Clinical Observation Of Decoction For Removing Wind And Dredging Meridians On Recovery For Spinal Cord Function Of Cervical Spondylotic Myelopathy After Operation

Objective:To observe the clinical efficacy of decoction for Removing Wind and Dredging Meridians from Zhou Fuyi with regular rehabilitation treatment after operation on recovery for spinal cord function of cervical spondylotic myelopathy after operation,discuss its clinical value,and provide clinical methods for the rehabilitation treatment of CSM after operation.Methods:50 cases of CSM were chosen from Jiangsu Provincial Hospital of Traditional Chinese Medicine,which has been successfully treated by anterior surgical decompression from September 2015 to December 2016.According to the time of therapy,the patients was divided into experimental group and control group randomly.The former group had 24 cases,which was treated by Decoction for Removing Wind and Dredging Meridians and regular treatment;the latter group had 26 cases,which was treated by regular rehabilitation treatment.The treatment group was giving traditional Chinese medicine decoction after fasting,one dose a day,taking morning and evening,seven days for one course of treatment,continuous using four courses.Observing and taking down the JOA score and the VAS score after pre-operation and one week,two weeks,four weeks,three months after the surgery,and evaluating the recovery for spinal cord function with TCM syndrome diagnostic efficacy standards in the last follow-up visit.The sets of data obtained using SPSS 22.0 for statistical analysis.Results:1.There had no statistical significance in sex,age,duration of disease between the two groups(P>0.05),and the JOA score and the VAS score before the operation were also compared(P>0.05).2.Compared from the JOA score,intra-group comparison:Each point of two groups of patients after surgery compared with pre-operation,comparison between the two groups had obvious difference(P<0.05),showing that the spinal cord function of the both two groups was improved and had not bounced back;Comparison between two groups:postoperative one week,comparison between the two groups had no obvious difference(P>0.05),postoperative two weeks,four weeks,three months,comparison between the two groups had obvious difference(P<0.05),showing that the treatment group was better than the control group.3.Compared from the VAS score,intra-group comparison:Each point of two groups of patients after surgery compared with pre-operation,comparison between the two groups had obvious difference(P<0.05),showing that the pain of the both two groups was relieved and had not bounced back;Comparison between two groups:postoperative one week,comparison between the two groups had no obvious difference(P>0.05),postoperative two weeks,four weeks,three months,comparison between the two groups had obvious difference(P<0.05).4.TCM syndrome diagnostic efficacy standards:the total effective rate of the experimental group was 91.67%and 76.7%in the contral group,comparison between the two groups had obvious difference(P<0.05),declaring that the experimental group had the better effect than the contral one.Conclusion:Decoction for Removing Wind and Dredging Meridians with regular rehabilitation treatment after operation and simple regular rehabilitation treatment after operation both could promote the rehabilitation of spinal cord function after operation of CSM,relieve symptoms,improve clinical effect and both have no obvious adverse reaction.But decoction for Removing Wind and Dredging Meridians with regular rehabilitation treatment after operation have better effect on improving spinal cord function status,which is an effective treatment for CSM after Operation and worthy of the clinical application.