Clinical Observation On The Therapeutic Effect Of Dilong Powder On Pain Syndrome After Lumbar Intervertebral Disc Herniation

Objective: To observe the clinical effect of dilong powder plus flavor in the treatment of pain syndrome after lumbar intervertebral disc herniation.Methods: From October 2016 to October 2018,patients who were hospitalized at the People’s Hospital of Fujian University of Traditional Chinese Medicine and who were diagnosed with lumbar disc herniation and performed simple pulporectomy were found to be in line with postoperative pain syndrome.The diagnosis of Chinese medicine syndrome belongs to the "blood stasis syndrome." According to the diagnostic criteria of Chinese and Western medicine,70 cases were included in the study.Random divided into two groups of 35 cases,1,control group: basic treatment;2,the test group: basic treatment + dilong powder flavor,the second day after the operation to give dilong powder flavor treatment,7 days for a course of treatment,Chinese medicine treatment three courses,each course of 2 days intermittent.Among them,the experimental group fell off 2 cases and actually completed 33 cases,27 cases of men and 6 cases of women,aged 21-50 years,with an average age of 39.97 ± 7.18 years;The control group lost 3 cases and actually completed 32 cases,25 cases for men and 7 cases for women.The age was 24-55 years and the average age was 39.53 ± 7.72 years.Whether there are statistical differences between the two groups in terms of sex,age,course of disease,and stage of onset,determine the comparability.Observe and record the indicators of VAS score,JOA score,and ODI score in the two groups before surgery,the first day after surgery,and the first week,January,March,and June after treatment.The lower extremity electromyogram(H reflection)observed the indicators before and after the treatment in January,March,and June,and analyzed the clinical efficacy of the post-treatment test group and the control group.Result: 1.According to statistical analysis,there was no statistical difference(P>0.05)between the two groups in the preoperative general condition(sex,age,duration of disease,diseased segment),which was comparable.2.There were no significant differences in VAS score,JOA score,H reflectance difference and ODI score between the two groups one day before surgery and one day after surgery(P>0.05). 3.VAS score: One week after treatment and one month after treatment,the VAS score of the two groups was significantly lower than that of the first day after operation,and the difference between the two groups was statistically significant(P<0.05),and the decrease of the VAS score of the experimental group was greater than that of the control group.After 3 months and 6 months of treatment,the VAS score of the two groups was significantly lower than that of the first month after operation,and there was no significant difference between the two groups(P>0.05).4.JOA score: One week and one month after treatment,the JOA score of the two groups increased slightly compared with the first day after operation,and there was no significant difference between the two groups(P>0.05).The JOA score of the experimental group decreased more than that of the control group.After 3 months and 6 months of treatment,the JOA score of the two groups increased significantly compared with that of the first month after operation,and there was significant difference between the two groups(P<0.05).5.Surface electromyography(s EMG)values:1 month,3 months and 6 months after treatment,the difference of H reflex between the two groups decreased gradually compared with the first day after operation.There was no significant difference in the difference of H reflex between the two groups(P>0.05).6.ODI index:One week,one month,three months and six months after treatment,the ODI scores of the two groups decreased significantly compared with the first day after operation,and the difference between the two groups was significant(P<0.05).Conclusion: Dilong powder added flavor treatment of lumbar posterior simple myelocele after the treatment of pain syndrome is significant,not only to improve the symptoms of early postoperative lumbar pain,but also can effectively improve the quality of life of patients,the deficiency is the improvement of residual neurological symptoms is not obvious.