首页|期刊导航|世界科学技术-中医药现代化|基于中西医临床病证特点的退行性腰椎管狭窄症动物模型分析

基于中西医临床病证特点的退行性腰椎管狭窄症动物模型分析OA

Analysis of Animal Models of Degenerative Lumbar Spinal Stenosis Based on Characteristics of Clinical Symptoms of Chinese and Western Medicine

中文摘要英文摘要

退行性腰椎管狭窄症(Degenerative lumbar spinal stenosis,DLSS)是导致中老年人腰腿疼痛、活动受限的常见病症,建立标准的DLSS中西医临床病证特点动物模型对疾病的解析意义重大.文章参照中西医病因病机和临床疾病诊断标准,总结分析现有DLSS动物模型优缺点和与临床吻合度.发现目前各DLSS模型的西医吻合度均高于中医吻合度,其中溶血磷脂酸诱导模型的中西医吻合度均为最高.现阶段DLSS动物模型应依据中医证候内容进一步完善,通过中西医病理机制交叉验证,构建符合兼具"本虚标实"动态病机的复合模型.未来应重点推动DLSS的中医证候客观化评价与中西医结合治疗的精准模型构建.

Degenerative lumbar spinal stenosis(DLSS)is a common disease in middle-aged and elderly people with lumbar and leg pain and activity limitation,and the establishment of a standardized animal model of DLSS with Chinese and Western clinical characteristics is of great significance to the analysis of the disease.The article summarizes and analyzes the advantages and disadvantages of the existing animal models of DLSS and the degree of agreement with the clinic,with reference to the etiology and clinical diagnostic standards of Chinese and Western medicine.The current DLSS models were found to exhibit higher clinical characteristics with Western medicine than with traditional Chinese medicine.Among all DLSS models,the lysophosphatidic acid-induced model demonstrated the highest clinical characteristics with both Western and traditional Chinese medicine.At the present stage,the animal model of DLSS should be further improved according to the contents of TCM symptoms,and a composite model with the dynamic pathogenesis of the"deficiency in origin and excess in superficiality"should be constructed through the cross-validation of TCM and Western medicine pathologic mechanisms.In the future,we should focus on promoting the construction of accurate models for the objective evaluation of Chinese medicine symptoms and the combination of Chinese and Western medicine treatments.

张硕;曹帅;董春科;韦竑宇;刘清泉

北京中医药大学临床医学院 北京 100029首都医科大学附属北京中医医院 北京 100010首都医科大学附属北京中医医院 北京 100010首都医科大学附属北京中医医院 北京 100010首都医科大学附属北京中医医院 北京 100010

医药卫生

退行性腰椎管狭窄症中西医病证特点动物模型临床吻合度模型分析

Degenerative lumbar spinal stenosisTraditional Chinese and Western medicineDisease characteristicsAnimal modelClinical anastomosisModel analysis

《世界科学技术-中医药现代化》 2026 (3)

960-967,8

首都临床特色诊疗技术研究及转化应用项目(Z221100007422122):国产人工颈椎间盘研发的基础与临床研究,负责人:韦竑宇.

10.11842/wst.20250519008

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