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cervical spondylosis Treated by Acupuncture at Ligou(LR 5) Combined with Movement Therapy

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Journal of Traditional Chinese Medicine 2010年第2期30卷 113-117页

作者：罗本华韩景献陈正秋 Department of Neurology and Acupuncture the First Affiliated Hospital of Guangxi TCM College

Objective:To compare therapeutic effects of acupuncture at Ligou(LR 5) plus movement therapy and conventional acupuncture on cervical ***:The therapeutic effect of acupuncture at Ligou(LR 5) plus movement therapy on 57 cases of cervical spondylosis(Group Acup.+M) was observed and compared with that of conventional acupuncture(Group Acup.) on 65 cases of cervical spondylosis with the same types of the disease during the same observation period as those treated by the former ***:The cured rate,effective rate and total effective rate were 52.63%,45.61% and 98.24%,respectively in Group Acup.+M;46.15%,50.77% and 96.92%,respectively in Group *** were no significant differences in therapeutic effects between the two groups,shown by Ridit test(P>0.05).Conclusion:Both acupuncture plus movement therapy and conventional acupuncture were similarly effective in treating cervical spondylosis,but the former was superior to the latter in shorter treatment course and fewer points used.

关键词： cervical spondylosis Ligou (LR 5) movement therapy

Dynamic Radiographic Analysis of Sympathetic cervical spondylosis Instability

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Chinese Medical Sciences Journal 2009年第1期24卷 46-49页

作者： Jun Qian Ye Tian Gui-xing Qiu Jian-hua Hu Department of Orthopedic Surgery Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 China

Objective To investigate the correlation between subaxial cervical spine instability and cervical spondylotic sympathetic symptoms as well as the difference of cervical spondylotic subaxial instability between male and female patients. Methods We analyzed retrospectively 318 surgical cases of cervical spondylosis treated at Department of Orthopedic Surgery of Peking Union Medical College Hospital between July 2003 and December 2007. All cases were divided into group A without sympathetic symptoms (n=284) and group B with sympathetic symptoms (n=34). Angular and horizontal translation values between two adjacent vertebral bodies from C2 to C7 were measured separately on hyperflexion and hyperextension lateral cervical spine radiographs. Fisher's exact test was used to evaluate the correlation between subaxial cervical instability and sympathetic symptoms. Intragroup correlation between patient gender and subaxial cervical instability was also evaluated. Results Subaxial instability incidences in groups A and B were 21.8% (62/284) and 55.9% (19/34), respectively. Statistical analysis indicated a definite correlation between subaxial cervical instability and sympathetic symptoms (P=0.000). Among patients without sympathetic symptoms, subaxial instability incidences were 21.4% (37/173) in males and 22.5% (25/111) in females, respectively (P=0.883). While among patients with sympathetic symptoms, subaxial instability incidences were 27.3% (3/11) in males and 69.6% (16/23) in females, respectively, indicating significant difference (P=0.030). Subaxial instability was most commonly seen at C4-C5 intervertebral space in sympathetic cervical spondylosis patients. Conclusions High correlation exists between subaxial cervical spine instability and cervical spondylotic sympathetic symptoms, especially in female patients. Hyperextension and hyperflexion radiographs of cervical spine are important to assess sympathetic cervical spondylotic subaxial instability.

关键词： subaxial cervical spine instability sympathetic cervical spondylosis

Shikani Optical Stylet versus Macintosh Laryngoscope for Intubation in Patients Undergoing Surgery for cervical spondylosis： A Randomized Controlled Trial

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Chinese Medical Journal 2017年第3期130卷 297-302页

作者： Mao Xu Xiao-Xi Li Xiang-Yang Guo Jun Wang Department of Anesthesiology Peking University Third Hospital Beijing 100191 China Department of Anesthesiology Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education) Peking University Cancer Hospital and Institute Beijing 100142 China

Background： Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Styler （SOS） has become increasingly popular in difficult airway. We compared the effects ofintubation with SOS versus Macintosh laryngoscope （MLS） in patients undergoing surgery for cervical spondylosis. Methods： A total of 270 patients scheduled for elective surgery for cervical spondylosis of spinal cord and nerve root type from August 2012 to January 2016 were enrolled and randomly allocated to the MLS or SOS group by random numbers. Patients were evaluated for difficult airway preoperatively, and Cormack-Lehane laryngoscopy classification was determined during anesthesia induction. Difficult airway was defined as Cormack-Lehane Grades IlI IV. Patients were intubated with the randomly assigned intubation device. The success rate, intubation time, required assistance, immediate complications, and postoperative complaints were recorded. Categorical variables were analyzed by Chi-square test, and continuous variables were analyzed by independent samples t-test or rank sum test. Results： The success rate of intubation among normal airways was 100% in both groups. In patients with difficult airway, the success rates in the MLS and SOS groups were 84.2% and 94.1%, respectively （P = 0.605）. lntubation with SOS took longer compared with MLS （normal airway： 25.1 ± 5.8 s vs. 24.5 ± 5.7 s, P = 0.426; difficult airway： 38.5± 8.5 s vs. 36.1 ±8,2 s, P = 0.389）. Intubation with SOS required less assistance in patients with difficult airway （5.9% vs. 100%, P 〈 0.001 ）. The frequency of postoperative sore throat was lower in SOS group versus MLS group in patients with normal airway （22.0% vs. 34.5%, P =0.034）. Conclusions： SOS is a sale and effective airway management device in patients undergoing surgery for cervical spondylosis. Compared with MLS, SOS appears clinically beneficial for intubation, especially in

关键词： Airway cervical spondylosis lntubation Laryngoscope Optical Stylet

Application of a new combined model including radiological indicators to predict difficult airway in patients undergoing surgery for cervical spondylosis

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Chinese Medical Journal 2014年第23期127卷 4043-4048页

作者： Xu Mao Li Xiaoxi Wang Jun Guo Xiangyang Department of Anesthesiology Peking University Third Hospital Beijing 100191 China Department of Anesthesiology Beijing Cancer Hospital& Institute Beijing 100142 China

Background Airway management is crucial in clinical *** complications associated with airway management result from unexpected difficult airway,but predicting a difficult airway is a major *** investigated the efficacy of a new combined model including radiological indicators to predict difficult airway in patients undergoing surgery for cervical spondylosis,a population with a high incidence of difficult *** We randomly enrolled 303 patients scheduled for elective surgery for cervical spondylosis at Peking University Third Hospital between August 2012 and March ***,patients were evaluated for difficult airway according to a clinical index and parameters on lateral cervical radiographs and magnetic resonance *** airway was defined as Cormack-Lehane grades Ⅲ-Ⅳ.Logistic regression was used to identify a combined （clinical and radiological） model for difficult airway.A receiver operating characteristic （ROC） curve was used to describe the effectiveness of *** We identified three clinical predictive factors using the ROC curve：mouth opening,stemomental distance,and neck *** created a clinical model using three factors：gender,age,and mouth opening,with odds ratios （OR） of 0.370,1.034,and 0.358,*** the clinical and radiological parameters,we formulated a combined model with five risk factors：gender,mouth opening,atlanto-occipital gap,the angle from the second to sixth cervical vertebraes in the neutral position,and the angle difference of δ （the angle between the laryngeal axis and the epiglottic axis） from the neutral position to extension （OR：0.107,0.355,0.846,1.057,and 0.952,respectively）.The sensitivity and specificity of the combined model were 80.0％ and 65.7％,respectively,and the ROC curve confirmed that the combined model was better than any single clinical predictor and the clinical *** The efficacy of the combined model including both clinical and radio

关键词： intubation cervical spondylosis statistical model

Expression of c-fos in gastric myenteric plexus and spinal cord of rats with cervical spondylosis

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World Journal of Gastroenterology 2005年第4期11卷 529-533页

作者： Pei-SongSong Kang-MeiKongx Kang-MeiKong Chun-YanNiu Wei-LiQi Ling-FeiWu Xin-jiaWang WeiHan KengHuang Ze-FengChen DepartmentofJointandSpine SecondAffiliatedHospitalShantouUniversityMedicalCollegeShantou515041GuangdongProvinceChina DepartmentofGastroenterology SecondAffiliatedHospitalShantouUniversityMedicalCollegeShantou515041GuangdongProvinceChina DepartmentofGastroenterology SecondHospitalofXi'anJiaotongUniversity.Xi'an710004.ShaanxiProvince.China

AIM: To determine the expression of c-fos in gastric myenteric plexus and spinal cord of rats with cervical spondylosis and its clinical significance. METHODS: A cervical spondylosis model was established in rats by destroying the stability of cervical posterior column,and the cord segments C4-6 and gastric antrum were collected 3, 4 and 5 mo after the operation. Rats with sham operation were used as controls. c-fos neuronal counter-staining was performed with an immunohistochemistry method. Every third sections from C4-6 segments were drawn. The 10 most labeled c-fos-immunoreactive (Fos-IR) neurons were counted, and the average number was used for statistical analysis. The mean of Fos-IR neurons in myenteric plexus was calculated after counting Fos-IR neurons in 25 ganglia from each antral preparation, and expressed as a mean count per myenteric ***: There were a few c-fos-positive neurons in the cervical cord and antrum in the control group. There was an increased c-fos expression in model group 3, 4 and 5 mo after operation, whereas there was no significant increase in c-fos expression in the control group at 3, 4 and 5 *** importantly, there was a significant difference in c-fos expression between rats followed up for 3 mo and those for 5 mo in the model group (11.20±2.26 vs 27.68±4.36,P＜0.05, for the cervical cord; and 11.3±2.3 vs 29.3±4.6,P＜0.05, for the gastric antrum). There was no significant difference between rats followed up for 3 mo and those for 4 mo and between rats followed up for 4 mo and those for 5 mo in the model ***: c-fos expression in gastric myenteric plexus was dramatically associated with that in the spinal cord in rats with cervical spondylosis, suggesting that the gastrointestinal function may be affected by cervical spondylosis. If this hypothesis is confirmed by further studies, functional gastrointestinal diseases such as functional dyspepsia and irritable bowel syndrome could be explained by neurogastroen

关键词： Gastric myenteric plexus Gastric spinal cord c-Fos protein cervical spondylosis

Neuromyelitis Optica Spectrum Disorder Associated with cervical spondylosis

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Chinese Medical Journal 2015年第22期128卷 3112-3113页

作者： Yuan Zhou Lin Zhu Hui-Lin Cheng Yi-Xing Lin Department of Neurosurgery Jinling Hospital School of Medicine Nanjing University Nanjing Jiangsu 210002 China

Neuromyelitis optica spectrum disease （NMOSD） refers to a group of related disease, in which potential pathogenesis is similar to neuromyelitis optica （NMO）, but clinical involvement does not exactly correspond to the diagnosis of NMO. Owing to varied clinical manifestations, it is apt to be misdiagnosed. We report a case of NMOSD with cervical spondylosis and discuss the experience of diagnosis.

关键词： Anti-aquaporin-4 Antibody cervical spondylosis Magnetic Resonance Imaging Neuromyelitis Optica Spectrum Disorder

Clinical effects of innovative tuina manipulations on treating cervical spondylosis of vertebral artery type and changes in cerebral blood flow

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Journal of Traditional Chinese Medicine 2012年第3期32卷 388-392页

作者： Quanmao Ding Mingru Yan Ji Zhou Lu Yang Jiang Guo Jun Wang Zhiyong Shi Yixi Wang Hongsheng Zhao Tuina Department of Guang'anmen Hospital China Academyof Chinese Medical SciencesBeijing 100053China

OBJECTIVE:To determine the clinical effect,treatment times,and rheoencephalogram changes in vertebral artery type cervical spondylosis patients treated with innovative Tuina ***:One hundred and twenty six cervical spondylosis patients(vertebral artery type) were randomly divided into test and control *** in the test group were treated with innovative Tuina manipulations,while those in the control group were treated with the routine Tuina manipulations according to the textbook of Chinese Massage for Acupuncture and Moxibustion *** clinical effects,treatment times,clinical symptoms,and cerebral blood flow were ***:The response to the treatment was 100% in the test group and 88.71% in the control *** in the test group required(7 ± 4) treatments before recovery,while those in the control group required(15 ± 7) treatments before recovery(Pcervical spondylosis ***,the innovative manipulation was more effective in improving the functional symptoms,although there were no changes in the cerebral blood flow.

关键词： Tuina Manipulation,Spinal cervical spondylosis Vertebral artery Regional blood flow

工-shaped acupuncture therapy for treatment of cervical spondylosis

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World Journal of Acupuncture-Moxibustion 2017年第3期27卷 75-77页

作者： ZHANG Jia-le CHEN Wei-hua Clinical College of Acupuncture-moxibustion and Fractures Anhui University of Chinese MedicineAnhui Provincial Hospital of Traditional Chinese and Western Medicin

Objective To observe the efficacy of 工-shaped acupuncture therapy for treatment of cervical spondylosis. Methods 工-shaped acupuncture therapy（penetration needling from Fēngchí（风池 GB 20） to Fēngfǔ（风府 GV 16）, under the C_3–C_6 spinous process, Dàzhuī（大椎 GV 14）, Jiānzhōngshù（肩中俞 SI 15）, Jiānwàishù（肩外俞 SI 14）, and 工-shaped acupoint selection way） was adopted for treatment of 80 cases of cervical spondylosis, needling manipulation was conducted for once every 10 min, and the needles were retained for 30 min. The treatment was carried out for once a day, and treatment for 10 times was considered as 1 course of treatment. Results Sixty-seven patients were cured, and thirteen were improved. Conclusion The efficacy of 工-shaped acupuncture therapy for treatment of cervical spondylosis was definite.

关键词： cervical spondylosis acupuncture 工-shaped

Acupuncture-based treatments on cervical spondylosis of vertebral artery type

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TMR Non-Drug Therapy 2021年第1期4卷 3-9页

作者： Juan-Juan Mao Bo-Yu Zhu Hao-Shuo Wang Tianjin University of Traditional Chinese Medicine Tianjin 301617China.

cervical spondylosis of vertebral artery type is one of the chief patterns of cervical *** is often described as neck pain accompanied with radiating pain and neurologic symptoms,such as sudden dizziness,blurred vision,tinnitus,nausea,vomiting,memory loss,and sudden *** incidence of cervical spondylosis increases and patients with cervical spondylosis become progressively *** in the cervical spondylosis of vertebral artery type treatment has a local positive reaction“Liuhe point”,in order to dredge the local Qi and *** and more evidences into the effectiveness and safety of cervical spine acupuncture for cervical spondylosis,specific neck pain,cervical radiculopathy,*** article summarizes the recent literature on acupuncture and acupuncture combined with other therapies for cervical spondylosis of vertebral artery type treatment and provides a comprehensive review from the perspectives of acupuncture therapy,warm needle moxibustion therapy,electroacupuncture,and acupuncture combined with other therapies,in order to provide reference and reference for clinical treatment.

关键词： cervical spondylosis cervical spondylosis of vertebral artery type Traditional non-drug therapy Acupuncture Research progress