畅气通络手法治疗颈前路椎间盘切除椎间融合术后疼痛的临床研究  

Clinical Study of Changqi Tongluo manipulation in treatment of pain after anterior cervical discectomy and fusion

作　　者：陈茂水[1] 吴永生 曾浩彬[1] 张博[1] 杨仁轩[1] CHEN Maoshui;WU Yongsheng;ZENG Haobin;ZHANG Bo;YANG Renxuan(Department of Spine,Zhuhai Hospital,Guangdong Hospital of Traditional Chinese Medicine,Guangdong Province,Zhuhai519015,China)

机构地区：[1]广东省中医院珠海医院脊柱科,广东珠海519015

出　　处：《中国医药导报》2020年第27期100-103,共4页China Medical Herald

基　　金：广东省中医药局科研项目(20183008)。

摘　　要：目的观察畅气通络手法治疗颈椎前路椎间盘切除椎间植骨融合术(ACDF)后围术期颈背部疼痛的临床效果。方法选取2016年7月—2019年7月广东省中医院珠海医院64例ACDF术后存在颈背部疼痛的患者,采用简单随机分组的方法将其分为实验组和对照组,每组32例。实验组运用畅气通络手法+口服塞来昔布胶囊治疗,对照组口服塞来昔布胶囊。分别比较两组治疗前后视觉模拟评分(VAS)、颈椎功能障碍指数(NDI)、拔颈部引流管后住院天数,并观察不良事件发生情况。结果治疗后两组VAS、NDI评分较治疗前降低,且实验组VAS、NDI评分低于对照组,差异均有统计学意义(均P<0.05)。实验组拔颈部引流管后住院天数短于对照组,差异有统计学意义(P<0.05)。研究过程未出现不良事件。结论畅气通络手法治疗ACDF术后围术期颈背部疼痛效果显著,其能有效改善疼痛症状,促进ACDF术后围术期颈部功能的恢复,并缩短术后住院天数,达到加快康复的目的。畅气通络手法在ACDF术后加速康复中有积极的临床意义,值得进一步探索及推广。Objective To observe the clinical effect of Changqi Tongluo manipulation in the treatment of cervical back pain after anterior cervical discectomy and fusion(ACDF).Methods A total of 64 patients with cervical back pain after ACDF in Zhuhai Hospital,Guangdong Hospital of Traditional Chinese Medicine from July 2016 to July 2019 were selected and they were divided into experimental group and control group by simple random grouping method,with 32 patients in each group.The experimental group was treated with Changqi Tongluo manipulation plus oral Celecoxib Capsules,while the control group was treated with oral Celecoxib Capsules.Visual analogue scale(VAS),cervical spine dysfunction index(NDI),hospital stays after neck drainage tube extraction were compared between the two groups before and after treatment,and adverse events were observed.Results VAS and NDI scores of the two groups after treatment were lower than those before treatment,and VAS and NDI scores of the experimental group were lower than those of the control group,with statistically significant differences(all P<0.05).The hospital stays after neck drainage tube extraction in the experimental group was shorter than that in the control group(P<0.05).No adverse events occurred during the study.Conclusion Changqi Tongluo manipulation is effective in the treatment of postoperative cervical back pain after ACDF.It can effectively improve the pain symptoms,promote the recovery of neck function after ACDF,shorten the postoperative hospital stays,and achieve the purpose of accelerating rehabilitation.Changqi Tongluo manipulation has positive clinical significance in accelerating recovery after ACDF,which is worthy of further exploration and promotion.

关 键 词：畅气通络手法 颈前路融合 围术期 颈背部疼痛 加速康复 

分 类 号：R687.3[医药卫生—骨科学]