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穴位疗法治疗神经根型颈椎病之浅见林鑫烈 孙茂峰 指导:王 岱


  (1.台湾长庚纪念医院针灸科;2.台湾长庚大学中医学系;3.北京针灸骨伤学院)[摘 要] 从神经根型颈椎病的发病机理探讨单纯使用穴位疗法是否具有可行性及其可行的范围。在回顾了近几年来的文献之后,提出了以下的结论:可以依据病患的情况,选用文中所述之高显效率的穴位疗法。不属于寒湿阻络型之患者,则须结合牵引或手法等治疗方式以便能够更全面且更为根本地解决问题,在施以综合疗法的患者之疼痛无法缓解或是患者之神经方面的症状有所加重时(如肌力持续下降或二便控制失常),则须考虑让患者接受手术治疗。〖ht〗

  [主题词] 颈椎病/穴位疗法;牵引术;正骨手法

  superficial view on acupoint therapy for treatment of cervical spondylosis of nerveroot type

  lin xinlie1,sun maofeng2,wang dai3(1.section of acupuncture and moxibustion,taiwan changgeng commemoration hospital;2.depatment of tcm,taiwan changgeng university;3.beijing college of acupuncture and orthopedics)

  [abstract] in the present paper,the feasibility and the range of simple acupoint therapy for treatment of cervical spondylopathy were studied from its pathogenesis.after review the literature in recent years,the authors put forward the following conclusion:the acupoints with higher effective rate in the paper can be selected based on condition of the patient;for the patient who does not belong to retention of colddampness in collaterals it should be combined with traction or manipulation therapy;for the patient whose pain does not relieve or their nervous symptoms aggravate after comprehensive therapy(myodynamia decreases continuously or feces and urine incontinence),operation should be considered.

  [key words] cervical spondylosis/point ther;traction;bone setting manipulation

  神经根型颈椎病是指由于颈椎间盘退变及其继发性椎间关节退变而导致的脊神经损害,目前一般认为其发病机理为神经根受到机械性压迫,并导致炎症发生,所以目前一般治疗本病的方法是以牵引疗法、手法或手术等解除压迫的方法为主,再辅助以消除炎症的治疗方式,如穴位疗法、理疗和药物等。

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