1.背景頸椎病(cervical spondylotic,CS)是指由于隨著年齡的增長(zhǎng)、創(chuàng)傷或不同的病理改變,導(dǎo)致的一系列慢性癥狀。頸椎病的主要危險(xiǎn)因素包括年齡(正常老化)、職業(yè)(重復(fù)頸部運(yùn)動(dòng)或長(zhǎng)時(shí)間伏案工作)、頸部損傷、遺傳因素(家族史)和吸煙。頸椎病在30至60歲之間的年齡段中發(fā)生率很高。這些變化通常逐步發(fā)展,最終導(dǎo)致廣泛發(fā)病。頸椎病進(jìn)展中最早的病理變化可能是椎間盤內(nèi)物質(zhì)的有機(jī)化學(xué)改變,導(dǎo)致水分含量減少,脫水收縮導(dǎo)致脊柱生物力學(xué)的改變,導(dǎo)致軟骨盤的緩沖功能喪失。結(jié)果,不同組織(關(guān)節(jié)側(cè)和韌帶)內(nèi)發(fā)生二次變化,從而損害椎關(guān)節(jié)附近的組織。與骨折自愈—樣,軀體也會(huì)以類似的方法自愈脊柱,即通過邊緣骨贅(即骨刺)來應(yīng)對(duì)慢性變化的異常狀態(tài)。長(zhǎng)此以往,椎骨最終會(huì)自動(dòng)融合�！╊i椎病患者可見椎骨完成了自動(dòng)融合,而在大多數(shù)接受醫(yī)療護(hù)理,并且椎間盤保持含水量和活躍度的患者中,疾病的進(jìn)展在自動(dòng)融合發(fā)生之前停止。少數(shù)情況下,慢性疾病并發(fā)急性椎間盤破裂而使病情復(fù)雜。神經(jīng)根型頸椎病(cervical spondylotic radiculopathy,CSR)是由于脊柱頸區(qū)的神經(jīng)根被擠壓引起的神經(jīng)根疼痛、感覺運(yùn)...

【文章頁(yè)數(shù)】：124 頁(yè)

【學(xué)位級(jí)別】：博士

【文章目錄】：
ABSTRACT
摘要
CHAPTER 1: INTRODUCTION
    1.1 BACKGROUND
CHAPTER 2: VIEW OF WESTERN MEDICINE
    2.1 BACKGROUND
    2.2 EPIDEMIOLOGICAL INFORMATION
    2.3 CLASSIFICATION,PATHOPHYSIOLOGY AND CLINICAL SYNDROMES OF CS
        2.3.1 CLASSIFICATION
        2.3.2 PATHOPHYSIOLOGY OF CERVICAL SPONDYLOSIS
        2.3.3 CLINICAL SYNDROMES
        2.3.4 CERVICAL RADICULOPATHY
        2.3.5 CERVICAL MYELOPATHY
        2.3.6 AXIAL NECK PAIN
    2.4 DIFFERENTIAL DIAGNOSIS
        2.4.1 DIFFERENTIAL DIAGNOSIS OF ACUTE RADICULOPATHY (TYPE Ⅰ SYNDROME)
        2.4.2 DIFFERENTIAL DIAGNOSIS OF CHRONIC RADICULOPATHY (TYPE Ⅰ SYNDROME)
        2.4.3 DIFFERENTIAL DIAGNOSIS OF MYELOPATHY (TYPE Ⅱ SYNDROME):
        2.4.4 DIFFERENTIAL DIAGNOSIS OF AXIAL NECK PAIN (TYPE Ⅲ SYNDROME)
    2.5 HOW TO DIAGNOSE CSR
        2.5.1 SIGNS AND SYMPTOMS
        2.5.2 IMAGING STUDIES
        2.5.3 HISTOLOGICAL FINDINGS
    2.6 TREATMENT
        2.6.1 NON-OPERATIVE/NON-SURGICAL TREATMENTS
        2.6.2 OPERATIVE/SURGICAL TREATMENT
    2.7 NATURAL AND HOME REMDIES
        2.7.1 REVIEWFROM THE WESTERN MEDICINE APPROACH
CHAPTER 3: VIEW OF CHINESE MEDICINE
    3.1 INTRODUCTION OF TCM
    3.2 BACKGROUND OF CSR ACCORDING TO CHINESE MEDICINE
    3.3 CLINICAL MANIFESTATIONS & DIAGNOSIS
    3.4 SYNDROME DIFFERENTIATION
    3.5 TREATMENT FOR CS BASED ON TCM ACCORDING TO THE DIFFERENTIAL DIAGNOSIS
        3.5.1 ACUPUNCTURE THERAPY
        3.5.2 MASSAGE (TUINA) THERAPY
        3.5.3 MOXIBUSTION THERAPY
        3.5.4 CUPPING THERAPY
    3.6 CLINICAL RESEARCHES OF TREATING CS WITH HERBS, ACUPUNCTURE & TUINATECHNIQUES
    3.7 DISCUSSION
CHAPTER 4: VIEW OF ACUPOINT SELECTION OF ACUPUNCTURE TREATMENT OF CSR
    4.1 MATERIALS AND METHODS
        4.1.1 INCLUSION CRITERIA
        4.1.2 EXCLUSION CRITERIA
        4.1.3 SOURCES AND SEARCH METHODS
        4.1.4 SCREENING METHODS
        4.1.5 DATA ACQUISITION BASIS
        4.1.6 STATISTICAL METHODS
    4.2 RESULTS
        4.2.1 ACUPUNCTURE TREATMENT OF CSR TYPE CS LITERATURE SEARCH RESULTS
        4.2.2 ACUPUNCTURE TREATMENT OF CSR CS COMMON FREQUENCY OF USE
        4.2.3 ACUPUNCTURE TREATMENT OF CSR CS COMMONLY USED POINTS IN THE FOURTEENDISTRIBUTION OF MERIDIANS
        4.2.4 COMMON ACUPOINTS DISTRIBUTION IN ACUPUNCTURE TREATMENT OF CSR
        4.2.5 ATTRIBUTION OF COMMON ACUPOINTS WITHIN SPECIAL ACUPOINTS IN ACUPUNCTURETREATMENT OF CSR
    4.3 DISCUSSION
        4.3.1 THE RULE OF ACUPUNCTURE TREATMENT FOR CSR TYPE
        4.3.2 STUDY ON THE PRINCIPLE OF SELECTING ACUPOINTS TO TREAT CSR
        4.3.3 CONCLUSION
        4.3.4 SUMMARY
CHAPTER 5: CLINICAL RESEARCH
    5.1 RESEARCH OBJECTIVE
    5.2 RESEARCH DESIGN
        5.2.1 SUBJECT DESIGN
        5.2.2 SOURCE OF CASES
        5.2.3 RANDOM METHOD
    5.3 CASE SELECTION CRITERIA
        5.3.1 DIAGNOSTIC CRITERIA
        5.3.2 INCLUSION CRITERIA OF CASES
        5.3.3 EXCLUSION CRITERIA OF CASES
    5.4 RESEARCH METHODS
        5.4.1 GROUP A (CONTROL GROUP)
        5.4.2 GROUP B (TREATMENT GROUP)
        5.4.3 EFFICACY EVALUATION
        5.4.4 STATISTICAL METHODS
    5.5 TEST RESULTS
        5.5.1 THE BASELINE ANALYSIS
        5.5.2 CLINICAL DATA STATISTICS AND ANALYSIS
        5.5.3 INDICATIONS WITH THE TREATMENT TIME IN THE TWO GROUPS
CHAPTER 6: DISCUSSION
    6.1 FEASIBILITY OF SELECTING ACUPOINTS WITH INTEGRATED CHINESE AND WESTERN MEDICINETHEORY
    6.2 THE CURATIVE EFFECT OF MERIDIAN SYNDROME DIFFERENTIATION
    6.3 REASONS FOR NO DIFFERENCE IN CURATIVE EFFECT BETWEEN THE TWO GROUPS
    6.4 DEFICIENCIES AND PROSPECTS
CHAPTER 7: CONCLUSION
REFERENCES
ACKNOWLEDGEMENTS
APPENDIX
MAIN RESEARCH ACHIEVEMENTS DURING THE STUDY PERIOD
RESUME



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