针刀治疗神经根型颈椎病研究概述

神经根型颈椎病在颈部疾患中发病率高,常表现为颈、肩、上肢运动感觉功能障碍,致使中老年人饱受疾患折磨,且该病随着生活、工作方式改变有年轻化发病趋势。西医非手术治疗该病常采取消炎镇痛、缓解神经根水肿等办法,不能有效解除压迫及高应力状态,症状易反复,难以达到患者期望值。而手术治疗风险较大、术后恢复慢且经济负担重,患者接受程度普遍较低。自朱汉章教授1976年创造针刀伊始神经根型颈椎病便是针刀治疗的优势病种。针刀治疗神经根型颈椎病作用机制复杂,在病理生理、临床试验等层面已得到部分阐释。临床操作各有千秋,常表现为进针点定位选择之别。除单纯针刀疗法外,针刀搭配其他治疗方式而衍生出的一系列综合疗法如手法、药物、神经阻滞、针灸等为治疗该病提供了更多选项。经40余年的针刀医学实践阐明,针刀治疗神经根型颈椎病具有独特优势。该文检索中国知网、万方网等数据库有关文献,总结了针刀治疗该病的最新研究进展。现从机理研究、操作方法、方案选择三个方面加以概述,便于为临床提供参考,促进针刀医学的基层推广。

Overview of Needle-knife Therapy for Cervical Spondylotic Radiculopathy

Nerve root cervical spondylosis has a high incidence in neck diseases,often manifested as motor,sensory dysfunction of the neck,shoulders,and upper limbs,causing middle-aged and elderly people to suffer from the disease,and the disease becomes younger with changes in life and work methods.Incidence trends.Western medicine for non-surgical treatment of this disease often adopts anti-inflammatory and analgesic methods,and relieves nerve root edema.It cannot effectively relieve the pressure and high stress state.Surgical treatment is relatively risky,postoperative recovery is slow,and the financial burden is heavy,and patient acceptance is generally low.Nerve root cervical spondylosis has been the dominant disease for needle knife treatment since Professor ZHU Hanzhang created the needle knife in 1976.The mechanism of acupuncture for treating cervical spondylotic radiculopathy is complicated,and it has been partially explained in the pathophysiology and clinical trials.Clinical operations have their advantages and disadvantages,and often differ in the choice of needle placement.In addition to simple needle-knife therapy,a series of comprehensive therapies derived from needle-knife combined with other treatment methods such as manipulatives,drugs,nerve blocks,acupuncture,etc.provide more options for treating this disease.After more than 40 years of needle-knife medical practice,needle-knife has unique advantages in treating cervical spondylotic radiculopathy.The article retrieved relevant documents from China Knowledge Network,Wanfang and other databases,and summarized the latest research progress of needle knife treatment for the disease.It is summarized from the aspects of mechanism research,operation method,and scheme selection,which is convenient for providing clinical reference and promoting the basic promotion of needle and knife medicine.