1.The first day of admission Introduce the doctor and the nurse in charge to the patient, introduce the ward environment, and introduce the treatment orientation.
2.Required examination items
(1) X-ray of cervical spine in open position, front and side position, functional position and double oblique position. Li Liang, Department of Traditional Chinese Medicine and Orthopedics, Xi’an Hong Hui Hospital
(2) Blood routine, urine routine, stool routine.
(3) Selective examination of liver function, kidney function, blood glucose, electrolytes, coagulation function, blood sedimentation depending on the patient’s condition.
(4) Electrocardiogram.
3.Optional examination items: according to the needs of the condition, such as electromyography, cervical spine CT or MRI, lipid, anti-O, rheumatoid factor, C-reactive protein, etc.
4.vas score, spinal cord function assessment criteria for patients with cervical spinal cord disease (referred to as the 40-point method).
Specific treatment items.
1.Physical factor therapy
Commonly used treatment methods.
(1) Ultrashort wave therapy or microwave therapy
(2) Ultrasound therapy
(3) Stereo dynamic interference electrotherapy
(4) Magnetic vibration heat therapy
2.Medication
(1) Treatment with drugs to improve bone quality, dehydration, and nerve nutrition.
(2) No significant improvement in symptoms with the use of hormone therapy.
(3) According to the condition, take Chinese medicine treatment at the same time.
(4) Oral administration of non-steroidal anti-inflammatory and pain-relieving drugs and vitamin drugs.
3.Chinese herbal medicine treatment
(1) External application of Chinese herbal medicine, Chinese medicine collapse treatment, use of the hospital agreement formula upper limb lotion or Tongzhi Tang.
(2) Manipulation
It is based on the principle of anatomy and biomechanics of cervical spine bones and joints, and for its pathological changes, passive activities such as pushing, pulling and rotating the spine and small joints of the spine are carried out to adjust the anatomical and biomechanical relationship of the spine, and at the same time, the muscles and soft tissues related to the spine are loosened and rationalized to improve joint function, relieve spasm and reduce pain. The aim is to improve joint function, relieve spasm and reduce pain.
Acupuncture therapy In conjunction with distal acupuncture points, acupuncture for pain relief or distal acupressure for pain relief.
4.Traction therapy
Cervical traction is a common and effective method for treating cervical spondylosis. Cervical traction helps to release the muscle spasm of the neck, relax the muscles and relieve the pain; release the soft tissue adhesions and stretch the contracted joint capsule and ligaments; improve or restore the normal physiological curvature of the cervical spine; increase the intervertebral foramen and relieve the stimulation and compression of the divine constriction root; enlarge the vertebral space and reduce the pressure in the intervertebral disc.
5.Cervical spine exercise therapy
Adopt “Neck and shoulder disease exercise prescription”.
6.Orthopedic support application
Orthopedic brace of cervical spine is mainly used for fixing and protecting cervical spine, correcting abnormal mechanical relationship of cervical spine, reducing neck pain, preventing over-extension, over-flexion and over-rotation of cervical spine, avoiding further damage to spinal cord and nerves, reducing spinal edema, reducing traumatic reaction of intervertebral joints, helping to repair tissues and alleviate symptoms, and carrying out simultaneously with other treatment methods can consolidate therapeutic effect and prevent recurrence.
Generally, the treatment should start with regular non-surgical treatment and continue for 3-4 weeks, which is usually effective. For individuals with progressive development (mostly spinal cord cervical spondylosis), it is necessary to make an immediate decision and perform surgery as soon as possible.
7.Discharge criteria
1.Cervical and upper limb pain symptoms disappear or improve significantly.
2. Basic recovery of daily living ability.
3.Efficacy assessment vas score, spinal cord function assessment standard for patients with cervical spinal cord disease (referred to as 40-point method).
4.No complications requiring hospitalization.
8.With or without variation and reason analysis
1.The condition worsened, requiring longer hospitalization and increased hospitalization costs.
2.Patients with combined diseases of other systems, whose conditions worsened during hospitalization and required special treatment, resulting in longer hospitalization and increased costs.