中医综合疗法治疗神经根型颈椎病的疗效评价与长期随访  

Evaluation the Clinical Curative Effect and Result of Long Time Follow-up of Combined Therapy of Traditional Chinese Medicine for Radiculopathy Type of Cervical Spondylotic

作　　者：于杰[1] 朱立国[1] 洪毅[2] 林定坤[3] 房敏[4] 李俊杰[5] 王平[6] 唐和虎[2] 秦杰[3] 孙武权[4] 王红东[5] 张君涛[6] 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]中国康复研究中心 [3]广东省中医院 [4]上海中医药大学附属中西医结合岳阳医院 [5]北京电力医院 [6]天津中医药大学第一附属医院

出　　处：《中国中医骨伤科杂志》2016年第9期11-13,17,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金："十一五"国家科技支撑项目(2006BAI04A09)

摘　　要：目的:评价神经根型颈椎病的中医综合疗法疗效及长期随访结果。方法:本组神经根型颈椎病患者480例,中央随机分为观察组和对照组,2周疗程结束后评价疗效,治疗结束后1个月、3个月、6个月、3年、5年随访。结果:2周疗程结束后观察组愈显率、有效率分别为53.61%和96.17%,对照组愈显率、有效率分别为12.93%和79.31%.治疗结束后1个月、3个月、6个月随访,观察组复发率分别为3.85%,6.92%和8.46%,对照组复发率分别为6.90%,20.69%和22.41%.3年随访中有174人接受非手术治疗,5人接受手术治疗。5年随访中有193人接受非手术治疗,8人接受手术治疗。结论:中医综合疗法治疗神经根型颈椎病疗效显著,长期随访复发率较低,部分患者需后续治疗,接受手术治疗比例较低。Objective：To evaluate the clinical curative effect and result of long time follow-up of combined therapy of traditional Chinese medicine for radiculopathy type of cervical spondylotic（CSR）.Methods：All 480 patients with CSR were randomly divided into experimental group and control group.The clinical curative effect was evaluated 2weeks after treatment,and they were followed-up at 1st month,3rd month,6th month and 3rd year and 5th year after treatment.Results：The healing rate and effective rate were 53.61% and 96.17%in the experimental group,and 12.93% and 79.31%in the control group respectively.The recurrence rates were 3.85%,6.92%,and 8.46%in the experimental group and 6.90%,20.69%,and 22.41%in the control group respectively at the point of 1st month,3rd month,and 6th month follow-up.During the 3 year follow-up,174 of them received non operative treatment and 5 underwent surgical treatment.During the 5years follow-up,193 of them received non operative treatment,and 8underwent treated with surgery.Conclusions：Combined therapy of traditional Chinese medicine is effective for treating CSR,and its recurrence rate is low.Some patients need follow-up treatment,but the proportion of surgical treatment is low.

关 键 词：神经根型颈椎病 疗效 随访 

分 类 号：R681.5[医药卫生—骨科学]