协同与序贯：颈椎病中西医结合治疗的路径优化

Synergy and Sequential Therapy: Pathway Optimization of Integrated Traditional Chinese and Western Medicine for Cervical Spondylosis

摘要: 中西医结合治疗颈椎病虽已广泛开展，但临床实践中普遍存在多种疗法同时叠加使用、缺乏分阶段递进策略的问题。文章系统梳理了中西医两种医学体系对颈椎病发病机制的认识差异与互补性，提出“病证结合”是协同增效的底层逻辑、“阶梯递进”是序贯治疗的核心方法，并构建了涵盖五个阶梯的序贯治疗路径。在此基础上，分析了当前从“协同”走向“序贯”所面临的评价体系、循证证据、路径设计和人才培养等关键瓶颈。文章认为，构建可操作的序贯治疗临床路径是实现中西医结合治疗颈椎病从“方法叠加”走向“精准递进”的关键。

Abstract: Although the integrated traditional Chinese and Western medicine approach has been widely applied in the treatment of cervical spondylosis, the concurrent use of multiple therapies without a phased and progressive strategy remains a common issue in clinical practice. This article systematically reviews the differences and complementarity between the two medical systems regarding the pathogenesis of cervical spondylosis, and proposes that “combination of disease and syndrome” is the underlying logic of synergistic enhancement, while “stepwise progression” is the core methodological feature of sequential therapy. Based on this, a five-step sequential treatment pathway for integrated traditional Chinese and Western medicine was constructed, with clear definitions of intervention indications, treatment plans, and escalation or de-escalation nodes for each step. Furthermore, the key bottlenecks in the transition from “synergy” to “sequential therapy” were analyzed, including the evaluation system, evidence-based support, pathway design, and personnel training. It is concluded that constructing an operable sequential therapy clinical pathway is the key to achieving the transition of integrated traditional Chinese and Western medicine treatment for cervical spondylosis from “simple method superposition” to “precise progression.”