Clinical Observation Of Huangqi Guizhi Wuwu Decoction Combined With Low Temperature Plasma Ablation On Cervical Spondylotic Radiculopathy

Objective:To observe the clinical efficacy of huangqi guizhi wuwu decoction combined with low temperature plasma ablation in the treatment of cervical spondylotic radiculopathy.Method:According to diagnostic criteria,inclusion criteria and exclusion criteria to choose between December 2018 and December 2019 clinic affiliated people's hospital of fujian medical university during the period of fractures,two families of hospitalized patients with cervical spondylosis of nerve root type 106 cases,according to random number table method is divided into two groups: control group,test group control group: low temperature plasma ablation + foundation treatment;Experimental group: low temperature plasma ablation +basic treatment + huangqi guizhi wuwu soup,each group of 53 cases.In the control group,low-temperature plasma ablation of cervical intervertebral disc was performed under c-arm fluoroscopy,and the basic treatment was as follows: celecoxib capsule(celebrex)was started on the first day after surgery.The treatment course was oral,0.2g,qd,and continuous treatment for 2 weeks.Oral administration of mecobalamin tablets(mikebup)began on the first day after the operation.The treatment course: oral administration,0.5mg,tid,continuous administration for 2 weeks.On the 3rd day after the operation,cervical functional exercise was started: "full moon by hands" and "head and neck resistance" were adopted,and the treatment course was functional exercise.3 times/day,2 weeks for 1 course of treatment.In the experimental group,low-temperature plasma ablation of cervical intervertebral disc was performed under c-arm fluoroscopy,and the postoperative basic treatment was the same as that of the control group.In addition,huangqi guizhi wuwu decoction was taken orally on the first day after the surgery.Before treatment,gender,age,disease course and disease location segment of patients in the two groups were recorded for baseline statistics.Visual analogue scale(VAS)and the evaluation of symptoms and signs of tanaka were recorded in the two groups before,2 weeks after and 3 months after surgery.Sensory nerve conduction velocity was recorded before and3 months after surgery.The overall efficacy evaluation was recorded 3 months after the operation.The indicators before and after treatment were compared within and between groups,and the relevant data were processed and analyzed with SPSS22.0 software package.Result:1.A total of 106 patients with CSR were included in this study,including 53 patients in the test group,25 males and 28 females,with an average age of 54.54±5.67 years and an average course of disease of 5.03±1.56 months.The control group consisted of 53 patients,27 males and 26 females,with an average age of 52.59±5.84 years and an average course of disease of 4.70±1.40 months.There was no statistically significant difference between the two groups in gender,age,disease course and cervical spondylopathy segments(P>0.05),indicating that the two groups were comparable.2.In terms of VAS score and yasushi score of tanaka,the differences were statistically significant at each time point after surgery compared with before treatment(P<0.05),indicating that the two treatment methods were effective in terms of pain and symptomfunction score of CSR patients.Two weeks and three months after surgery,the differences between the two groups were statistically significant(P<0.05),indicating that whether 2weeks or 3 months after surgery,the experimental group was superior to the control group in terms of relieving the pain of CSR and improving the functional score of the symptoms of jingjiu tanaka.3.In terms of sensory nerve conduction velocity SNCV of median nerve and ulnar nerve,the difference between the two groups was statistically significant(P<0.05)3 months after surgery compared with the same group before treatment,indicating that the experimental group and the control group were more effective in sensory nerve conduction velocity 3months after surgery than before treatment.The comparison between the two groups 3 months after the operation showed statistically significant differences(P<0.05),indicating that the experimental group was superior to the control group in improving sensory nerve conduction velocity 3 months after the operation.4.The overall effective rate of the experimental group and the control group at 3 months after the operation was 84.9% and 73.6%,respectively.The difference between the two groups was statistically significant(P<0.05).The overall clinical effective rate of the experimental group was better than that of the control group.Conclusion:Huangqi guizhi wuwu decoction combined with low-temperature plasma ablation can effectively improve the clinical symptoms of cervical spondylotic radiculopathy patients such as neck and shoulder pain and upper limb numbness,to a certain extent,improve the nerve conduction speed.