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中医灸法治疗神经根型颈椎病的研究进展

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神经根型颈椎病是脊柱骨科常见的颈椎病类型,临床表现多为单侧颈肩痛及上肢的放射痛、麻木或感觉减退等,严重时可伴有肌肉萎缩.神经根型颈椎病的临床治疗可分为手术治疗和保守治疗两种方案,由于颈椎手术风险较大、创伤大、并发症多且恢复期长,除了急性肌瘫、脊髓损伤或疼痛剧烈的患者需要早期手术干预以外,保守治疗是大多数患者的首选方案.西医药物治疗以非甾体类抗炎止痛药和脱水消肿药为主,可缓解颈肩部的疼痛,但有胃肠道不良反应和肝肾损害,不能长期服用.中医治疗神经根型颈椎病以中药内服、针灸和手法推拿为主,中药内服不适用于肠胃功能差的患者,也有部分患者难以接受中药口味而拒绝服用中药;手法推拿治疗对术者技术水平有一定要求,不当的手法可能加重对神经的压迫;同时,也有部分患者因害怕针刺疼痛或者晕针而拒绝针刺治疗.相比之下,中医灸法因其无创、安全、舒适、有效等特点在神经根型颈椎病的临床治疗中得到越来越广泛的应用.文章参考近年国内的临床研究成果,将中医各种灸法治疗神经根型颈椎病的研究进展加以归纳、总结,以期为临床上本病的中医治疗提供参考.
A review on TCM moxibustion in the treatment of cervical spondylotic radiculopathy
Cervical spondylotic radiculopathy is a common type of cervical spondylopathy in spine orthopedics.The clinical manifestations include unilateral neck and shoulder pain and radiating pain,numbness or hypoesthesia of the upper limbs,which may be accompanied by muscle atrophy in severe cases.The clinical treatment of cervical spondylotic radiculopathy can be divid-ed into surgical treatment and conservative treatment.Due to the high risk,large trauma,many complications and long recovery period of cervical spine surgery,conservative treatment is the first choice for most patients,except for patients with acute muscular paralysis,spinal cord injury or severe pain who need early surgical intervention.Non-steroidal anti-inflammatory analgesics and dehydrating and detumes-cent drugs are the main drugs for Western medicine treatment,which can relieve the pain of neck and shoulder,but they have gastrointesti-nal adverse reactions and liver and kidney damage,and cannot be taken for a long time.The traditional Chinese medicine(TCM)treatment of cervical spondylotic radiculopathy is mainly based on oral administration of Chinese medicinal materials,acupuncture and manipula-tion.Oral administration of Chinese medicinal materials is not suitable for patients with poor gastrointestinal function,and some patients refuse to take Chinese medicinal materials orally because of the taste adverse reactions.Manual massage therapy has certain requirements for the technical level of the operator,and improper manipulation may aggravate the compression of the nerve.At the same time,some patients refuse acupuncture treatment due to fear of acupuncture pain or dizziness.In contrast,moxibustion of traditional Chinese medicine has been more and more widely used in the clinical treatment of cervical spondylotic radiculopathy because of its non-invasive,safe,com-fortable and effective characteristics.Based on the clinical research results in recent years,this article summarizes the research progress of various moxibustion methods in the treatment of cervical spondylotic radiculopathy,in order to provide reference for the clinical treatment of cervical spondylotic radiculopathy in traditional Chinese medicine.

Cervical spondylotic radiculopathyMoxibustionHeat sensitive moxibustionWarm acupuncture and moxibustionThunder-fire moxibustion

李任、唐福宇

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广西中医药大学,广西 南宁,530200

柳州市中医医院(柳州市壮医医院),广西 柳州,545026

神经根型颈椎病 艾灸 热敏灸 温针灸 雷火灸

广西中医药适宜技术开发与推广项目

GZSY21-65

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(3)
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