前路手术结合益气活血通络法治疗颈椎病的临床疗效观察

发布时间：2018-03-28 01:23

本文选题：颈椎病　切入点：益气活血通络　出处：《成都中医药大学》2015年硕士论文

【摘要】：目的：本课题通过对比观察,探讨前路手术结合益气活血通络法治疗颈椎病的临床疗效。方法：根据临床症状和影像学表现,将符合标准的62例颈椎病患者随机分成试验组与对照组,每组各31例,均行颈椎前路椎体次全切除+椎间盘摘除+钛网植骨融合钢板内固定术。术后对照组常规治疗,试验组在常规治疗基础上,术后第3天予以服用益气活血通络法代表方加昧补阳还五汤(免煎制剂,每天1剂,连服15天)。通过观察两组手术操作时间,术中出血量,术前及术后1、3个月神经功能和轴性症状,术后3个月植骨融合等情况,应用SPSS19.0统计学软件对所得数据进行分析,对比各指标组内和组间的差异,以P0.05表示差异有统计学意义。结果：术前神经功能及轴性症状组间比较无明显差异,术后1、3个月神经功能组间比较,试验组优于对照组；术后1个月轴性症状组间比较试验组优于对照组,术后3个月轴性症状两组之间差异无统计学意义。两组病例在手术操作时间、术中出血量、术后3个月植骨融合情况等方面差异无统计学意义(P0.05)。结论：前路手术结合益气活血通络法治疗颈椎病能够促进神经功能恢复,有效地改善术前轴性症状和降低术后轴性症状的发生率,提高手术效果,临床优良率达到100%,值得推广。
[Abstract]:Objective: to explore the clinical effect of anterior approach combined with the method of supplementing qi and activating blood circulation and dredging collaterals in the treatment of cervical spondylosis by comparative observation. Methods: according to the clinical symptoms and imaging manifestations, 62 patients with cervical spondylosis were randomly divided into experimental group and control group with 31 cases in each group. On the basis of routine treatment, the experimental group was treated with Yiqi Huoxue Tongluo decoction on the third day after operation (no decoction, 1 dose per day, 15 days). By observing the operation time and the amount of blood loss during the operation, the experimental group was treated with Fubuyang Huanwu decoction. The neurological function and axonal symptoms before and 1, 3 months after operation, bone graft fusion at 3 months after operation and so on were analyzed by SPSS19.0 statistical software, and the differences among groups were compared. Results: there was no significant difference in preoperative nerve function and axonal symptoms between the two groups. After 1 month and 3 months after operation, the experimental group was better than the control group. One month after operation, there was no significant difference between the two groups in axial symptoms, but there was no significant difference between the two groups in three months after operation. The operation time and the amount of blood lost during the operation of the two groups were significantly higher than those in the control group, and there was no significant difference between the two groups. There was no significant difference in bone graft fusion in 3 months after operation (P 0.05). Conclusion: anterior approach combined with Yiqi Huoxue Tongluo method for cervical spondylosis can promote the recovery of nerve function. It can effectively improve the preoperative axial symptoms and reduce the incidence of postoperative axial symptoms, and improve the surgical effect. The clinical excellent and good rate is 100, which is worth popularizing.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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