扳动类手法治疗神经根型颈椎病的研究进展

Research Progress in Thrust Manipulation for the Treatment of Cervical Spondylotic Radiculopathy

摘要: 本文检索近几年扳动类手法治疗神经根型颈椎病(cervical spondylotic radiculopathy, CSR)相关文献，综述扳动类手法及相关联合治疗方法治疗神经根型颈椎病的特色及不足。单纯采用扳动类手法时，单一及复合手法均能有效缓解症状，联合治疗方面，与针刺、针刀、牵引、中药等结合可进一步提升效果。但该手法存在操作规范不统一，医师经验影响疗效等问题，虽安全性总体较好但仍可能因操作不当引发不良事件。

Abstract: This article reviews recent literature on thrust manipulation techniques for treating cervical spondylotic radiculopathy (CSR), summarizing the characteristics and limitations of thrust manipulation and related combined therapies. When applied alone, both single and combined thrust manipulation techniques can effectively alleviate symptoms. In combination therapies, integrating methods such as acupuncture, acupotomy, traction, and Chinese herbal medicine may further enhance therapeutic outcomes. However, challenges remain, including a lack of standardized protocols, variability in practitioner experience affecting efficacy, and the risk of adverse events due to improper application despite its overall safety.