BACKGROUND Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.CASE SUMMARY We here present a 57-year-old woman diagnosed as ha...BACKGROUND Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.CASE SUMMARY We here present a 57-year-old woman diagnosed as having cervical spondylotic radiculopathy(CSR)who was scheduled for anterior cervical decompression and fusion.During post-anesthetic positioning,a sudden hypertensive surge was observed when the patient was in a supine position with the neck being slightly extended.This surge was promptly reversed through cervical flexion and head elevation.This event however required an alternate surgical approach for recovery—posterior laminoplasty and endoscopy-assisted nucleus pulposus removal.Following the 6-month outpatient follow-up period,cervical flexion and extension activities substantially improved in the patient without any episodes of increase in acute blood pressure.CONCLUSION Maintaining a safe hypotensive posture and performing rapid,thorough deco-mpression surgery may serve as effective interventions for patients presenting symptoms similar to those of CSR accompanied by hypertensive emergencies(HE).This would mitigate the underlying causes of these HEs.展开更多
Objective: On the basis of a brief description of the current research status of modern Chinese medicine on the name, etiology, pathogenesis and classification of cervical spondylotic radiculopathy, this paper summari...Objective: On the basis of a brief description of the current research status of modern Chinese medicine on the name, etiology, pathogenesis and classification of cervical spondylotic radiculopathy, this paper summarizes the research progress of modern Chinese medicine treatment of cervical spondylotic radiculopathy from the perspective of modern Chinese medicine treatment. This article mainly summarizes the following aspects: modern Chinese medicine for internal and external use;Chinese medicine acupuncture with filiform needle, electro-acupuncture and warm moxibustion;Chinese medicine massage and acupoint therapy;moxibustion, cupping, scraping and other comprehensive treatment;and Chinese medicine comprehensive therapy. The purpose of this article is to provide references for modern Chinese medicine treatment of cervical spondylotic radiculopathy.展开更多
Endoscopic cervical foraminotomy is increasingly used for cervical spondylotic radiculopathy(CSR),but there is great concern about radiation exposure because of the heavy dependence of this surgical method on fluorosc...Endoscopic cervical foraminotomy is increasingly used for cervical spondylotic radiculopathy(CSR),but there is great concern about radiation exposure because of the heavy dependence of this surgical method on fluoroscopy.The objective of this study was to introduce in detail an advanced surgical technique of keyhole foraminotomy via a percutaneous posterior full-endoscopic approach as a treatment for CSR and investigate its clinical outcomes.We retrospectively reviewed 33 consecutive patients with CSR who underwent keyhole foraminotomy via a percutaneous posterior full-endoscopic approach from October 2015 to April 2017.The patients’general characteristics,including operative time,blood loss,hospital stay,complications,and recurrence,were obtained.Clinical outcomes were evaluated using the visual analogue scale(VAS)for radicular pain,the neck disability index(NDI)for functional assessment,and the modified MacNab criteria for patient satisfaction.All operations were successfully performed(mean operation time,62 min),with no measurable blood loss or severe related complications.The mean follow-up was 25 months.The VAS and NDI scores were significantly improved as compared with those in the preoperative period(preoperative vs.final follow-up:7.6±1.6 vs.3.83±7.34 for VAS,P<0.01;69.5%±10.5%vs.17.54%±13.40%for NDI,P<0.01).Of the 33 patients,32(97.0%)had good-to-excellent global outcomes and all patients obtained symptomatic improvement.In conclusion,keyhole foraminotomy via a percutaneous posterior full-endoscopic approach is an efficient,safe,and feasible procedure for the treatment of CSR.Its simplified single-step blunt incision for localization appears to decrease radiation exposure risks.展开更多
目的:总结评价耳穴贴压对神经根型颈椎病(CSR)的护理疗效,以便为中医护理提供参考。方法:计算机检索PubMed、EMbase、Cochrane Library、Web of Science、中国生物医学文献服务系统、万方数据库、维普数据库和中国知网,搜集有关耳穴贴...目的:总结评价耳穴贴压对神经根型颈椎病(CSR)的护理疗效,以便为中医护理提供参考。方法:计算机检索PubMed、EMbase、Cochrane Library、Web of Science、中国生物医学文献服务系统、万方数据库、维普数据库和中国知网,搜集有关耳穴贴压治疗CSR的随机对照试验(RCT),检索时限为建库至2022年7月。参考Cochrane风险偏倚评估工具对文献质量进行评价,并进行Meta分析。结果:共纳入16项研究,1391例患者。结果显示,耳穴贴压可以提高CSR治疗效果,差异具有统计学意义[OR=3.59,95%CI(2.41,5.33),Z=6.32,P<0.00001];降低CSR患者的疼痛[MD=–1.39,95%CI(–1.81,–0.98),Z=6.57,P<0.00001];提高CSR患者的颈椎功能[MD=5.12,95%CI(4.25,5.98),Z=11.58,P<0.00001];减轻CSR患者颈浅部肌肉疼痛[MD=–1.24,95%CI(–1.30,–1.18),Z=42.68,P<0.00001]。结论:现有证据表明,耳穴贴压对CSR治疗有效,可降低颈椎疼痛,提高颈椎功能,减轻颈浅部肌肉疼痛感,但由于本研究文献质量普遍不高,未来仍需要高质量的RCT研究进一步验证。展开更多
文摘BACKGROUND Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.CASE SUMMARY We here present a 57-year-old woman diagnosed as having cervical spondylotic radiculopathy(CSR)who was scheduled for anterior cervical decompression and fusion.During post-anesthetic positioning,a sudden hypertensive surge was observed when the patient was in a supine position with the neck being slightly extended.This surge was promptly reversed through cervical flexion and head elevation.This event however required an alternate surgical approach for recovery—posterior laminoplasty and endoscopy-assisted nucleus pulposus removal.Following the 6-month outpatient follow-up period,cervical flexion and extension activities substantially improved in the patient without any episodes of increase in acute blood pressure.CONCLUSION Maintaining a safe hypotensive posture and performing rapid,thorough deco-mpression surgery may serve as effective interventions for patients presenting symptoms similar to those of CSR accompanied by hypertensive emergencies(HE).This would mitigate the underlying causes of these HEs.
基金supported by the 12th Five-Year National Science and Technology Support Plan(Grant No.2014BAI08B06)the National Natural Science Foundation of China(Grant No.81674005,81774330)the Special Research Project of Traditional Chinese Medicine Industry(Grant No.201407001).
文摘Objective: On the basis of a brief description of the current research status of modern Chinese medicine on the name, etiology, pathogenesis and classification of cervical spondylotic radiculopathy, this paper summarizes the research progress of modern Chinese medicine treatment of cervical spondylotic radiculopathy from the perspective of modern Chinese medicine treatment. This article mainly summarizes the following aspects: modern Chinese medicine for internal and external use;Chinese medicine acupuncture with filiform needle, electro-acupuncture and warm moxibustion;Chinese medicine massage and acupoint therapy;moxibustion, cupping, scraping and other comprehensive treatment;and Chinese medicine comprehensive therapy. The purpose of this article is to provide references for modern Chinese medicine treatment of cervical spondylotic radiculopathy.
文摘Endoscopic cervical foraminotomy is increasingly used for cervical spondylotic radiculopathy(CSR),but there is great concern about radiation exposure because of the heavy dependence of this surgical method on fluoroscopy.The objective of this study was to introduce in detail an advanced surgical technique of keyhole foraminotomy via a percutaneous posterior full-endoscopic approach as a treatment for CSR and investigate its clinical outcomes.We retrospectively reviewed 33 consecutive patients with CSR who underwent keyhole foraminotomy via a percutaneous posterior full-endoscopic approach from October 2015 to April 2017.The patients’general characteristics,including operative time,blood loss,hospital stay,complications,and recurrence,were obtained.Clinical outcomes were evaluated using the visual analogue scale(VAS)for radicular pain,the neck disability index(NDI)for functional assessment,and the modified MacNab criteria for patient satisfaction.All operations were successfully performed(mean operation time,62 min),with no measurable blood loss or severe related complications.The mean follow-up was 25 months.The VAS and NDI scores were significantly improved as compared with those in the preoperative period(preoperative vs.final follow-up:7.6±1.6 vs.3.83±7.34 for VAS,P<0.01;69.5%±10.5%vs.17.54%±13.40%for NDI,P<0.01).Of the 33 patients,32(97.0%)had good-to-excellent global outcomes and all patients obtained symptomatic improvement.In conclusion,keyhole foraminotomy via a percutaneous posterior full-endoscopic approach is an efficient,safe,and feasible procedure for the treatment of CSR.Its simplified single-step blunt incision for localization appears to decrease radiation exposure risks.
文摘目的:总结评价耳穴贴压对神经根型颈椎病(CSR)的护理疗效,以便为中医护理提供参考。方法:计算机检索PubMed、EMbase、Cochrane Library、Web of Science、中国生物医学文献服务系统、万方数据库、维普数据库和中国知网,搜集有关耳穴贴压治疗CSR的随机对照试验(RCT),检索时限为建库至2022年7月。参考Cochrane风险偏倚评估工具对文献质量进行评价,并进行Meta分析。结果:共纳入16项研究,1391例患者。结果显示,耳穴贴压可以提高CSR治疗效果,差异具有统计学意义[OR=3.59,95%CI(2.41,5.33),Z=6.32,P<0.00001];降低CSR患者的疼痛[MD=–1.39,95%CI(–1.81,–0.98),Z=6.57,P<0.00001];提高CSR患者的颈椎功能[MD=5.12,95%CI(4.25,5.98),Z=11.58,P<0.00001];减轻CSR患者颈浅部肌肉疼痛[MD=–1.24,95%CI(–1.30,–1.18),Z=42.68,P<0.00001]。结论:现有证据表明,耳穴贴压对CSR治疗有效,可降低颈椎疼痛,提高颈椎功能,减轻颈浅部肌肉疼痛感,但由于本研究文献质量普遍不高,未来仍需要高质量的RCT研究进一步验证。
