| Objective:To observe the clinical outcome of Chinese traditional medicine treatment for spondylolisthesis. To discuss approach of reducing postoperative pain, promoting fusion and improving the curative effect.Methods:This article is conducted a retrospectie study on 30 patients with spondylolisthesis from the Hospital of Taishan from Dec.2007 to Jul.2009, each with a complete information and accorded with both of the inclusive criteria and the excluded criteria. All of the 30 inpatients were randomly divided into treatment and control groups. All the patients of two groups received treatment with lumbar decompression and lumbar intravetebra fusion and pedicle screw system fixation. While the patients in the treatment group can take Chinese medicine after operation(therapy with syndrome differen-tiation, taking Chinese medicine("Shuang Gu San Zi" capsules)after leave hospital. (1)The changes of pain of all the patients'at preoperation and postoperation 5,8 and 14 day were observed. In accordance with visual analogus scale to score, compare and analyse the changes. (2) The fusion rates of two groups were recorded respectively in 3,6 month after surgery. (3) The total score of the patients'symptoms and signs in the two groups were recorded respectively before and after operation 6 month by Oswestry disability index with low back pain score sheet. To calculate improving efficacy rate as the general evaluation standards.Results:(1) The pain score of the patients evaluated according to VAS in the two groups before surgery had no significant difference by t-test (P>0.05), showing that there was comparison between them in pain degree.The pain score of the patients in the two groups were compared and tested separately at 5,8 and 14 day after operation, there were all the same, suggesting that effect of therapy relieve the pain the same in the two groups in the time period of two weeks after surgery. (2) All the patients received X-ray examination and the fusion rates of two groups were recorded respectively in 3,6 month after surgery.In the treatment group the fusion rate was 53.33%(8/15),93.33%(14/15) in 3 and 6 month after operation;In the control group the fusion rate was 33.33% (5/15),73.33%(11/15) in 3 and 6 month after operation. The statistical test showed that the two groups in 3 and 6 month after surgery had a number of significant differences(P<0.05). The number of fusion time in the treatment group was more than the control group, showed that the fusion time of treatment group was faster than the contrly group.(3) The rate of improvement of two groups patients in 6 month after operation had significant difference(P<0.05), showed that the clinical effect of treatment group was better than the control group in 6 month after surgery. Conclusions:The application for taking traditional Chinese medicine after surgical treatment for spondylolisthesis, wich can effectively relieve pain in perioperatie and improve the fusion rate in the short term (3 and 6 month after surgery) and show advantage of the combined treatment of Chinese and Western Medicine. |
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