Abstract：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.
陈茂水 吴永生 曾浩彬 张博 杨仁轩. 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[J]. 中国医药导报, 2020, 17(27): 100-103.
CHEN Maoshui WU Yongsheng ZENG Haobin ZHANG Bo YANG Renxuan. Clinical Study of Changqi Tongluo manipulation in treatment of pain after anterior cervical discectomy and fusion. 中国医药导报, 2020, 17(27): 100-103.
[1] Broekema AE，Kuijlen JM，Lesman-Leegte GA，et al. Study protocol for a randomised controlled multicentre study：the Foraminotomy ACDF Cost-Effectiveness Trial（FACET）in patients with cervical radiculopathy [J]. BMJ Open，2017， 7（1）：e012829.
[2] Cohen SP. Epidemiology，diagnosis，and treatment of neck pain [J]. Mayo Clin Proc，2015，90（2）：284-299.
[3] 丁琛，洪瑛，王贝宇，等.颈椎前路手术加速康复外科实施流程专家共识[J].中华骨与关节外科杂志，2019，12（7）：486-497.
[4] 朱月明，吴永生，邓晓强，等.浮针治疗经皮椎体成形术后残余痛32例临床观察[J].湖南中医杂志，2019，35（4）：81-83.
[5] Huskisson EC. Measurement of pain [J]. Lancet，1997，2（7889）：1127-1131.
[6] Vernon H. The Neck Disability Index：State-of-the-Art，1991-2008 [J]. J Manipulative Physiol Ther，2008，31（7）：491-502.
[7] Heikkil?覿 K，Peltonen LM，Salanter?覿 S. Postoperative pain documentation in a hospital setting：A topical review [J]. Scand J Pain，2016；11：77-89.
[8] Corey DL，Comeau D. Cervical radiculopathy [J]. Med Clin North Am，2014，98（4）：791-799，xii.
[9] 田黎明.颈椎术后轴性症状发生原因的研究进展[J].武警后勤学院学报：医学版，2016，25（9）：778-780.
[10] 何亮亮，倪家骧.盘源性疼痛研究进展[J].中国全科医学，2017，20（26）：3309-3313.
[11] 夏江燕，彭贞丹，尹宁.超前静脉注射利多卡因复合帕瑞昔布钠对颈前路颈椎手术术后疼痛的影响[J].江苏医药，2013，39（24）：3019-3021.
[12] Kholinne E，Kwak JM，Sun Y，et al. Risk Factors for Persistent Shoulder Pain After Cervical Spine Surgery [J]. Orthop Surg，2019，11（5）：845-849.
[13] Zhang Y，Liu H，Yang H，et al. Anterior cervical corpectomy and fusion versus discectomy and fusion for the treatment of two-level cervical spondylotic myelopathy：analysis of sagittal balance and axial symptoms [J]. Int Orthop，2018，42（8）：1877-1882.
[14] 孙柏寒，刘永涛，刘猛，等.双节段颈椎前路减压融合内固定对颈椎矢状面平衡的作用[J].中国组织工程研究，2018，22（31）：4943-4948.
[15] 王冬，孙旗，贾育松，等.针刺治疗颈椎后路椎管成形术后轴性症状的随机对照研究[J].环球中医药，2019，12（9）：1419-1421.
[16] 谭明生，李显，张恩忠，等.寰枢椎脱位外科治疗与疏通督脉瘀阻相关性研究[J].中国骨伤，2012，25（11）：915-919.
[17] 吴永生，黄鐄，王慧敏，等.微创经椎间孔椎间融合术联合引气归元针法治疗督脉瘀阻型腰椎椎管狭窄症的临床研究[J].中国中医骨伤科杂志，2018，26（2）：33-36，40.
[18] 赵雪圆，房纬，李瓦里，等.颈椎病内固定术后疼痛的手法治疗[J].中国中医骨伤科杂志，2008，16（2）：43-44.
[19] Chou R，Gordon DB，de Leon-Casasola OA，et al. Management of Postoperative Pain：A Clinical Practice Guideline From the American Pain Society，the American Society of Regional Anesthesia and Pain Medicine，and the American Society of Anesthesiologists′ Committee on Regional Anesthesia，Executive Committee，and Administrative Council [J]. Journal of Pain，2016，17（2）：131-157.
[20] 郑晓静，疏树华.多模式镇痛在术后快速康复中的临床研究进展[J].医学综述，2019，25（4）：800-804.
[21] 王璇，胡辉，刘惠玲.颈椎术后患者舒适状况及影响因素的调查分析[J].检验医学与临床，2017，14（9）：1227-1229.
[22] 丁遵义.推拿在颈椎病中的应用研究[J].中国继续医学教育，2019，11（27）：166-168.
[23] 王涛，尚平福，徐钦华，等.限制性椎板减压联合侧块螺钉固定对脊髓性颈椎病患者术后神经功能及轴性症状的影响[J].中国医学装备，2019，16（8）：70-74.
[24] 郑德采，李漾，廖钦贤.郭氏“畅气通络”手法治疗慢性肩关节运动性软组织损伤临床观察[J].新中医，2015， 47（8）：218-219.
[25] 凌耀权，杨仁轩，邓聪，等.“畅气通络”手法联合针刺百会穴治疗颈椎病的效果及对血流速度的影响[J].中国医药导报，2017，14（16）：82-85，113.
[26] 陈茂水，刘万鹏，王哲，等.峨眉派“畅气通络”手法治疗神经根型颈椎病临床研究[J].河北中医，2019，41（3）：429-433.
2020, Vol. 17 
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