神经根型颈椎病中医临床路径的建立和效果评价

Establishment and effect assessment of clinical pathway of TCM for cervical spondylotic radiculopathy

[目的]客观评价中医综合疗法治疗神经根型颈椎病的疗效,为进一步优化诊疗方案奠定基础。[方法]对60例神经根型颈椎病(风寒痹阻型)患者采用中医临床路径诊疗方案治疗,2周为1个疗程,疗程结束后观察疗效,评价安全性、变异及经济学指标。[结果]总体疗效:临床控制16例(26.67%),显效17例(28.33%),有效24例(40.00%),无效3例(5.00%),总有效率为95.00%。两组患者临床疗效比较,差异有统计学意义(P<0.05)。[结论]神经根型颈椎病临床路径诊疗方案疗效确切、安全、经济学指标更有优势。

[Objective] To evaluate objectively the curative effect of combined therapy of traditional Chinese medicine on cervical spondylotic radiculopathy and to lay a foundation for further optimization of diagnosis and treatment plan.[Methods] Sixty patients with cervical spondylotic radiculopathy（Wind-cold impediment syndrome） hospitalized into the orthopedics ward of our hospital were treated with Chinese path of TCM for the clinical diagnosis and treatment.Two weeks were a course of treatment.After treatment the clinical effect was observed,the safety was evaluated and the variation and economic parameter were investigated.[Results] The overall efficacy： 16 cases were clinically controlled（26.67%）,17 cases markedly improved（28.33%）,24 cases effective（40.00%）,3 cases were non-effective（5.00%）.The total effective rate was 95.00%.When clinical curative effects were compared between two groups,and the difference was statistically significant（P0.05）.[Conclusion] The effect of diagnosis and treatment plan on cervical spondylotic radiculopathy is reliable,safe,having advantage in economic indicators.