圣愈汤加减对脊髓型颈椎病术后脊髓功能状态的干预

目的: 探讨圣愈汤加减对脊髓型颈椎病术后脊髓功能状态的改善效果。 方法: 选取明确诊断的脊髓型颈椎病并已行颈椎手术的病例68例,随机分为常规康复治疗联合圣愈汤组(A组),常规康复治疗组(B组)。其中A组32例,B组36例。术后采用常规处理、康复、中药等综合治疗,用JOA评分分别于术后1,2,4,6周及术后3个月观察评定脊髓功能状态。 结果: 2组患者在术后1周内的JOA分值均明显优于术前(P<0.05),但两组比较无明显差异;术后2周、4周、6周及术后3个月A组JOA评分均明显优于B组,两组比较其差异具有显著性 (P<0.05)。 结论: 康复治疗以及联合圣愈汤加减均可有效地改善脊髓型颈椎病术后脊髓功能状态,而康复治疗联合圣愈汤加减在改善脊髓功能状态方面疗效更显著,是脊髓型颈椎病术后的有效治疗方法。

Effect of Modified Shengyu Decoction on Spinal Cord Function of Cervical Spondylotic Myelopathy after Operation

To explore the effect of modified Shengyu decoction on spinal cord function of cervical spondylotic myelopathy after operation. Method: A total of 68 cases diagnosed definitely and operated,were randomly divided into rehabilitation exercise treatment combined with modified Shengyu decoction group (group A),and rehabilitation exercise treatment (group B).Group A included 32 cases,and 36 cases were in group B.After operation,the cases were treated by anti-inflammatory,rehabilitation treatment,traditional Chinese medicine,etc.Spinal cord function of cervical spondylotic myelopathy was evaluated by JOA score at preoperative and 1,2,4,6 weeks and 3 months after operation. Result : The JOA scores for patients in both groups were significantly improved compared with that of pre-operation (P<0.05),but there was no significant difference between the two groups after one week.And JOA in group A were significantly better than that in group B after 2,4,6 weeks and 3months,and the difference was significant (P <0.05). Conclusion: Rehabilitation exercise treatment and rehabilitation exercise treatment combined with modified Shengyu decoction can improve the spinal cord function for cervical spondylotic myelopathy after operation.But the effect of combined with modified Shengyu decoction is more significant.