1、自拟题实习报告文献信息检索综合报告题目:脊柱病变的中医疗法学生姓名:张文彬班级:08七年制骨伤班学号:2008023009一、课题分析(知识背景)二、检索策略(检索工具、检索词、检索式、检索结果)(一) 中英文关键词脊柱病变 Spinal Diseases 中医疗法 traditional Chinese medical treatment(二) 检索工具及结果(综合多次实习结果)1、检索工具名称:维普检索年限:1989-2010 检索式 :关键词=(脊柱病变+侧隐窝狭窄+侧隐窝综合征+脊柱病+脊椎病+脊柱疾病+脊椎疾病)*(关键词=中医疗法+中医药疗法+中医药治疗+中医治法+中医治疗+中医治
2、疗法+中医药法+中医药结合治疗) 检出文献篇数:22篇 列出前5条最相关文献的题名、作者、出处、摘要1/5【题名】查和萍教授治疗脊柱和脊柱相关疾病的整体观【作者】关德斌1 范志勇1 冯海军2 黄伟昌1 杨芬1【刊名】陕西中医.2009(8).-1037-1038【文摘】查和萍教授擅长治疗脊柱和脊柱相关疾病,善于将中医整体观和现代解剖学相结合,从脊柱整体观出发,运用手法治疗脊柱疾病具有显著临床效果。2/5【题名】骶疗、手法、补肾壮腰三联法治疗退行性腰椎管狭窄症48例【作者】蒋大权 程国斌 潘承劲【刊名】中国医药指南.2008(14).-108-【文摘】对48例退行性腰椎管狭窄症采用骶管给药、手法
3、、中药补肾壮腰三联疗法治疗,总有效率100%.提示本方法能消除狭窄部位受累脊神经膜的充血、渗出、水肿、变性、浸润、增生、粘连的病理改变,从而解除神经根的炎症水肿,使局部缺氧、酸中毒、高渗压状态得到改善,使紧张、痉挛的腰肌得到松弛,使局部经络疏通、气血流畅,使肾气充、邪气祛,而达到彻底治疗的目的 .3/5【题名】骶疗、手法、补肾壮腰三联法治疗退行性腰椎管狭窄症48例【作者】蒋大权 程国斌 潘承劲【刊名】中国医药指南:学术版.2008,6(14).-108-108【文摘】对48例退行性腰椎管狭窄症采用“骶管给药、手法、中药补肾壮腰三联疗法”治疗,总有效率100。提示本方法能消除狭窄部位受累脊神经膜
4、的充血、渗出、水肿、变性、浸润、增生、粘连的病理改变,从而解除神经根的炎症水肿,使局部缺氧、酸中毒、高渗压状态得到改善,使紧张、痉挛的腰肌得到松弛,使局部经络疏通、气血流畅,使肾气充、邪气祛,而达到彻底治疗的目的。4/5【题名】四妙丸加减配合西药治疗幼年强直性脊柱炎32例【作者】徐鹏刚 雷西凤 张俊莉【刊名】陕西中医.2008,29(5).-534-536【文摘】目的:观察中医综合配合西药治疗湿热痹阻型幼年强直性脊柱炎的临床疗效。方法:32例患者予口服中药加味四妙丸(苍术、生薏仁、川牛膝、黄柏、秦艽、赤芍等),湿热消除后,改用化瘀消痹片(青风藤、土鳖虫、地龙、蜈蚣、骨碎补、鸡血藤、黄芪、白芍等
5、)继续治疗,静滴血栓通、疏血通,同时脊里针治疗,配合柳氮磺胺吡啶、非甾体抗炎药、功能锻炼等综合治疗。结果:总有效率96.88%。提示:中医综合治疗配合西药强化治疗效果满意。5/5【题名】辨证施治眩晕型颈椎病110例【作者】张快强 刘继华【刊名】陕西中医.2006,27(5).-517-518【文摘】目的:观察辨证治疗眩晕型颈椎病的疗效。方法:采用中医辨证分型(痰瘀阻络、肝阳上亢、肝肾亏虚、气血虚弱型分别以温胆汤、天麻钩藤饮、六味地黄丸、归脾汤加减)治疗眩晕型颈椎病110例,结果:总有效率931。提示:治疗本病应根据患者不同临床表现辨证施治。2、检索工具名称:CNKI检索年限:1999-2010
6、 检索式:(关键词=脊柱病OR侧隐窝综合征OR侧隐窝狭窄)AND(关键词=中医药疗法) 检出文献篇数 :50篇 列出前5条最相关文献的题名、作者、出处、摘要 1 题名 Therapeutic Effect of Zushima Tablets for Undifferentiated Spinal Osteoarthritis: An Observation of 50 Cases 作者 郑宝林;余俊文;张小娟;杨同广;杨剑;刘奔流;李婷;梁一鸣; 中文摘要 目的:观察祖师麻片对未分化脊柱关节病的临床疗效。方法:将83例患者随机分为2组,治疗组50例采用祖师麻片治疗,对照组33例采用柳氮横胺吡
7、啶治疗,观察2组总体疗效及对休息痛、压痛、肿胀、关节功能的影响,并分析其安全耐受性。结果:2组总体疗效相当,差异无显著性意义(P0.05)。治疗后2组休息痛指数、关节压痛指数、关节肿胀指数、关节压痛数、关节肿胀数、关节功能评分均较治疗前明显改善,差异均有非常显著性意义(P0.01)。治疗后,治疗组对休息痛、关节压痛的改善优于对照组(P0.05)。结论:祖师麻片能有效缓解未分化脊柱关节病患者的休息痛、关节压痛、肿胀与改善关节功能,安全性较好,值得推广。 刊名 新中医 2 题名 综合疗法治疗腰椎间盘突出症50例疗效观察 作者 张山; 中文摘要 刊名 云南中医中药杂志 3 题名 强直性脊柱炎中医药研
8、究进展 作者 汪元;刘健; 中文摘要 中医学对强直性脊柱炎认识历史悠久,中医治疗在缓解症状、延缓病情进展、改善患者生活质量等方面,疗效确切,优势明显。多数医家认为本病病机为肾气虚衰,风寒湿邪杂至。治疗方法主要归纳为:辨证论治、分期论治、专方专病、古方治疗、中成药治疗等。近年来中医在治疗方面取得了很大进展,但也存在着许多问题。在今后的研究中,应当进行大规模、多中心的AS证候学调查,采用多因素分析,建立统一的辨证分型标准;在临床研究中,应结合现代免疫学、遗传学、分子生物学、药理学等多学科知识,突出中医优势;加强对有效中药复方的研究,明确有效组分及其作用机制。 刊名 江苏中医药 4 题名 针灸加中药
9、热敷治疗腰椎间盘突出症98例 作者 晏佳琪; 中文摘要 刊名 河北中医 5 题名 “四步推拿法”为主治疗非脊髓型颈椎病疗效观察 作者 周巍;欧阳颀;魏智钧; 中文摘要 目的:观察四步推拿法为主治疗非脊髓型颈椎病的临床效果。方法:将428例非脊髓型颈椎病患者分为两组,观察组246例应用四步推拿法配合中频及颈椎牵引,对照组仅应用中频电疗及颈椎牵引。结果:观察组治愈显效率明显优于对照组(P0.05),且见效时治疗次数明显少于对照组(P0.01)。结论:四步推拿法为主治疗颈椎病疗效可靠。 刊名 中国误诊学杂志 3、检索工具名称:万方检索年限 :2000-2010 检索式:关键词=脊柱病 or 侧隐窝综
10、合征 or 侧隐窝狭窄 keywords:中医药疗法 检出文献篇数:189篇 列出前5条最相关文献的题名、作者、出处、摘要1刘鸿禄.强直性脊柱炎中医治疗概况J.吉林中医药,2008,28(8)强直性脊柱炎(简称AS)是一种主要侵犯骶髂关节和脊柱关节的慢性炎症性疾病.本病发病隐匿,病程长,发展至后期可致脊柱或受累关节发生屈曲畸形骨性强直,难以行走,导致终身残废.2幺远,潘宇琛,胡艳等.骨痹汤治疗幼年患者脊柱关节病的临床研究J.中华中医药杂志,2008,23(4)目的:探讨骨痹汤治疗幼年脊柱关节病肾虚湿热证的疗效和安全性.方法:对60例确诊为幼年脊柱关节病住院患者,采用随机、对照、单盲的方法分为两
11、组各30例,在应用非甾体抗炎药物基础上,分别给予骨痹汤及柳氮磺胺嘧啶治疗,疗程26周.结果:两组患者的临床症状、体征和检验指标在治疗后均有改善,较治疗前有显著性差异(P0.05).治疗组总有效率为86.7%,对照组总有效率为82.1%,两组比较无显著性差异(P0.05).治疗组在第3月BASFI指数、关节肿积分、附着点痛积分明显改善.优于对照组,有显著性差异(P0.05).治疗组CD3+、CD4+数值较治疗前明显上升,与对照组相比有显著性差异(P0.05).治疗组治疗前后骶髂CT影像学改变明显优于对照组(P0.05).两组均未见明显不良反应.结论:骨痹汤治疗幼年脊柱关节病肾虚湿热证,临床疗效显
12、著,可改善症状、体征和检验指标,安全性好,无明显不良反应.3张乾军.神经根型颈椎病的中医认识及其治疗进展J.中医药临床杂志,2006,18(2)神经根型颈椎病是由于颈椎间盘退变,颈椎骨质增生,颈椎关节、韧带的松动、错位,刺激或压迫了颈神经根等组织而发生的一种临床综合征候群.它是颈椎病发病率最高的一种类型,占颈椎病发病的60%,多好发于中老年人,以4060岁的人群为多见,随着年龄的增长,发病率有平行上升的趋势.其临床症状多以颈、肩、臂、手的疼痛与麻木为主.专家们预测,在未来几年内,该病将成为与现代社会相伴随的一种现代病,在整个脊柱病的临床与实验研究方面,将取代以体力劳动为主要诱因的腰腿痛而上升为
13、骨伤科临床的重要研究方向.近年来,随着人们对此病重视程度的不断提高,有关本病的研究也取得了一些重要的进展.本文就中医学在这方面的认识,以及近几年来的治疗表述如下.4孟庆良,杜旭召,周子朋.益肾蠲痹汤联合柳氮磺胺吡啶治疗强直性脊柱炎34例J.中医研究,2008,21(8)强直性脊柱炎(AS)是一种原因不明的以中轴关节慢性炎症为主的全身性疾病。主要累及脊柱、骶髂关节、髋关节,目前尚缺乏根治办法1。在临床上治疗AS的药物主要有非甾体抗炎药、柳氮磺胺吡啶、甲氨喋呤、雷公藤多甙及生物制剂(益赛普) 等,但毒副作用大且价格昂贵,很多患者难以坚持长期服用。 5董毅,唐德志.施杞应用补肾法治疗颈椎病经验初探J
14、.上海中医药杂志,2006,40(10)介绍施杞教授治疗颈椎病的经验,注重肾与颈椎病密切相关的理论,治疗颈椎病强调分初期、中期、末期而采取不同的方法,自始至终贯穿补肾之法.4、检索工具名称:中文生物医学期刊文献库检索年限 :1994-2010 检索式:关键词=(脊柱病 or 侧隐窝综合征 or 侧隐窝狭窄)AND中医药 检出文献篇数:少于40篇 列出前5条最相关文献的题名、作者、出处、摘要NO.1题名:强筋壮骨丸治疗原发性骨质疏松性腰背痛疗效观察作者:范广峰, 祁兆建, 陈如秀, 董松林, 王富贵, 周从俊出处:中医正骨 2008V20N2 13-14摘要:目的:观察强筋壮骨丸治疗原发性骨质疏
15、松性腰背痛的临床疗效,给临床合理应用提供依据。方法:选择原发性骨质疏松性腰背痛患者248例,随机分为治疗组和对照组各124例,分别口服强筋壮骨丸6g和盖天力片100mg,每天3次,均服2个疗程。结果:两组总有效率比较,有显著性差异(P0.05)。表明:强筋壮骨丸具有治疗原发性骨质疏松性腰背痛、延缓身高缩短、预防脊柱病理性骨折发生的作用,疗效明显优于盖天力。NO.2题名:针刀、埋线、正脊疗法在治疗脊柱病中的应用体会作者:郭六雷, 耿初伟出处:中医研究 2010V23N7 79-80NO.3题名:腰椎滑脱的中医药治疗进展作者:孟林, 黄婕出处:山东中医杂志 2006V25N12 852-854摘要
16、:腰椎滑脱系椎弓峡部骨质缺损引起椎体前移,导致脊柱失稳,相邻椎骨的关节突关节结构异常伴随一系列脊柱退行性改变,为常见的脊柱病变.分为真性及假性腰椎滑脱,前者椎体滑脱伴有椎弓峡部裂,而后者仅有椎体滑脱而椎弓完整.治疗腰椎滑脱的方法很多,简单的可分为手术治疗和非手术治疗两类,目前中医药治疗腰椎滑脱的临床研究报道较多,本文就近年来中医药治疗的进展作一综述.参考文献19篇.NO.4题名:六味地黄丸治疗脊柱病一得作者:王仁灿, 胡龙均, 黄炎洪, 潘伟江出处:浙江中医药大学学报 2007V31N2 196-197NO.5题名:腰椎间盘突出合并侧隐窝狭窄的诊断及中医治疗近况作者:彭京出处:广西中医药 19
17、96V19N6 49-515、检索工具名称:PUBMED检索年限 :1950-2010 检索式:SpondylarthropathiesMesh AND Medicine, Chinese TraditionalMesh 检出文献篇数:7篇 列出前5条最相关文献的题名、作者、出处、摘要1. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008 Oct;28(10):928-31.Clinical analysis of 47 patients with psoriasis arthropathy treated bytraditional Chinese medic
18、ine syndrome differentiation and integrative medicineArticle in ChineseLi WF, Wang P.Department of Dermatology, Traditional Chinese Medicine Hospital of Beijing,Capital Medical University, Beijing. xiclefttOBJECTIVE: To analyze the clinical characteristics of psoriasis arthropathy (PA) and to explor
19、e the effect of treatment by traditional Chinese medicine (TCM)syndrome differentiation and integrative medicine. METHODS: The initiatingcharacteristics, clinical manifestations, related laboratory and X-ray data aswell as the therapeutic efficacy of syndrome dependent TCM and integrativemedicine on
20、 47 PA patients were analyzed. RESULTS: Among all the 47 patients, 38 (80.6%) had the skin lesion revealed earlier to joint symptoms, the average time between the appearance of skin lesion and joint symptoms was 9.2 years; jointX-ray abnormality was found in 32 cases (68.1%); and psoriasis nail invo
21、lvementwas found in 33 cases (70.2%). Seventeen patients were treated with TCM alone andobtained satisfactory results, while the other 30 patients, were treated byintegrative medicine with the dosage of medicine reduced immediately aftersymptoms were relieved, and finally cured or improved. CONCLUSI
22、ON: TCM andintegrative medicine are effective in treating PA, with lesser side effects.PMID: 19123334 PubMed - indexed for MEDLINE2. Zhongguo Zhen Jiu. 2008 Mar;28(3):163-6.Controlled study on needle-pricking therapy combined with spinal massage fortreatment of ankylosing spondylitisArticle in Chine
23、seChen D, Luo LP, Hong YB, Chen DD, Cai MX, Guo FL.Department of New Medicine and Needle Pricking, The First Affiliated Hospital,Jinan University, Guangzhou 510630, China. drchendongOBJECTIVE: To observe the therapeutic effect of needle-pricking therapy combined with spinal massage on ankylosing spo
24、ndylitis and to probe into the mechanism.METHODS: Ninety-three cases who were definitely diagnosed as having ankylosingspondylitis at active stage were randomly divided into a medication group (n=46) and an observation group (n=47). The observation group were treated byneedle-pricking the main point
25、s, Neck No. 2 nerve, Neck No. 5 nerve point, etc., combined with spinal rotation massage, and the medication group were treated withAzulfidine. Changes of cumulative score of arthralgia and arthroncus, function ofjoint, Keitel test, and ESR and CRP before and after treatment were observed.RESULTS: T
26、he effective rate and the markedly effective rate were 95.8%0 and 68.1%in the observation group and 78.3% and 23.9% in the medication group,respectively, the former being significantly better than the latter (P 0.01).CONCLUSION: Needle-pricking therapy combined with spinal massage has asignificant t
27、herapeutic effect with a steady and long-term effect for treatmentof ankylosing spondylitis at active stage.PMID: 18447211 PubMed - indexed for MEDLINE3. J Tradit Chin Med. 2006 Sep;26(3):207-9.Dr. Feng Xinghuas experience in treating ankylosing spondylitis.Hongxiao L.Guanganmen Hospital Affiliated
28、to China Academy of Chinese Medical Sciences,Beijing 100053, China.PMID: 17078454 PubMed - indexed for MEDLINE4. Zhongguo Zhen Jiu. 2006 Dec;26(12):890-2.Professor ZHANG Jis clinical experienceArticle in ChineseHe QY, Zhang J.College of Acupuncture and Moxibustion, Beijing University of TCM, Beijing
29、100029, China. heqingyongProfessor ZHANG Ji has unique experience on therapeutic methods for rheumatoidarthritis, ankylosing spondylitis and obstinate facial palsy. (1) In acupuncture and moxibustion, he adopts the Governor Vessel and etiological analysis anddifferentiation, local acupuncture three
30、step acupoint selection for treatment ofrheumatoid arthritis; and supplementing the liver and kidney and strengtheningthe Governor Vessel and tonifying yang for ankylosing spondylitis; and dispellingwind and removing dampness, and dredging channels and activating the collaterals for obstinate facial
31、 palsy. (2) In Chinese drugs, on the basis of 50 yearsclinical practice, he summarizes recipes Guanjie No. I and No. II. ModifiedGuanjie No. I is mainly used for treatment of rheumatoid arthritis, and modified Guanjie No. II mainly for ankylosing spondylitis, and Qianzheng Powder combinedwith drugs for clearing away heat and toxic substances are used for treatment of obstinate facial
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