Traumatology of guangdong province famous professor pei-ji su in engaged in more than 30 years of clinical work, adhere to the "follow the traceability, longing and west", adopt many long, bold innovation, formed a unique system of academic thoughts and clinical features.Meat impotent refers to the limb muscles impotent weak weak, unable to bear a disease of the body. The motherland medicine based on the overall view of meat expression paralysis after spinal cord injury syndrome differentiation and treatment, showing its unique advantages. For meat expression paralysis after spinal cord injury in the current lack of effective treatment methods, traditional Chinese medicine with its own advantages will be studied how to a new direction for the prevention and control of meat expression paralysis after spinal cord injury. Meat expression paralysis after spinal cord injury not only seriously affect the patient’s limb function, also to the family and social economic, human and spiritual burden. Therefore, the meat after spinal cord injury impotent for effective prevention and treatment is of great significance; Dragon stilbene strong muscle water reuse and low price, easy of lingnan Chinese dragon with five claws for medicine, five claws Long Xing flat and replenishing qi tonify deficiency, spleen dampness, relaxes the muscles and stimulate blood circulation and not dry, beside eliminate pathogenic characteristics, reduce the side effects of medication for a long time and the economic burden of patients,purposeInheritance and finishing professor pei-ji su’s academic experience and technical expertise, training talents of Chinese medicine.The purpose of this study is to combine the motherland medicine taste for the source of qi and blood biochemical, lienal advocate the theory of limbs, muscle, through randomized double-blind controlled, prospective study of experiment design method, the treated from the spleen meat expression paralysis after spinal cord injury clinical observation research, discusses the basic treatment of meat expression paralysis after spinal cord injury, to choose the traditional Chinese medicine compound dragon stilbene drink strong muscle as a factor of exerting the study, to observe the clinical efficacy and safety, in order to clarify the party meat expression paralysis after spinal cord injury on the treatment of advantage.methodsMainly through clinical and teacher learning, theoretical study, independent, centralism teaching, clinical diagnosis and treatment records with comments and basis, writing notes with division, analysis the deficiency of independent clinical practice, lapping TCM classics, the basis, the reading notes, earnestly fully succeed professor pei-ji su’s academic thoughts and clinical experience, technical expertise.This study adopted randomized double-blind controlled clinical trial method, will conform to the standard in cases of 30 patients after spinal cord injury in impotent patients were randomly divided into treatment group (15 cases and control group in 15 cases, treatment group with conventional drugs comprehensive rehabilitation treatment symptomatic treatment++drink dragon stilbene strong muscle (drug composition:dragon with five claws, astragali 30 g,100 g main licorice 20 g 15 g,5 g dried tangerine peel, ginseng,20 g atractylodes, poria cocos 20 g, one thousand jins of 15 g,15 g in cattle, angelica, radix bupleuri 10 g,10 g cohosh 10 g, oral, one dose). Control to conventional drugs symptomatic treatment+comprehensive rehabilitation treatment (including independent lower limb muscle contraction,4 times a day, every time 30 minutes, passive joint movement twice a day, every time 20 minutes, acupuncture, standing training, walk training once per day). According to the above method treatment for 6 months. Reference to contrast the clinical guidelines of new drug of TCM treatment, by observing the patients clinical symptoms before and after treatment, the change of emg (including insert extension point, spontaneous potential, action potential, the MCV) week, calf, thigh weeks diameter size change research dragon stilbene drink strong muscle after the treatment of spinal cord injury clinical curative effect of meat impotent, and a three regular checks per month,12 lead ecg examination, liver and kidney function, in order to evaluate the safety of the treatment,results1. Studied with division 1, successfully completed three years of requirements, able to work independently engaged in the clinical diagnosis and treatment of 180 records with notes, article 36 months, after analyzing clinical basis,66 classic learning tips article 12, and summarize professor pei-ji su academic ideas of the article 1 published articles.2. Diameter 2 week, two groups of patient’s own thigh, calf weeks diameter changes from before the treatment, compared with the end of the course has a statistically significant difference between weeks (thigh, calf weeks along jinghe detection indexes such as the change of the P<0.05).3. two groups of patients after treatment, the treatment group insert extension point, spontaneous potential, action potential, the MCV all have different degrees of improvement, P values>0.05, the difference was statistically significant. Control insert extension point, spontaneous potential, action potential, the MCV improvement is not obvious, is compared between group P values>0.05, the difference was statistically significant.4. and two groups before and after treatment in patients with their own blood, urine, stool routine examination, electrocardiogram, liver function, renal function indexes compared with no significant statistical difference (P> 0.05).5. two groups of TCM syndrome integral were improved, including the control of traditional Chinese medicine syndrome curative effect evaluation of the total effective rate was 60%. Experimental group was 100%.6. treatment process, the dragon stilbene drink strong muscle group, there are 2 cases appeared mild vomiting,3 cases with mild diarrhea. The curative effect of patients with the rest of the security index does not appear abnormal changes, no obvious adverse reactions.conclusion1. Professor pei-ji su,1 traumatology disease has a unique thinking, dialectical treatment of orthopedics diseases from the Angle of the five, from the perspective of the liver and spleen kidney more, pay attention to qi and blood, by adjusting the human body function to achieve the purpose of healing as a whole.2. the treatment group and control group can improve the limb weakness after spinal cord injury, not voluntary movement, muscle atrophy and other symptoms.3. the effect of treatment group is better than the control group, especially in alleviate limb weakness, inability to voluntary movement, effect of experimental group is better than the control group.4. the dragon stilbene strong muscle drink can effectively reduce the spontaneous electrical activity after spinal cord injury, improve the abnormal nerve conduction.5. strong dragon stilbene drink treatment on meat away after spinal cord injury with good security.summaryProfessor pei-ji su’s academic thinking of clinical have important guiding significance, is worth further promoting and inheritance.The spleen to transport and tranform, subtle, if his temper is enough, four cloth is subtle, limb muscles to moisten. So the meat her treatment after spinal cord injury should be treated from the spleen, this study suggests the dragon stilbene drink strong muscle to muscle atrophy after spinal cord injury has good curative effect, can effectively prevent muscle atrophy, at the same time improve the motor function in patients with and without obvious side effects, clinical can be long-term use. Will further using large sample, long period, more than control group in the clinical study, long-term follow-up to objective evaluation the dragon stilbene strong muscle drinks on the curative effect of muscle contraction after spinal cord injury, the mechanism of its action research. |