other external treatment methods such as massage, guidance, acupuncture, the curative effect of chiropractic is remarkable. Chiropractic manipulation of CSR could alleviate the nerve root by improving and correcting disordered joints, thus to promote the muscles being regulated to normal physiological state with definite curative effect. At the same time, combined with other external treatment methods such as acupuncture, massage, magnetic vibration heat, blade needle, needle-knife, deep needling at Dazhui acupoint, nerve mobilization, injection of acupoint or medicine, chiropractic manipulation could achieve even better therapeutic effect. However, there are still some problems in the clinical application of chiropractic manipulation for CSR. Firstly, there are many specific skills of chiropractic manipulation, each of which has great differences in the manipulation of the practitioners. Consequently standardized manipulation is required. Secondly, the design of experimental schemes in various reports are not so rigorous and unified, leading to the lack of comparability in the evaluation of curative effect. Thirdly, the subjective symptoms are the main factors in the evaluation of clinical efficacy. It could be more objective and reasonable to take the imaging and biochemical detection teats into account.
作者
王树强
过圣华
Wang Shuqiang;Guo Shenghua
出处
《中医临床研究》
2020年第18期118-121,共4页
Clinical Journal Of Chinese Medicine
基金
2017年无锡市卫生计生科研面上项目(MS201725)。
关键词
整脊
神经根型颈椎病
临床应用
综述
Chiropractic
Cervical spondylotic radiculopathy
Clinical application
Review
