论文部分内容阅读
目的 探讨补肾益精填髓方对Chiari Ⅰ畸形并脊髓空洞症术后功能恢复的影响.方法 40例2012年1月-2015年1月因Chiari畸形Ⅰ型住院手术治疗的患者,随机分为对照组19例和治疗组21例.两组患者术后常规、抗感染等治疗,治疗组术后1周起加用补肾益精填髓方口服.两组共治疗24周.采用Tator标准评估临床疗效,采用MRI检查评估脊髓空洞情况.结果 与对照组比较,治疗组治疗12周、治疗后及随访6个月Tator标准评价明显改善(Z分别为316.000、331.000、293.000,P＜0.05,P＜0.01).与对照组比较,治疗组治疗后及随访6个月脊髓空洞评价改善(Z分别为350.500、314.500,P＜0.05).结论 补肾益精填髓方对Chiari Ⅰ畸形并脊髓空洞症手术后患者6个月功能恢复有促进作用.“,”Objective To investigate the effect of Bushen Yijing Tiansui Recipe on postoperative functional recovery in patients with chiari Ⅰ malformation with syringomyelia.Methods Between January 2012 and January 2015 40 cases patients with chiari Ⅰ malformation with syringomyelia in hospitalized operative were randomly assigned to the control group (19 cases) and the therapy group (21 cases).Patients of the two group were treated with conventional,anti infectional treatment after the operation.Patients in the therapy group were additionally treated with Bushen Yijing Tiansui Recipe.The course of treatment was 24 weeks.Clinical efficacy was evaluated by Tator standard.Situation of the spinal cord was evaluated by MRI.Results Compared with the control group,Tator standard evaluation were significantly improved after 12 or 24 weeks of treatment and 6 months follow-up in the therapy group (Z was respectively 316.000,331.000,293.000,P ＜0.05,P ＜0.01).Compared with the control group,the spinal cord evaluation were improved in the therapy group after treatment and 6 months follow-up (Z was respectively 350.500,314.500,P ＜0.05).Conclusion Bushen Yijing Tiansui Recipe in the treatment of patients with chiari Ⅰ malformation with syringomyelia can improve postoperative 6 months functional recovery.