神经根型颈椎病颈痛临床评价方法研究  

Study on Evaluation Method of Neck Pain of Cervical Radiculopathy

作　　者：孙悦礼 姚敏[1,2] 崔学军[1,2] 姚长风[1,2] 王拥军[1,2] 

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海中医药大学脊柱病研究所,上海200032

出　　处：《世界中医药》2014年第6期707-712,共6页World Chinese Medicine

基　　金：国家中医药行业科研专项(编号:201107004);国家重点基础研究发展计划("973"计划)基金资助项目(编号:2010CB530400);国家自然科学基金(编号:81330085;81373666;81373667;81202708;81102605);国家教育部"创新团队"计划项目(沪教委科〔2009〕6号);上海市科委自然科学基金(编号:11ZR1437100;11DZ1973700);上海市科委中药现代化项目(编号:11DZ1972702);上海市卫生局新优青计划(编号:XYQ2011060);"085工程"中医药学一流学科建设项目(上中医〔2012〕科字6号);上海市科委"产学研医"联盟项目(编号:11DZ1921106)

摘　　要：神经根型颈椎病引起颈痛及神经症状,影响着患者们的生活质量,是颈椎病各型中发病率最高、临床最常见的一种,中医将其归属于"痹症"。然而大多数中医传统疗法的安全性和有效性未经过国际公认的标准进行评价,获得的证据也难以应用于国际主流的循证理念。本篇综述针对神经根型颈椎病,将有关颈痛的一些国际公认的信息进行汇总,包括颈痛的定义、分类以及现有的评定手段,通过综合性评述,提出适用于中医药临床科研的评价方法。The typical patients with cervical radiculopathy present neck and arm discomfort of insidious onset.The discomfort can range from a dull ache to a severe burning pain,which affects patientsquality of life,The cervical radiculopathy is the highest incident one a-mong all kinds of cervical spondylosis and is the most commonly see in clinical practice,classified as“Bi Zheng”in TCM.However,the safety and effectiveness of most TCMtherapy havent ever been evaluated with some internationally recognized standards.Therefore,their evidence is hard to present in the international mainstream evidence-based concept.The aim of this study is to conduct a critical review on assessment and measurement and various definitions and classifications of the existing literatures on neck pain in cervical radiculopa-thy.The main results of the review bringing in the evidence in terms of the reliability,validity,and utility of objective tests and self-re-ported pain and disability assessment in people with cervical radiculopathy are provided here.

关 键 词：颈痛 神经根型颈椎病 痹症 结局指标 量表 

分 类 号：R255.6[医药卫生—中医内科学]