Clinical Observation On Postoperative Axial Syndrome Of Cervical Spondylotic Myelopathy Surgery Via Posterior Cervical Approach Treated By Electroacupuncture

ObjectiveTo observe the clinical effect of electroacupuncture therapy and oral administration of Loxoprofen Sodium in combination in the treatment of postoperative axial syndrome in patients with cervical spondylotic myelopathy surgery via posterior cervical approach,so as to provide novel treatment therapies and schemes for cervical axial syndrome after posterior cervical surgery.MethodsA total of 50 inpatients with cervical spondylotic myelopathy who were diagnosed as "cervical spondylotic myelopathy" and presented axial syndrome following "open-door expansion of the spinal canal via posterior cervical approach" in the Department of Spine of Second Hospital of Fuzhou City ranging from March 2020 to December 2020 were selected,and all the patients who met the inclusion criteria,voluntarily participated in the study and signed the informed consent were divided into two groups,with 25 cases per group.Postoperative routine treatment including infection prevention,dehydration and swelling reduction,neuronutrition treatment and early functional exercise were conducted for patients in both groups.Based on above therapies,the controls were treated with Loxoprofen Sodium alone,while those in the experimental group were treated with electroacupuncture combined with Loxoprofen Sodium,and the treatment of both groups was lasted for two weeks.VAS score,Tsuji score and NDI score were recorded before and after treatment in two groups,and the recurrence rates of cervical axial syndrome 3 months after treatment during follow-up and their long-term efficacy in two groups were evaluated.The scores of TCM symptoms before treatment and 3 months after treatment were recorded to evaluate the clinical efficacy.Besides,adverse events during treatment were evaluated.All the data in the study was analyzed by SPSS 20.0 software to compare intra-or between-group differences.Results1.The chi-square test and independent sample T test were used for comparison of baseline data in terms of gender,age,operative duration,intraoperative blood loss and operative segment,with an alpha level of 0.05.The baseline data were comparable and showed no significant difference(Ρ >0.05).2.Before treatment,there were no significant between-group differences in VAS score,Tsuji score and NDI score(Ρ >0.05),showing a comparable results.After treatment,the Tsuji scores at each time point during follow-up of the two groups showed significant increase,while the VAS score and NDI score showed significant decrease compared with before treatment(Ρ <0.05),indicating axial syndrome were improved in both groups after treatment.3.The VAS score,Tsuji score,NDI score and TCM syndrome score in the experimental group had significant improvement than those in the control group(Ρ <0.05),indicating that the experimental group had better treatment efficacy in relieving axial syndrome than the control group.4.The total excellent and good rates of the experimental group and the control group after 3 months of treatment were 84% and 72%,respectively,and showed significant between-group difference in clinical efficacy index of TCM symptoms(Ρ <0.05),indicating that the experimental group had better treatment efficacy in relieving axial syndrome than the control group.5.Comparison of the recurrence condition between the experimental group and the control group after 3 months of treatment showed that the recurrence rate of the control group was significantly higher than that of the experimental group,and there was a statistical between-group difference(Ρ <0.05),which indicated that the long-term efficacy of the experimental group was better than that of the control group.ConclusionElectroacupuncture and oral administration of Loxoprofen Sodium in combination and Loxoprofen Sodium alone can both improve postoperative axial syndrome in patients with cervical spondylotic myelopathy via posterior cervical approach,but the former has better clinical efficacy and long-term efficacy compared to the latter.Therefore,Electroacupuncture therapy enables to improve postoperative axial syndrome of cervical spondylotic myelopathy via posterior cervical approach.