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颈痛患者手法治疗:最佳实践指南解读
引用本文:张思雅,刘晓龙,胡滟琦,何蕾,徐晓静,金子开,尹逊路,王星宇,张建华,梁龙.颈痛患者手法治疗:最佳实践指南解读[J].中国全科医学,2023,26(11):1305-1309.
作者姓名:张思雅  刘晓龙  胡滟琦  何蕾  徐晓静  金子开  尹逊路  王星宇  张建华  梁龙
作者单位:1.230038 安徽省合肥市,安徽中医药大学针灸推拿学院2.230038 安徽省合肥市,安徽中医药大学中医学院3.100029 北京市,北京中医药大学4.100102 北京市,中国中医科学院望京医院5.100102 北京市,中医正骨技术北京市重点实验室6.230031 安徽省合肥市,安徽中医药大学第一附属医院骨伤一科
基金项目:北京市自然科学基金资助项目(7214297)——补肾活血方调控髓核细胞坏死性凋亡延缓椎间盘退行性变的机制研究;横向课题:白脉软膏用于腰椎间盘突出症的多中心、随机、双盲、安慰剂平行对照临床研究
摘    要:颈痛在临床上常由颈椎退行性疾病引起,易对患者颈部功能及生活质量造成不良影响。为提供最佳、有效的诊断及治疗方案,2019年美国国家健康科学大学发表了《最佳实践建议:颈痛患者的整脊治疗管理》。课题组在充分研读最新版指南诊治内容的基础上,从诊断、治疗、注意事项3个方面进行解读,同时检索相关文献,纵向对比多个高质量颈痛相关指南,从生物力学及神经生物学方面分析手法治疗颈痛的科学性,并结合中国诊疗现状分析认为其推荐的手法治疗及诊疗流程在中国具有可行性,基于此认为将国内外现有的循证医学证据结合中国传统医学能指导临床实践。

关 键 词:颈痛  颈椎  手法治疗  指南解读  诊断  治疗  实践建议
收稿时间:2022-04-28

Chiropractic Management of Patients with Neck Pain: Interpretation of Best Practice Guidelines
ZHANG Siya,LIU Xiaolong,HU Yanqi,HE Lei,XU Xiaojing,JIN Zikai,YIN Xunlu,WANG Xingyu,ZHANG Jianhua,LIANG Long.Chiropractic Management of Patients with Neck Pain: Interpretation of Best Practice Guidelines[J].Chinese General Practice,2023,26(11):1305-1309.
Authors:ZHANG Siya  LIU Xiaolong  HU Yanqi  HE Lei  XU Xiaojing  JIN Zikai  YIN Xunlu  WANG Xingyu  ZHANG Jianhua  LIANG Long
Abstract:Neck pain is often caused by cervical degenerative diseases, which is easy to cause adverse effects on neck function and quality of life of patients. To provide the best and effective diagnosis and treatment plan, the National University of Health Sciences published its evidence-based clinical practice guidelines for neck pain in 2019. The author in fully study the latest version guidelines on the basis of diagnosis and treatment content, from the diagnosis, treatment, matters needing attention in three aspects, and search the relevant literature research longitudinal contrast multiple high quality neck pain guidelines, from the biomechanics and neurobiological analysis of scientific treatment, and combined with the analysis of Chinese diagnosis and treatment status that the recommended treatment and treatment process is feasible in China, based on this that should through existing evidence-based medical evidence combined with Chinese Traditional Medicine guide clinical practice, hope to reference to domestic clinical treatment today.
Keywords:Neck pain  Cervical vertebrae  Technique treatment  Guide interpretation  Diagnosis  Treatment  Practical advice  
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