| Objective:through the quantitative evaluation method, to explore the percutaneous puncture cryogenic plasma ablation of nucleus pulposus with peach siwu tonga subtraction to treatment the clinical curative effect of qi and blood stasis type lumbar intervertebral disc protrusion. Compare the curative effects of different methods for treatment of lumbar intervertebral disc protrusion, to compare the treatment of the best ways to qi and blood stasis type lumbar intervertebral disc protrusion.Methods:by collecting, in line with the western medicine diagnosis of lumbar intervertebral disc protrusion diagnosed as lumbar bi qi stagnancy and blood stasis syndrome of TCM of 45 cases of patients,23 cases of male, female 22 cases. Age 31-87, the average age is 57. All patients with lumbar disc, from March 2015 to January 2016, in the dongzhimen hospital orthopaedic inpatients in two. These patients were randomly three groups, each group of 15 people, a total of 45 people. Randomly divided them into three groups, each group of 15 cases. A set of treatment with pure peach siwu tonga subtraction, here named for group 1. A set of simple low-temperature plasma radiofrequency treatment of nucleus pulposus, here named group 2. One last set of using low temperature plasma ablation of nucleus pulposus with peach siwu tonga subtraction oral drug therapy, here named group 3. Study by adopting the same patients before and after treatment, the symptoms score comparison method were studied. Return within the first 3 months, respectively in patients with preoperative postoperative please according to oneself circumstance fill in the application of visual analogue scale (VAS) and JOA assessment scale, and establish the database, data is retained. By tip JOA score before and after treatment to evaluate the treatment effect and its application of visual analogue scale (VAS) numerical change of scale, analysis of three groups of treatment effect, to explore the clinical treatment of qi and blood stasis type of the most effective treatment for lumbar disc prolapse.Results:1, through the comparison between the three groups of treatment, treatment group 1, group 3 the highest treatment. They respectively set at 1:55.51 plus or minus 17.62%"0.37 +/-14.01%group 3:75.20+/-11.18%. Treatment comparison between three groups had significant difference (p<0.01). Joa score statistics respectively before treatment between three groups:group 1:13.93+/-3.863, group 2:14.07-3.654 group 3:15.87+/-3.270. After treatment group 1:22.33+/-2.944, group 2:24.27+/-2.251, group tutor.67+/-1.799. By comparing the Joa score before and after the treatment the data found that group 2 and group 3 compared with group 1 data have significantly improved after treatment, the difference between group 2 and group 3 is not obvious. By the results of statistical Vas values between the three groups. Preoperative scores according to patients condition to fill in the questionnaire, the highest for nine points, minimum of 5 points, to an average of 7.37+0.848. Postoperative scores according to patients condition to fill in the questionnaire,7 points, the lowest is divided into 1 minute, the average 3.18:3.18. Three groups of Vas before and after the treatment data. Before treatment group 1:87+/-0.640, group 2:7.00+/-0.926, set of 3:7. 07-0.704. After treatment group 1:5.40+/-0.82, set 2:2.20+/-1.146. Set of 3:1.93+ 0.704. Vas values of three groups:group 1:2.47+/-0.834, group 2:4.80+/-1.320, group 3:5.13+/-0.990. By comparing the three groups of preoperative postoperative Vas values change, found between the three groups of Vas values changes have significant differences, group 2, group 3 postoperative Vas values significantly lower than group 1. Group 2, group 3 no significant differences between postoperative Vas change.Conclusion:the clinical application of percutaneous puncture of low temperature plasma ablation combined with traditional Chinese medicine huoxue fang of nucleus pulposus therapy for the treatment of qi and blood stasis type lumbar intervertebral disc protrusion curative effect. Clinical treatment effect and the individual application of low-temperature plasma technology curative effect difference was not significant. |