脊髓型颈椎病中西医结合诊疗指南(2023)  

Clinical guidelines for diagnosis and treatment of cervical spondylotic myelopathy with the integrated traditional Chinese and Western medicine(2023)

作　　者：中国中西医结合学会骨伤科专业委员会 莫文[2] 袁文 许金海[2] 徐辰 崔学军[2] 叶洁[2] 陈华江 魏戌[4] 移平[5] 李振华 张必萌[7] ORTHOPEDICS AND TRAUMATOLOGY PROFESSIONAL COMMITTE OF THE CHINESE ASSOCIATION OF INTEGRATIVE MEDICINE;MO wen;YUAN Wen(不详;Longhua hospital Shanghai Uinvirsity of Traditional Chinese Medicine,Shanghai 200032,China;The Second Affilated Hospital of PLA Naval Medical University,Shanghai 200003,China)

机构地区：[1]不详 [2]上海中医药大学附属龙华医院,上海200032 [3]中国人民解放军海军军医大学第二附属医院,上海200003 [4]中国中医科学院望京医院 [5]中日友好医院 [6]长春中医药大学附属医院 [7]上海市第一人民医院

出　　处：《中国骨伤》2024年第1期103-110,共8页China Journal of Orthopaedics and Traumatology

基　　金：国家中医药管理局、国家卫生计生委办公厅、中央军委后勤保障部卫生局《重大疑难疾病中西医临床协作试点项目》(编号:国中医药办医政发[2018]3号);上海市卫生健康委员会脊髓型颈椎病防治传承创新团队(编号:2021LPTD-008)。

摘　　要：《脊髓型颈椎病中西医结合诊疗指南》由中国中西医结合学会骨伤科专业委员会遵照循证医学原则和专家共识制定,为临床医师提供CSM临床诊疗的学术性指导意见。主要内容包含诊断要点、病情分度评估、中医辨证、手术指征与时机、中西医结合治疗及术后康复等。本指南首次提出CSM应遵循分度治疗原则、明确手术治疗的时机和方式、制定常见的中医辨证分型标准、重视术后中西医结合康复以及日常随访管理,以期促进CSM临床治疗的规范化、有效性和安全性。The"Clinical Guidelines for Diagnosis and Treatment of Cervical Spondylotic Myelopathy with the Integrated Traditional Chinese and Western Medicine"were formulated by the Orthopedic and Traumatology Professional Committee of the Chinese Association of Integrative Medicine in accordance with the principles of evidence-based medicine and expert consensus,and provide clinicians with academic guidance on clinical diagnosis and treatment of CSM.The main content includes diagnostic points,disease grading assessment,TCM syndrome differentiation,surgical indications and timing,integrated traditional Chinese and Western medicine treatment,and postoperative rehabilitation.This guideline proposes for the first time that the treatment of CSM should follow the principle of grading,clarify the timing and methods of surgical treatment,establish common TCM syndrome differentiation and classification,attach importance to postoperative integrated rehabilitation of Chinese and Western medicine,and strengthen daily follow-up management.It hopes to promote the standardization,effectiveness,and safety of clinical treatment of CSM.

关 键 词：脊髓型颈椎病 中西医结合 诊疗指南 

分 类 号：R681.53[医药卫生—骨科学]