[1]李永文 庞梅桂 薛翠珍 郑红波 冯璤 陈庚 陈波涛△.益气通络汤对脊髓型颈椎病术后残余脊髓神经功能的影响[J].中国中医骨伤科杂志,2017,25(06):15-18.
　LI Yongwen PANG Meigui XUE Cuizhen ZHENG Hongbo FENG Hui CHEN Geng CHEN Botao.Effect of Yiqitongluo Decoction on Residual Spinal Nerve Symptoms of Cervical Spondylotic Myelopathy after Surgery[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(06):15-18.
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益气通络汤对脊髓型颈椎病术后残余脊髓神经功能的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年06期
页码:
15-18
栏目:
临床研究
出版日期:
2017-07-08

文章信息/Info

Title:
Effect of Yiqitongluo Decoction on Residual Spinal Nerve Symptoms of Cervical Spondylotic Myelopathy after Surgery
文章编号:
1005-0205(2017)06-0015-04
作者:
李永文1 庞梅桂1 薛翠珍1 郑红波1 冯璤1 陈庚2 陈波涛2△
1.广西柳州市人民医院(广西 柳州,545006)
2.重庆市九龙坡区中医院
△.通信作者 E-mail:271114988@qq.com
Author(s):
LI Yongwen1 PANG Meigui1 XUE Cuizhen1 ZHENG Hongbo1 FENG Hui1 CHEN Geng2 CHEN Botao2△
1.Liuzhou People's Hospital, Liuzhou 545006, Guangxi China;
2.Chongqing Jiulongpo District Hospital of Traditional Chinese Medicine, Chongqing 400080, China.
关键词:
中药;  脊髓型颈椎病;  手术;  神经损害;  影响
Keywords:
traditional Chinese medicine;  cervical spondylotic myelopathy;  surgery;  neuron lesion;  effects
分类号:
R274.39
文献标志码:
A
摘要:
目的:应用益气通络汤治疗脊髓型颈椎病术后残余脊髓神经功能障碍,观察临床疗效。方法:病例来源为2012年3月至2015年3月在本院骨伤科因脊髓型颈椎病行颈椎前路手术的患者,共56例,随机数字表法分成观察组和对照组,每组各28例。观察组在术后抗感染补液基础上,于术后次日予以口服益气通络汤,连续服用28 d,对照组只在术后予以抗感染和补液治疗。分别记录术前、术后第1,2,4,8周及第12周JOA评分、颈椎病脊髓功能状态评分(40分)。结果:两组JOA评分、脊髓功能状态评分(40分法)均较术前明显改善,差异有统计学意义(P<0.05); 但术后第1周及第2周时评分并不比术后次日有明显改善,同时两组对比差异无统计学意义(P>0.05); 术后第4周时,观察组40分法结果较对照组差异有统计学意义(P<0.05),而两组JOA评分差异无统计学意义(P>0.05)。两组在术后第8周及第12周时,JOA评分及40分法结果差异均有统计学意义(P<0.05)。结论:脊髓型颈椎病术后服用益气通络汤,可以改善麻木、冷胀、紧束、沉重、行走不稳等残留症状,促进受损的脊髓神经功能恢复。
Abstract:
Objective: To observe the clinical efficacy of Yiqitongluo decoction on spinal cord and nerve function of cervical spondylotic myelopathy after operation. Methods: From March 2012 to March 2015, patients in the orthopedic department of our hospital underwent anterior cervical surgery due to cervical spondylotic myelopathy were chosen, a total of 56 cases were divided into the observation group and the control group according to random number table, 28 cases in each group. In addition to the basis of anti-infection and rehydration after surgery, the observation group was treated with Yiqitongluo decoction by oral in the next day after surgery for 28 days. While the control group was only treated with anti-infection and rehydration after operation. The JOA score and the functional status score of cervical spinal cord(40 points)was recorded at baseline and 1, 2, 4, 8 and 12 weeks after operation. Results: The JOA score and the functional status score of cervical spinal cord(40 points)of two groups were significantly better than preoperative(P<0.05). The score at 1 and 2 weeks after surgery was not significantly improved than the next day after surgery(P>0.05). At 4 weeks after operation, the result of 40 points in the observation group was significantly different compared with control group(P<0.05). There was no significant differences between the two groups in the JOA score(P>0.05). The difference of JOA score and 40 points in two groups was significantly different at 8 weeks and 12 weeks after operation(P<0.05). Conclusion: The treatment of cervical spondylotic myelopathy after surgery with Yiqitongluo decoction can improve the residual symptoms such as numbness, swelling, tightening, heavy and unstable walking, and promote the recovery of damaged spinal nerve function.

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备注/Memo

备注/Memo:
基金项目:“燕青门”正骨疗法流派传承工作室建设项目 (国中医药办人教函〔2013〕82号)
更新日期/Last Update: 2017-06-15