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中医药治疗气滞血瘀型神经根型颈椎病研究进展

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中医药治疗气滞血瘀型神经根型颈椎病主要包括中药治疗、针刺治疗、推拿治疗等,联合使用可提高疗效,减少复发.但现有研究仍存在局限性:(1)临床研究中患者疗效评价指标多应用量表评价,较为单一和主观,存在大量偏倚因素,需增加更为客观的疗效评价指标;(2)治疗手段多依赖医师个人经验及好恶,缺乏统一的规范和治疗指征参考,以及相对应条件下不同治疗手段应用后疗效对比;(3)基础研究作用机制的支持不足,部分研究作了动物模型或炎性因子检测,但仅仅停留于现象,机制多为推测,缺乏深入的药物或物理治疗气滞血瘀型神经根型颈椎病的作用机制探索;(4)中药方剂的临床应用仍需进一步明确药效学评价和药物安全性与毒性.今后,应从各类名家医典思想上吸取精华,丰富治疗方式及手段,同时也要在联合治疗上进行探索,提高疗效,改善患者的临床症状与后期的生活质量,并且注重明确各类治疗的应用规范和治疗指征,积极进行机制研究,完善现代科学理论支持.
Research Progress in Traditional Chinese Medicine Treatment of Cervical Spondylotic Radiculopathy with Qi Stagnation and Blood Stasis
TCM treatments for cervical spondylotic radiculopathy(CSR)with qi stagnation and blood stasis mainly include Chinese me-dicinal therapy,acupuncture therapy,massage,etc.Combined use can improve the therapeutic effect and reduce recurrence.However,existing research still has limitations:(1)In clinical studies,patient efficacy evaluation indicators are often evaluated by using scales,which are relatively single and subjective,with a large number of bias factors,and more objective efficacy evaluation indicators need to be added.(2)The use of therapies often relies on the personal experience and preferences of physicians,lacking unified standards and treatment indication references,as well as comparing the efficacy of different treatment methods under corresponding conditions.(3)The support for basic research on the mechanism of action is insufficient.Some studies have conducted animal models or detection of in-flammatory factors,but only focused on phenomena,and the mechanisms are mostly speculative,lacking in-depth exploration of the ef-fective mechanism of drug or physical therapy for qi stagnation and blood stasis type CSR;(4)The clinical application of Chinese me-dicinal formulas still requires further clarification of pharmacological evaluation,drug safety,and toxicity.In the future,it is necessary to absorb the essence from the thoughts of various famous doctors' medical codes,enrich the treatment methods and means,and also ex-plore the combination treatment,improve the efficacy,enhance the clinical symptoms and later-stage life quality of patients,and focus on clarifying the application norms and treatment indications of various therapies,actively carry out mechanism research,and strengthen the theoretical support of modern scientific principles.

cervical spondylotic radiculopathy(CSR)syndrome of qi stagnation and blood stasisChinese medicinal therapyacupunc-ture therapymassage therapy

刘诗静、薛鸿、肖敬

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广西中医药大学,广西 南宁 530001

广西中医药大学第三附属医院,柳州市中医医院,柳州市壮医医院,广西 柳州 545001

神经根型颈椎病 气滞血瘀证 中药治疗 针刺治疗 推拿治疗

2023年中央补助广西第七批全国老中医药专家学术经验继承工作项目广西壮族自治区中医药优秀人才培养项目

桂中医药发[2023]2号桂中医药发[2022]7

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(8)
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