| Objective:Based on ERAS ’concept of surgery,this study aims to promote the rapid recovery of patients with cervical spondylosis after ACDF surgery,reduce their psychological burden and restore their quality of life as soon as possible through the dialectical theory of Traditional Chinese medicine and oral Chinese medicine decoction Methods:A total of 64 inpatients admitted to the Department of Orthopedics and Traumatology of Wuhan Hospital of Traditional Chinese Medicine from October 2019 to October 2021 were selected as the research subjects.The patients were diagnosed as cervical spondylotic radiculopathy and underwent ACDF surgery in our orthopaedic ward.The selected patients were randomly divided into2 groups with 32 patients in each group according to operation time sequence.All patients were treated with ACDF.Control group: based on conventional drug treatment and routine functional exercise after surgery.Experimental group: Patients were given buyang Huanwu decoction orally from the second day on the basis of the control group,Take 200 ml orally each time,morning and evening,a total of 2 weeks.VAS and DNI scores were recorded at each time point before and after surgery,and data changes were compared to evaluate the improvement of patients’ symptoms and functions.The above data were recorded and statistical methods were used to comprehensively evaluate the efficacy.Results:1.The data of sex,course of disease,segment and age were compared between the two groups The data of the two groups were comparable with P>0.05.2.By comparing the preoperative VAS and NDI scores of the experimental group and the control group,P>0.05 had no statistical significance,indicating that the data of the two groups were significantly different,which could be used for comparison。3.After treatment,VAS of the experimental group and control group were statistically analyzed before,1 week after surgery,2weeks after surgery,1 month after surgery and 3 months after surgery:（1）Intra-group comparison before and after the operation found that the results of the two groups decreased significantly over time,and P<0.05;（2）inter-group comparison at different periods after the operation,both P<0.05;It indicated that the treatment methods of the two groups could improve the cervical spondylopathy of radiculopathy,and the buyanghuanwu decoction group was better than the control group.4.After treatment,the NDI of the experimental group and the control group were statistically analyzed before operation,1 week and 3 months after operation:（1）the results of the two groups were significantly decreased over time when compared before surgery and after surgery,and both showed P<0.05;（2）There were P<0.05 in the comparison between groups at different postoperative periods;These results indicated that the two groups could recover the function of cervical spondylotic radiculopathy,and the treatment effect of Buyang Huanwu Decoction group was better than that of the control group.5.Length of stay: the average length of stay in buyanghuanwu Decoction group was 4.5 days,which was significantly shorter than7.6 days in the control group,and P=0.000<0.05 was statistically significant,indicating that the length of stay in Buyanghuanwu Decoction group after ACDF was less than that in the control group,which could accelerate the recovery and shorten the length of stay.6.The effective rate was 96.87% in the buyang Huanwu decoction group and 78.12% in the control group,and P<0.05,indicating that Buyang Huanwu Decoction was conducive to the rapid postoperative recovery of ACDF.7.Safety: The safety control of patients in both groups was good,and no adverse drug reactions or other accidents occurred.Conclusion:Buyang Huanwu Decoction can relieve postoperative pain and dysfunction of ACDF,relieve postoperative symptoms of qi deficiency and blood stasis,and is conducive to the recovery of body function in the early postoperative period,and can achieve the purpose of accelerating the rapid recovery of ACDF after surgery,which is worth promoting in clinical use. |
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