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中国中医科学院中医临床基础医学研究所,北京 100700
Received:09 December 2024,
Published:25 August 2025
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王雅星,苏鑫鑫,路振凯,等.舒筋通络颗粒治疗颈椎病肝肾阴虚、气滞血瘀证的临床综合评价[J].北京中医药,2025,44(8):1082-1088.
WANG Yaxing,SU Xinxin,LU Zhenkai,et al.Comprehensive clinical evaluation of Shujin TongluoGranules in the treatment of cervical spondylosis with liver and kidney yin deficiency and qi stagnation and blood stasis syndromes[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1082-1088.
王雅星,苏鑫鑫,路振凯,等.舒筋通络颗粒治疗颈椎病肝肾阴虚、气滞血瘀证的临床综合评价[J].北京中医药,2025,44(8):1082-1088. DOI: 10.16025/j.1674-1307.2025.08.028.
WANG Yaxing,SU Xinxin,LU Zhenkai,et al.Comprehensive clinical evaluation of Shujin TongluoGranules in the treatment of cervical spondylosis with liver and kidney yin deficiency and qi stagnation and blood stasis syndromes[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1082-1088. DOI: 10.16025/j.1674-1307.2025.08.028.
目的
2
系统评估舒筋通络颗粒治疗颈椎病肝肾阴虚、气滞血瘀证的临床价值。
方法
2
采用多准则决策分析模型,并结合中成药临床证据和价值评估软件(CSC v2.0)系统,从安全性、有效性、经济性、创新性、适宜性、可及性以及中医药特色等维度,对舒筋通络颗粒进行临床价值评估。
结果
2
安全性:国家药品不良反应监测平台显示,本品累计报告不良事件31例次,主要表现为轻度胃肠道不适及皮疹,未见严重不良反应,安全性证据充分。有效性:舒筋通络颗粒在治疗椎动脉型颈椎病方面,总有效率显著优于颈复康颗粒;在治疗神经根型颈椎病方面,上肢麻木症状消失率优于单纯非药物疗法。经济性:舒筋通络颗粒价格合理、患者支付负担较轻,经济性较好。创新性:舒筋通络颗粒在临床应用、企业服务体系及产业创新性方面的证据较充分。可及性:舒筋通络颗粒价格可负担,流通渠道畅通,患者获取便利,具备良好的可及性。中医药特色:舒筋通络颗粒以“川芎天麻丸”等古方为基础,临床人用经验丰富,兼具中医理论传承与现代证据支持,具有明确的中医药特色。综合“6+1”维度评估结果表明,舒筋通络颗粒在治疗颈椎病肝肾阴虚、气滞血瘀证方面有较为充分的证据支撑,疗效明确。
结论
2
舒筋通络颗粒治疗颈椎病肝肾阴虚、气滞血瘀证有良好的临床价值。
Objective
2
To systematically assess the clinical value of
Shujin Tongluo
Granules
in the treatment of cervical spondylosis with liver and kidney
yin
deficiency and
qi
stagnation and blood stasis syndromes.
Methods
2
A multi-criteria decision analysis (MCDA) model was employed, combined with the Clinical Evidenc
e and Value Assessment Software for Traditional Chinese Medicine (CSC v2.0) system. The clinical value of
Shujin Tongluo
Granules
was evaluated across dimensions including safety, efficacy, economy, innovation, suitability, accessibility, and TCM characteristics.
Results
2
Safety: Data from the National Adverse Drug Reaction Monitoring Platform indicated 31 reported adverse events associated with the product, primarily mild gastrointestinal discomfort and rashes, with no serious adverse reactions, indicating sufficient evidence for safety. Efficacy:
Shujin Tongluo
Granules
showed a significantly higher total effective rate for treating vertebral artery-type cervical spondylosis compared to
Jingfukang Granules
. In treating nerve root-type cervical spondylosis, the rate of upper limb numbness resolution was superior to non-pharmacological therapy alone. Economy: The product is reasonably priced, with a relatively low patient financial burden, indicating good economic value. Innovation: There is sufficient evidence supporting
Shujin Tongluo
Granules
in terms of clinical application, enterprise service systems, and industrial innovation. Accessibility:
Shujin Tongluo
Granules
are affordable, widely available, and easily accessible to patients. TCM characteristics: Based on traditional formulas such as
Chuanxiong Tianma
Pills
,
Shujin Tongluo
Granules
have rich clinical application experience and are supported by both TCM theory and modern evidence, clearly reflecting TCM characteristics. The integrated "6+1" evaluation indicates that there is substantial evidence supporting the use of
Shujin Tongluo
Granules
in treating cervical spondylosis with liver and kidney
yin
deficiency and
qi
stagnation and blood s
tasis syndromes, with clear therapeutic benefits.
Conclusion
2
Shujin Tongluo
Granules
have significant clinical value in the treatment of cervical spondylosis with liver and kidney
yin
deficiency and
qi
stagnation and blood stasis syndromes.
中华外科杂志编辑部 . 颈椎病的分型、诊断及非手术治疗专家共识(2018) [J ] . 中华外科杂志 , 2018 , 56 ( 6 ): 401 - 402 .
侯宇飞 , 丁全茂 , 周骥 , 等 . 应用功法改善颈型颈椎病临床经验初探 [J ] . 北京中医药 , 2023 , 42 ( 12 ): 1376 - 1378 .
王子怡 , 李焕芹 . 从“五体痹”理论探讨颈椎病的辨证分型和针刺治疗经验 [J ] . 北京中医药 , 2023 , 42 ( 8 ): 882 - 884 .
李艳敏 , 韩华 , 孙晓冬 . 舒筋通络颗粒治疗颈椎病172例 [J ] . 中国实验方剂学杂志 , 2012 , 18 ( 18 ): 278 - 281 .
孙润芳 , 李建仲 , 薛为民 , 等 . 舒筋通络颗粒配合手法治疗椎动脉型颈椎病的临床观察 [J ] . 临床合理用药杂志 , 2011 , 4 ( 26 ): 79 - 80 .
崔学军 , 姚敏 . 颈椎病中西医结合诊疗专家共识 [J ] . 世界中医药 , 2023 , 18 ( 7 ): 918 - 922 .
国家卫生健康委办公厅 . 药品临床综合评价管理指 南(2021 年版试行) [EB/OL]( 2021-07-28 ).[2021- 12 - 21]. https://www. cn-healthcare. com/article/ 20210728/content-557909. html https://www.cn-healthcare.com/article/20210728/content-557909.html .
张旭明 , 孙春全 , 赵晓晓 , 等 . 如意珍宝丸治疗骨关节炎的临床综合评价 [J ] . 中国中药杂志 , 2023 , 48 ( 21 ): 5957 - 5964 .
路振凯 , 刘福梅 , 张旭明 , 等 . 降脂通络软胶囊治疗高脂血症(血瘀气滞证)的临床综合评价 [J ] . 中国中药杂志 , 2024 , 49 ( 20 ): 5627 - 5634 .
WENG X , LIN P , LIU F , et al . Achyranthes bidentata polysaccharides activate the Wnt/β-catenin signaling pathway to promote chondrocyte proliferation [J ] . Int J Mol Med , 2014 , 34 ( 4 ): 1045 - 1050 .
陈立梁 , 曾骥 , 黄英媛 . 川芎注射液联合推拿、运动疗法对椎动脉型颈椎病患者临床症状及椎基底动脉结构、功能的影响 [J ] . 湖北中医药大学学报 , 2021 , 23 ( 2 ): 73 - 75 .
余惠爱 , 张志海 . 葛根汤配合推拿治疗神经根型颈椎病53例疗效评价 [J ] . 中国医药导报 , 2010 , 7 ( 11 ): 76 - 78 .
侯文根 , 董玉珍 , 孙晓辉 , 等 . 川归胶囊联合舒筋通络颗粒治疗神经根型颈椎病的疗效 [J ] . 西北药学杂志 , 2017 , 32 ( 4 ): 504 - 506 .
丁建锋 , 贾本让 . 舒筋通络颗粒治疗脊髓型颈椎病疗效观察 [J ] . 现代中西医结合杂志 , 2009 , 18 ( 13 ): 1477 - 1478 .
王恒龙 , 朱剑 , 王志刚 . 舒筋通络颗粒治疗神经根型颈椎病和椎动脉型颈椎病临床观察 [J ] . 现代中西医结合杂志 , 2008 , 17 ( 36 ): 5625 - 5627 .
孙宇 , 李贵存 . 第二届颈椎病专题座谈会纪要 [J ] . 解放军医学杂志 , 1994 , 19 ( 2 ): 156 - 158 .
郑筱萸 . 中药新药临床研究指导原则(试行) [M ] . 北京 : 中国医药科技出版社 , 2002 : 346 - 349 .
叶耀 . 探讨舒筋通络颗粒治疗神经根型颈椎病和椎动脉型颈椎病的临床疗效 [J ] . 大家健康 , 2015 , 9 ( 4 ): 448 .
欧阳颀 , 王丹 , 张春梅 . 舒筋通络颗粒治疗椎动脉型颈椎病疗效对比观察 [J ] . 中国社区医师 , 2009 , 25 ( 22 ): 16 .
雒晓东 , 梁德 , 李哲 , 等 . 舒筋通络颗粒治疗神经根型和椎动脉型颈椎病的多中心随机单盲对照Ⅲ期临床研究 [C ] //中华医学会(Chinese Medical Association), 中华医学会神经病学分会(Chinese Society of Neurology) . 中华医学会第十八次全国神经病学学术会议论文汇编(下) . 广州中医药大学第二附属医院,广州中医药大学第一附属医院,广州中医药大学第二临床医学院,湖南中医药大学第一附属医院 , 2015 : 271 .
雒晓东 , 梁德 , 刘金文 , 等 . 舒筋通络颗粒治疗神经根型和椎动脉型颈椎病Ⅱ期临床研究 [J ] . 中国中医骨伤科杂志 , 2006 , 14 ( 4 ): 48 - 50 .
刘西纺 , 孙银娣 , 殷继超 , 等 . 舒筋通络颗粒配合不同疗法治疗急性发作期神经根型颈椎病 [J ] . 现代中西医结合杂志 , 2012 , 21 ( 25 ): 2760 - 2761 .
徐孝洪 . 舒筋通络颗粒配合传统疗法治疗发作期神经根型颈椎病疗效研究 [J ] . 国际医药卫生导报 , 2013 , 19 ( 5 ): 688 - 689 .
李宁 . 舒筋通络颗粒治疗神经根型颈椎病的疗效观察 [J ] . 中国医药科学 , 2013 , 3 ( 21 ): 105 - 106 .
赵晓晓 , 张旭明 , 席俊羽 , 等 . 都梁软胶囊治疗偏头痛风寒瘀阻证的药品临床综合评价 [J ] . 中国实验方剂学杂志 , 2024 , 30 ( 8 ): 223 - 232 .
王萌萌 , 崔鑫 , 吕健 , 等 . 冠心静胶囊治疗气虚血瘀型冠心病心绞痛的“6+1”维度临床综合评价 [J ] . 中国实验方剂学杂志 , 2025 , 31 ( 2 ): 120 - 128 .
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