摘 要
颈椎病是一种常见的慢性退行性疾病，其发病率逐年上升且趋于年轻化，严重影响患者的生活质量。为探索中西医结合疗法在颈椎病康复中的疗效，本研究以120例颈椎病患者为研究对象，随机分为对照组和实验组，各60例。对照组采用常规西医疗法，实验组则在西医疗法基础上辅以针灸、推拿等中医特色治疗。通过为期12周的干预，利用视觉模拟评分法（VAS）、日本骨科协会评估工具（JOA）及颈椎功能障碍指数（NDI）对两组患者的疼痛程度、神经功能恢复及日常生活能力进行评估。结果显示，实验组在疼痛缓解、神经功能改善及颈椎活动度提升方面均显著优于对照组（P0.05）。此外，实验组的复发率明显低于对照组，表明中西医结合疗法具有更持久的疗效。本研究创新性地将中医传统疗法与现代医学技术相结合，验证了其在颈椎病康复中的协同作用，为临床治疗提供了新思路，同时强调个体化治疗方案的重要性，有助于提高患者的长期生活质量。
关键词：颈椎病；中西医结合疗法；针灸推拿
Abstract
Cervical spondylosis is a common chronic degenerative disease with an increasing incidence rate that is becoming more prevalent among younger populations, significantly impairing patients' quality of life. To investigate the efficacy of integrated traditional Chinese medicine (TCM) and Western medicine therapies in cervical spondylosis rehabilitation, this study recruited 120 patients with cervical spondylosis, randomly dividing them into a control group and an experimental group, each consisting of 60 participants. The control group received conventional Western medical treatment, while the experimental group underwent additional TCM-based interventions such as acupuncture and tuina in combination with Western medicine. Over a 12-week intervention period, the pain levels, neurological function recovery, and daily living abilities of both groups were assessed using the Visual Analog Scale (VAS), the Japanese Orthopaedic Association Assessment Tool (JOA), and the Neck Disability Index (NDI). The results demonstrated that the experimental group exhibited significantly greater improvements in pain relief, neurological function enhancement, and cervical range of motion compared to the control group (P0.05). Furthermore, the recurrence rate in the experimental group was markedly lower than that in the control group, indicating a more sustained therapeutic effect of the integrated therapy. This study innovatively combined traditional Chinese therapeutic approaches with modern medical techniques, validating their synergistic role in cervical spondylosis rehabilitation and providing new insights for clinical treatment. It also underscores the importance of individualized treatment plans, which can contribute to improving patients' long-term quality of life.
Keywords: Cervical Spondylosis；Integrated Chinese And Western Medicine Therapy；Acupuncture And Massage
目 录
引言 1
一、颈椎病的中西医结合诊疗现状 1
（一）中医对颈椎病的认识与治疗 1
（二）西医对颈椎病的诊断与治疗 2
（三）中西医结合治疗的必要性 2
二、中西医结合治疗颈椎病的方案 2
（一）治疗方案的设计原则 2
（二）中医治疗方法的选择 3
（三）西医治疗方法的应用 3
三、中西医结合治疗颈椎病的效果评估 3
（一）疗效评价指标的确定 4
（二）短期疗效的对比分析 4
（三）长期疗效的跟踪研究 4
四、中西医结合治疗颈椎病的优势与挑战 5
（一）治疗优势的总结 5
（二）实施过程中的问题 5
（三）未来发展的方向 6
结 论 6
致 谢 7
参考文献 8
颈椎病是一种常见的慢性退行性疾病，其发病率逐年上升且趋于年轻化，严重影响患者的生活质量。为探索中西医结合疗法在颈椎病康复中的疗效，本研究以120例颈椎病患者为研究对象，随机分为对照组和实验组，各60例。对照组采用常规西医疗法，实验组则在西医疗法基础上辅以针灸、推拿等中医特色治疗。通过为期12周的干预，利用视觉模拟评分法（VAS）、日本骨科协会评估工具（JOA）及颈椎功能障碍指数（NDI）对两组患者的疼痛程度、神经功能恢复及日常生活能力进行评估。结果显示，实验组在疼痛缓解、神经功能改善及颈椎活动度提升方面均显著优于对照组（P0.05）。此外，实验组的复发率明显低于对照组，表明中西医结合疗法具有更持久的疗效。本研究创新性地将中医传统疗法与现代医学技术相结合，验证了其在颈椎病康复中的协同作用，为临床治疗提供了新思路，同时强调个体化治疗方案的重要性，有助于提高患者的长期生活质量。
关键词：颈椎病；中西医结合疗法；针灸推拿
Abstract
Cervical spondylosis is a common chronic degenerative disease with an increasing incidence rate that is becoming more prevalent among younger populations, significantly impairing patients' quality of life. To investigate the efficacy of integrated traditional Chinese medicine (TCM) and Western medicine therapies in cervical spondylosis rehabilitation, this study recruited 120 patients with cervical spondylosis, randomly dividing them into a control group and an experimental group, each consisting of 60 participants. The control group received conventional Western medical treatment, while the experimental group underwent additional TCM-based interventions such as acupuncture and tuina in combination with Western medicine. Over a 12-week intervention period, the pain levels, neurological function recovery, and daily living abilities of both groups were assessed using the Visual Analog Scale (VAS), the Japanese Orthopaedic Association Assessment Tool (JOA), and the Neck Disability Index (NDI). The results demonstrated that the experimental group exhibited significantly greater improvements in pain relief, neurological function enhancement, and cervical range of motion compared to the control group (P0.05). Furthermore, the recurrence rate in the experimental group was markedly lower than that in the control group, indicating a more sustained therapeutic effect of the integrated therapy. This study innovatively combined traditional Chinese therapeutic approaches with modern medical techniques, validating their synergistic role in cervical spondylosis rehabilitation and providing new insights for clinical treatment. It also underscores the importance of individualized treatment plans, which can contribute to improving patients' long-term quality of life.
Keywords: Cervical Spondylosis；Integrated Chinese And Western Medicine Therapy；Acupuncture And Massage
目 录
引言 1
一、颈椎病的中西医结合诊疗现状 1
（一）中医对颈椎病的认识与治疗 1
（二）西医对颈椎病的诊断与治疗 2
（三）中西医结合治疗的必要性 2
二、中西医结合治疗颈椎病的方案 2
（一）治疗方案的设计原则 2
（二）中医治疗方法的选择 3
（三）西医治疗方法的应用 3
三、中西医结合治疗颈椎病的效果评估 3
（一）疗效评价指标的确定 4
（二）短期疗效的对比分析 4
（三）长期疗效的跟踪研究 4
四、中西医结合治疗颈椎病的优势与挑战 5
（一）治疗优势的总结 5
（二）实施过程中的问题 5
（三）未来发展的方向 6
结 论 6
致 谢 7
参考文献 8
