[1]张轲,张宇豪,移平△,等.通督补肾舒脊方促进脊髓型颈椎病术后康复的疗效观察[J].中国中医骨伤科杂志,2025,33(01):22-26+32.[doi:10.20085/j.cnki.issn1005-0205.250105]
　ZHANG Ke,ZHANG Yuhao,YI Ping,et al.Therapeutic Efficacy Observation of Tongdu and Kidney Tonifying and Spinal Relaxation Formula in Promoting Postoperative Rehabilitation of Spinal Cord Cervical Spondylosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(01):22-26+32.[doi:10.20085/j.cnki.issn1005-0205.250105]
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通督补肾舒脊方促进脊髓型颈椎病术后康复的疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年01期
页码:
22-26+32
栏目:
临床研究
出版日期:
2025-01-15

文章信息/Info

Title:
Therapeutic Efficacy Observation of Tongdu and Kidney Tonifying and Spinal Relaxation Formula in Promoting Postoperative Rehabilitation of Spinal Cord Cervical Spondylosis
文章编号:
1005-0205(2025)01-0022-05
作者:
张轲1; 张宇豪1; 移平2△; 谭明生2; 唐向盛2; 占思政2
1北京中医药大学(北京,100029)
2中日友好医院
Author(s):
ZHANG Ke1; ZHANG Yuhao1; YI Ping2△; TAN Mingsheng2; TANG Xiangsheng2; ZHAN Sizheng2
1Beijing University of Chinese Medicine,Beijing 100029,China; 2China-Japan Friendship Hospital,Beijing 100029,China.
关键词:
脊髓型颈椎病;  椎板成形术;  通督补肾舒脊方;  肝肾亏虚;  督脉瘀阻
Keywords:
spinal cord cervical spondylosis;  vertebroplasty;  Tongdu and kidney tonifying and spinal relaxation formula;  deficiency of liver and kidney;  Du Mai stasis syndrome
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250105
文献标志码:
A
摘要:
目的:观察通督补肾舒脊方促进脊髓型颈椎病术后脊髓神经功能恢复的疗效。方法:将62例因脊髓型颈椎病行颈后路单开门椎板成形手术,术后辨证为肝肾亏虚、督脉瘀阻证,且伴脊髓神经功能症状的患者,随机分为观察组和对照组各31例,对照组采用术后常规治疗,观察组在对照组基础上口服通督补肾舒脊方,治疗4周。观察两组患者治疗前后日本骨科协会(JOA)评分改善率、颈椎功能障碍指数(NDI)、中医证侯评分(肝肾亏虚证和督脉瘀阻证)及视觉模拟量表(VAS)评分变化,记录不良反应和并发症发生情况。结果:观察组在治疗后第2周、第4周和第24周NDI及中医证侯评分显著低于对照组,JOA评分改善率显著高于对照组,差异有统计学意义(P<0.05); 治疗后第4周及第24周VAS评分显著低于对照组,差异有统计学意义(P<0.05); 两组在治疗前各评分、治疗后第2周VAS评分及并发症发生情况,差异均无统计学意义(P>0.05)。结论:通督补肾舒脊方可以促进脊髓型颈椎病术后脊髓神经功能的恢复,值得临床推广应用。
Abstract:
Objective:Observation on the efficacy of Tongdu and kidney tonifying and spinal relaxation formula in promoting the recovery of spinal cord nerve function after spinal cord cervical spondylosis surgery.Methods:62 patients who underwent posterior cervical single-door open-door laminoplasty due to spinal cord cervical spondylosis with postoperative diagnosis of liver-kidney deficiency and Du Mai stasis syndrome with spinal neurological symptoms were randomly divided into 31 cases each in the observation group and the control group.The control group was treated with postoperative conventional treatment,while the observation group was treated with oral administration of Tongdu and kidney tonifying and spinal relaxation formula on the basis of the control group for 4 weeks.Observe the improvement rate of Japanese orthopaedic association(JOA)scores,neck disability index(NDI),traditional Chinese medicine(TCM)points(deficiency of liver and kidney,stagnation of the directing vein)and visual analogue scale(VAS)scores before and after the treatment,and record the occurrence of adverse reactions and complications in both groups.Results:In the observation group,the NDI and TCM points were significantly lower than those of the control group at 2,4 and 24 weeks after treatment,and the improvement rate of JOA scores was significantly higher than that of the control group,with statistically significant differences(P<0.05).The VAS scores were significantly lower than those of the control group at 4 and 24 weeks after treatment,with statistically significant differences(P<0.05).The differences of the VAS scores,scores before and after treatment and the occurrence of complications were not statistically significant between the two groups(P>0.05).The difference between the two groups in VAS score at 2 weeks after treatment,scores before and after treatment,and complications was not statistically significant(P>0.05).Conclusion:Tongdu and kidney tonifying and spinal relaxation formula can promote the recovery of spinal cord nerve function after spinal cord cervical spondylosis,which is worthy of clinical promotion.

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备注/Memo

备注/Memo:
基金项目:中日友好医院高水平医院临床业务费专项临床研究项目(2022-NHLHCRF-LX-02)
△通信作者 E-mail:13811758985@139.com
更新日期/Last Update: 2025-01-15