The Clinical Research Of Qianggui Shujing Tang On The Treatment Of Cervical Radiculopathy(CR)(Cold Dampness Syndrome)

Objective:To evaluate the curative effect and the mechanism of the effect of Qianggui Shujing tang and occipital jaw traction by researching the treatment of Qianggui Shujing tang on Cervical Radiculopathy(CR)(Cold dampness syndrome).To find out more effective treatment for this disease and provide evidence of evidence-based medicine for clinical decision making.Methods:During the period from September 2015 to October 2016,90 patients with CR were collectted in the orthopedics department Qingyuan Hospital of Traditional Chinese Medicine,According to diagnostic criteria,Inclusion criteria and exclusion criteria.Those 90 patients were randomly divided into 2 groups:group A(treated by Western medicine plus traction)and group B(treated by Chinese medicine plus Western medicine and traction)and each group included 45 cases.And then evaluated the two treatment options by observating VAS scores at different time points during the treatment and NDA scores,cervical curvature and the overall efficacy 2 weeks later.At the same time,the imaging data of the patients underwent CT examination of cervical spine were treated with related techniques,and the pathogenesis of cervical spondylotic myelopathy was analyzed.Results:3 days,1 week,and 2 weeks after treatment,the P value of the VAS scores of the patients in the two groups were lower than 0.05,the VAS scores of the two groups of patients at different time points after treatment was statistically significant.3 days and 1 week after treatment,the median of VAS score of group B was less than group A.After 2 weeks,the median of VAS scores were the same.But the upper quartile of group B was less than group A,we think that group B was better than group A in relieving pain.2 weeks after treatment,the P value of the NDA scores of the patients in the two groups were lower than 0.05,which was statistically significant.And the median of NDA score of group B was less than group A,we think that group B was better than group A in recovery function.Combined the value of cervical curvature before and after treatment,general comparison was made between the two groups.And the P value was lower than 0.05,which was statistically significant.We believe that Chinese medicine and traction treatment influence the cervical curvature change.48 of 54 patients in our hospital with cervical CT examination were with intervertebral foramen stenosis in imaging.The stenosis of the intervertebral foramen was consistent with that of the cervical nerve,and the nerve root out from the intervertebral foramen,88.9%in concordance rate.We believe that the intervertebral foramen stenosis is the most common pathological change of cervical spondylotic myelopathy,and Luschka's joint hyperplasia and facet joint hyperplasia were the main reasons.Compared with before treatment,the value of cervical curvature of the two groups after treatment was not statistically significant.The total efficiency of the two groups were statistically significant after 2 weeks' treatment,P=0.027<0.05,and the effective rate of group B(95.6%)was higher than group A(88.90%).We believe that the treatment of Chinese medicine plus Western medicine and traction was better than that of Western medicine plus traction.Conclusion:The treatment of Qianggui Shujing tang plus Western medicine and traction was better than that of Western medicine plus traction in relieving the pain of CR(Cold dampness syndrome),restoring life function and overall efficacy,showing that Qianggui Shujing tang has exact clinical effect on CR(Cold dampness syndrome).Chinese medicine and traction treatment influenced the cervical curvature change Intervertebral foramen stenosis caused by Luschka's joint hyperplasia and facet joint hyperplasia was the main reason for CR.