【摘要】 【目的】建立和实施中医治疗神经根型颈椎病的临床路径,并初步评价其可行性。【方法】以2010年1月～2010年6月在我科行中西医保守治疗临床路径的神经根型颈椎病患者28例为临床路径治疗组[包括4种基本疗法(手法、颈牵引、中药汤剂内服、颈部制动)和3种辅助疗法(平衡针、铍针、非甾体消炎止痛药)],以2005年5月～2009年6月在我科行常规中西医保守治疗的神经根型颈椎病患者31例为中西医保守治疗对照组,观察2组患者的平均住院日、平均住院费用和患者满意度。【结果】2组患者经系统治疗后临床症状均明显缓解或消除,其中治疗组的平均住院日和平均住院费用均明显减少,患者的满意度明显提高(与对照组比较,P<0.05或P<0.01)。【结论】建立和实施中医治疗神经根型颈椎病的临床路径是切实可行的,可以规范医生临床诊疗行为,缩短住院天数,降低住院费用,提高患者满意度。更多还原

【Abstract】 Objective To establish a traditional Chinese medical clinical pathway(TCM-CP) for cervical spondylotic radiculopathy(CSR) and to assess its feasibility preliminarily.Methods Twenty-eight CSR patients,which were admitted from January to June of 2010 and subjected to traditional Chinese medical and western medical clinical pathway,were enrolled into the treatment group.They were given 4 kinds of basic treatment including manipulations,cervical traction,neck immobilization and oral use of decoction of herbal medicine,and 3 kinds of adjuvant treatment including balancing needling,stiletto needling,and oral use of non-steroid anti-inflammatory drug and antalgesic.Thirty-one CSR patients,which were admitted from May of 2005 to June of 2010 and subjected to routine traditional Chinese medical and western medical clinical expectant treatment,were enrolled into the control group.The average hospitalization time,average hospitalization fee and patients’ satisfaction were investigated in both groups.Results After treatment,the symptoms were relieved or disappeared in both groups.The average hospitalization time and average hospitalization fee were decreased,and patients’ satisfaction was increased in the treatment group(P<0.05 or P<0.01 compared with those in the control group).Conclusion It is feasible to establish TCM-CP for cervical spondylotic radiculopathy,which will supply standardization of clinical practice for the doctors,shorten hospitalization time,reduce hospitalization fee,and increase patients’ satisfaction.更多还原