| Objective:To observe the clinical effect of traditional Chinese herbal medicine hot-pack in the treatment of cervical myelopathy cervical posterior postoperative axial symptoms,aiming at provide a new way of methods for the clinical treatment of axial symptoms.Methods:Sixty cases were included.In these 60 cases,patients have visited the spinal surgeon of our hospital from January 2019 to November 2019 and have axial symptoms after spinal cord cervical spondylosis surgery.According to the Random Number table method and on the grounds of clinic time,these 60 cases were divided into two groups,treatment group and control group,30 cases respectively.Basic treatments,including postoperative routine rehabilitation exercise and oral painkillers(celecoxib),were given to both groups.Besides the basic therapies,the treatment group was treated with hot packs of traditional Chinese medicine,while the control group was treated with hot water pack.Patients were follow-up before the treatment and two weeks,four weeks,two months after the treatment.During the follow-up,following methods,including visual analogue Scale/Score(VAS)and cervical axial symptom score assessment of patients with axial pain,cervical range of motion(CROM)assessment of cervical functional improvement,cervical dysfunction index(NDI),were employed.The scores of above rating scale were collected and recorded through outpatient service,inpatient service and telephone follow-up.By outpatient,inpatient or telephone follow-up,we complete the above Score Scale scores collected and recorded,and then the clinical efficacies were evaluated.Results:This study included a total of 60 patients,follow-up time of 2 months,all patients were able to actively cooperate with the treatment and the successful completion of the study.Treatment group age 40-78 years(mean age 60.00±10.68),20 cases of male,10 cases of female,surgical segment was C3-5,C3-6,C3-7,C4-7respectively 3 cases,6 cases,16 cases,5cases,their average operating time was 2.53±1.03 hours,the average intraoperative bleeding was 252.67±145.22 ml.The control group aged 37-76 years(mean age 59.67±9.87),18 males,12 females,surgical treatment segment was C3-5,C3-6,C3-7,C4-7were 2 cases,9 cases,13 cases,6cases,he average operating time was 2.51±0.81 hours,the average intraoperative bleeding was 238.00±110.37 ml.There was no statistically significant difference between the two groups in the General Data before treatment(P>0.05).The VAS scores and NDI index were significantly lower at the time of follow-up than before treatment.The VAS scores and NDI index decreased more significantly in the treatment group at 4 weeks and 2 months after treatment than in the control group(P<0.05).The activity of cervical vertebrae in all directions at each time point of follow-up was better than before treatment.The decrease of the axial symptom score was more obvious(P<0.05)in the treatment group relative to the control group at the follow-up time point of 2 months after the start of treatment.In the control group,there were one cases of patients with epigastric discomfort during treatment,to be after oral gastric mucosal protective drug symptoms improved significantly,then continue to be included in the treatment group.During the treatment of two groups of patients were no local skin burns,ulceration and allergic itching and other symptoms.Conclusion:Hot pack of traditional Chinese medicine effectively eased the axial pain of patients who had had posterior cervical surgery for cervical spondylotic myelopathy,improved patients’ postoperative life quality and accelerate patients’ recovery. |
PDF Full Text Request