神经根型颈椎病的非手术治疗的现状与未来展望

Current Status and Future Prospects of Non-Surgical Treatment for Cervical Spondylotic Radiculopathy

摘要: 神经根型颈椎病(Cervical Spondylotic Radiculopathy, CSR)是指颈神经根遭受刺激和(或)压迫而引起的一系列综合征，常导致颈部疼痛、放射痛及功能障碍。随着生活习惯和工作方式的改变，该疾病的发病率逐渐上升。这给患者的生活质量带来了严重影响。本文综述了针对CSR的非手术治疗策略，重点探讨了保守治疗的重要性，具体包括药物治疗、物理治疗、康复训练和生活方式调整。目前的治疗仍面临一些挑战，如多病因性质导致的对因治疗困难，以及缺乏统一的疗效标准等问题。未来，新的影像学技术和生物标志物研究有望为早期诊断和预防提供新的思路。此外，建立多学科合作模式，关注患者生活质量和功能恢复，将有助于实现最佳治疗效果。总之，针对CSR的非手术治疗，未来需要在精准干预与个性化管理方面不断探索，以期为患者提供更为有效的康复方案。

Abstract: Cervical Spondylotic Radiculopathy (CSR) refers to a series of syndromes caused by irritation and/or compression of cervical nerve roots, often leading to neck pain, radiating pain, and functional impairment. With changes in lifestyle and work habits, the incidence of this condition has been gradually increasing, significantly impacting patients’ quality of life. This article reviews non-surgical treatment strategies for CSR, emphasizing the importance of conservative management, including pharmacotherapy, physical therapy, rehabilitation training, and lifestyle modifications. Current treatments still face challenges, such as difficulties in targeting the multifactorial etiology and the lack of unified efficacy evaluation criteria. Future advancements in imaging technologies and biomarker research may provide novel insights for early diagnosis and prevention. Additionally, establishing multidisciplinary collaboration models, focusing on patients’ quality of life and functional recovery, will contribute to optimizing therapeutic outcomes. In conclusion, non-surgical management of CSR requires further exploration in precision interventions and personalized approaches to develop more effective rehabilitation protocols for patients.