神经根型颈椎病中医证型规范化分析-中医骨伤科学专业论文.docxVIP

中 文 摘 要目的神经根型颈椎病（Cervical Spondylotic Rradiculopathy，CSR）目前相对单一的证型 分法致使其缺乏中医特色的分型辨治及分型特点,既往神经根型颈椎病辨证分型多属于 总结个人经验,急需临床流行病学的验证与完善, 以更好的为辨证论治和因地治宜辨治 神经根型颈椎病提供规范和标准依据，同时为进一步研究“神经根型颈椎病疗效评价与 方案优化”做好基础工作。方法广泛查阅文献、教材、专著,结合专家意见, 收集目前发表的关于神经根型颈椎病症状的资料,汇总后分类并建立 “神经根型颈椎病证候调查表”，对 328 例神经根型颈 椎病患者进行流行病学问卷调查,应用 Excel 软件建立相关数据库，采用 SPSS18.0 统 计软件包对所调查资料进行录入、核查,对建立的信息数据库采用主成分分析和聚类分 析的方法分析统计，通过大样本的统计分析处理,初步确立神经根型颈椎病的中医证型。结果本次对 328 例神经根型颈椎病患者中医证型的研究发现所采集病例的基本病机以 “邪实” （寒凝、气滞、血瘀、痰湿）为主, “正虚”（气、血、阴、阳及肝脾肾）为 辅。通过对所收集病例的统计学分析结果进行中医辨证,初步得出神经根型颈椎病患者 证型分型为六型：寒湿痹阻，气滞血瘀，气血两虚，痰湿阻络，肝肾亏虚，脾肾阳虚。结论通过对证候群进行聚类分析结合主成分分析,最后以中医理论为指导进行辨证，初 步拟定神经根型颈椎病中医证候辨证标准,将神经根型颈椎病辨证分为六类证型, 按发 病率由高到低依次为寒湿痹阻、气滞血瘀、气血两虚、痰湿阻络、肝肾亏虚、脾肾阳虚， 为中医药辨证论治神经根型颈椎病提供较为客观的证型依据。关键词：神经根型颈椎病；中医证型；规范；研究PurposeAbstractCervical Spondylotic Rradiculopathy relative to a single syndrome type points system resulting in their lack of typing Chinese characteristics Treating and sub-characteristics, previous cervical radicular disease syndrome type are mostly summary of personal experience, in urgent need of validation and improvement of the clinical epidemiology, and to better diagnosis and treatment and from place to place Expelling Treating nerve root type Cervical Spondylotic Rradiculopathy and standards basis, as well as further study the nerve root type cervical spondylosis, evaluation and program optimization prepare the ground.Research Methods.MethodWide range of access to literature, textbooks, monographs, combined with expert advice, the collection of information presented here, on the cervical nerve root symptoms, aggregated after the classification and the establishment of nerve root type cervical disease certificate climate survey table, on 328 cases of Cervical Spondylotic Rradiculopathy with an epidemiological survey, and Excel software to create a relational database, using SPSS18.0 statistical package on the survey data entry, verification, and statistical analysis using principal component analysis and cluster analysis methods to establi