| Objective: To observe the effect of anterior cervical decompression and internal fixation combined with electroacupuncture on the recovery of neurological function in patients with cervical spondylotic myelopathy,and provide a clinical basis for electroacupuncture to accelerate the recovery of postoperative neurological function in patients with cervical spondylotic myelopathy.Methods: A total of 60 patients with cervical spondylotic myelopathy were enrolled in this study.All patients underwent anterior cervical surgery in the the Department of Spine Surgery of Fuzhou Second Hospital Affiliated to Xiamen University from February 2018 to November 2018.The patients were randomly divided into control group and observation group with 30 cases in each group according to the order of admission and the random number table method.The control group received conventional treatment after anterior cervical surgery.In the observation group,conventional treatment after anterior cervical surgery was combined with electroacupuncture therapy,that is,electroacupuncture was used once a day for 20 minutes on the third day after surgery for 14 consecutive days.JOA score,International Standards for Neurological Classification of Spinal Cord Injury(motor score,acupuncture sense score),and median nerve SEP(N9-N20)interwave period were recorded in both groups.SPSS 20.0 statistical software was used for data analysis to determine whether there was any comparability between the two groups in terms of gender,age,duration of disease and involvement of cervical spondylosis.JOA score,JOA improvement rate,International Standards for Neurological Classification of Spinal Cord Injury(motor score,acupuncture sensation score)and median nerve SEP(N9-N20)were compared between the two groups.Results:(1)Comparison of baseline data: there was no significant difference between the two groups in terms of gender,age,duration of disease,and the involvement of cervical spondylosis(P>0.05),which was comparable.There was no significant difference between the two groups(P>0.05)before and 3 days after surgery in JOA score and International Standards for Neurological Classification of Spinal Cord Injury(sports score and acupuncture sensation score),which were comparable.There was no significant difference between the two groups(P>0.05)in the improvement rate of JOA and median nerve SEP(N9-N20)3 days after surgery.(2)From the perspective of JOA score,intra-group comparison showed that the JOA scores of the 3 days,2 weeks,6 weeks,and 3 months after surgery were higher than those of the previous observation points(P<0.05),showing statistical difference.Comparison between groups: at 2 weeks,6 weeks and 3 months after surgery,JOA score of the observation group was higher than that of the control group(P<0.05),with statistical difference.(3)From the improvement rate of JOA,the total effective rate of observation group at 3 months after surgery was 90.0% higher than that in the control group 83.3%(P<0.05),which was statistically different.(4)From the perspective of the sports score,intra-group comparison showed that the sports scores of the two groups at 3 days,2 weeks,6 weeks and 3 months after surgery were all improved compared with the previous observation point(P< 0.05),showing statistical difference.Intergroup comparison: at 2 weeks,6 weeks and 3 months after surgery,the sports scores of the observation group were higher than those of the control group(P<0.05),with statistical difference.From the perspective of the score of acupuncture sensation,intra-group comparison showed that the scores of acupuncture sensation of the two groups at 3 days,2 weeks,6 weeks and 3 months after surgery were all improved compared with the previous observation point(P<0.05),showing statistical difference.Comparison between groups: there was no statistical difference in acupuncture sensation scores between the two groups at 2 weeks after surgery(P>0.05),and the scores in the observation group were all higher than those in the control group at 6 weeks and 3 months after surgery(P< 0.05),showing a statistical difference.(5)From the perspective of median nerve SEP(N9-N20)interwave period,the comparison on the left side showed that the normal rate of N9-N20 interwave period in the observation group at 3 months after surgery was 73.3%,higher than that in the control group 46.7%(P<0.05),showing a statistical difference.Comparison on the right side: the normal rate of N9-N20 interwave period in the observation group at 3 months after surgery was 76.7% higher than that in the control group 50.0%(P<0.05),showing a statistical difference.Conclusion:(1)Anterior cervical decompression and fusion internal fixation can improve the neurological function of patients with cervical spondylotic myelopathy.(2)Combined with electroacupuncture therapy can significantly improve the postoperative neurological status of patients with cervical spondylotic myelopathy,and that is an effective method for the postoperative neurological rehabilitation of cervical spondylotic myelopathy. |
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