Clinical Observation Of Jiawei Shentong Zhuyu Granules In The Treatment Of Cervical Spondylosis Of Nerve Root Type (qi Stagnation And Blood Stasis Type)

Objective: To observe the clinical effect of jiawei shentong zhuyu granule on cervical spondylotic radiculopathy Methods: all patients met the diagnostic criteria of the disease and the diagnostic criteria of qi stagnation and blood stasis from March 2018 to January 2019 in the outpatient department of the second department of the spine of the first affiliated hospital of hunan universityoftraditional Chinesemedicine,andatotalof60 casesmettheinclusioncriteria were collected.Thecontrolgroupwastreatedbyoraladministrationofjingshu granule,and the observation group was treated by internal administration of jiawei shentong zhuyu granule.Both groups received continuous treatment for 30 days.Before and after treatment,TCM symptom quantitative score,JOA total score and subjective VAS score were used toevaluateneckandshoulderpain,andthereliefdegreeofmainsymptoms was recorded to calculate the effective rate.Results: 1.There was no significant difference in the quantitative score of main TCM symptoms between the two groups before treatment(P>0.05),which was comparable.Before and after treatment,there were significant differences in scores between the two groups(P<0.01),indicating that both the treatment group and the control group could significantly improve the symptoms of stiff neck pain.After treatment,there was a difference inscorebetweenthetwogroups(P<0.05),andthetreatmentgroupwaslower than the control group,indicating that the treatment group was better than the control group in improving the stiff neck pain of patients.2.JOA scores of the two groups were compared,meeting the normality(P>0.05)and homogeneity of variance(P>0.05),and t test was used.The difference between the two groups before and after treatment was statistically significant(P<0.01),indicating that both the treatment group and the control group could significantly improve the JOA score of patients and the quality of life of patients.The comparison between the two groups before treatment(P>0.05)showed no statistical significance and was comparable.Thecomparisonbetweenthetwo groupsaftertreatment(P<0.05)showed that the score of the treatment group was higher than that of the control group,indicating that the reduction of JOA score in the treatment group was better than that in the control group.According to the improvement rate calculation formula,the improvement rates of the two groups were calculated by JOA score,and then divided into four improvement grades: excellent,good,medium and poor.The rank sum test wasusedtocomparethedataofthetwosamples.Afterstatisticalanalysis,the comparison between the two groups was statistically significant(P<0.05),and the treatment group was superior to the control group.3.TheVAS scores ofthetwo groups were normal(P>0.05)and homogeneity of variance(P>0.05).The t-test was used.There was no significant difference in P>0.05 between the two groups after treatment.It showed that both groups were equally effective in improving pain in patients.Conclusion: The internal administration of jiawei shentong zhuyu granule is effective in improving the neck and shoulder pain.