后路经皮脊柱内镜减压术联合桃红四物汤治疗血瘀气滞型神经根型颈椎病的效果观察  

Effect Observation of Posterior Percutaneous Spinal Endoscopic Decompression Combined with Taohong Siwu Decoction in Treatment of Cervical Spondylotic Radiculopathy with Blood Stasis and Qi Stagnation

作　　者：张晓哲 石可松[1] Zhang Xiao-zhe;Shi Ke-song(Third Department of Orthopedics,Changping District Hospital of Integrated Traditional Chinese and Western Medicine in Beijing,Beijing 102208,China)

机构地区：[1]北京市昌平区中西医结合医院骨三科,北京昌平102208

出　　处：《中国社区医师》2023年第1期66-68,共3页Chinese Community Doctors

摘　　要：目的:探讨后路经皮脊柱内镜减压术联合桃红四物汤治疗血瘀气滞型神经根型颈椎病(CSR)的临床效果。方法:选取2020年7月-2021年7月北京市昌平区中西医结合医院收治的70例血瘀气滞型CSR患者作为研究对象,根据随机数字表法分为对照组与观察组,各35例。对照组采用后路经皮脊柱内镜手术治疗,观察组在对照组基础上配合口服桃红四物汤治疗,比较两组疼痛情况、颈椎功能、手术优良率。结果:观察组术后1、12个月视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.05);观察组术后1、12个月日本骨科协会评估治疗分数高于对照组,差异有统计学意义(P<0.05);两组手术优良率比较,差异无统计学意义(P>0.05)。结论:后路经皮脊柱内镜减压联合桃红四物汤治疗血瘀气滞型CSR的效果显著,安全可靠,可以有效缓解患者术后疼痛,改善颈椎功能。Objective:To explore the clinical effect of posterior percutaneous spinal endoscopic decompression combined with Taohong Siwu Decoction in the treatment of cervical spondylotic radiculopathy(CSR)with blood stasis and qi stagnation.Methods:From July 2020 to July 2021,70 CSR patients with blood stasis and qi stagnation who were admitted to Changping District Hospital of Integrated Traditional Chinese and Western Medicine in Beijing were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 35 cases in each group.The control group was treated with posterior percutaneous spinal endoscopic surgery,while the observation group was treated with oral Taohong Siwu Decoction on the basis of control group.The pain conditions,cervical function,and excellent and good rates of surgery in the two groups were compared.Results:The visual analogue scale score in the observation group was lower than that in the control group at 1 and 12 months after surgery,and the difference was statistically significant(P<0.05).The score of the Japanese Orthopaedics Association in the observation group was higher than that in the control group at 1 and 12 months after surgery,and the difference was statistically significant(P<0.05).There was no significant difference in the excellent and good rates of surgery between the two groups(P>0.05).Conclusion:The posterior percutaneous spinal endoscopic decompression combined with Taohong Siwu Decoction in the treatment of CSR with blood stasis and qi stagnation has significant effects,it is safety and reliable,and can effectively relieve the patients’postoperative pain and improve the cervical function.

关 键 词：神经根型颈椎病 后路经皮脊柱内镜减压 桃红四物汤 

分 类 号：R687.3[医药卫生—骨科学]