Observation On The Therapeutic Effect Of Tonifying Kidney Prescription Combine With TLIF Surgery To Cure Lumbar Spondylolisthesis

Objective:By observing the recovery of professor of zhou zhangwu’s kidney-tonifying prescription combined with TLIF in the treatment of lumbar spondylolisthesis,the clinical efficacy of kidney-tonifying prescription in the treatment of lumbar spondylolisthesis was studied.Methods:Through 50 patients with lumbar spine were divided into observation group and the control group(n = 25),two groups were performed TLIF technique,control group routine anti-infection,postoperative pain relief to protect the stomach,nerve nutrition,improve circulation and other symptomatic treatment,the observation group were treated in the control group on the basis of the third day began with invigorating the du side oral therapy,taking four courses,a course of 2 weeks,every morning and evening each once,by observing two groups of patients with preoperative and postoperative 2 weeks,3 months after operation and postoperative 6 months of VAS scores and ODI score,to feedback the postoperative recovery;Secondly,the number of patients with lumbar intervertebral fusion at 3 and 6 months after surgery was compared between the two groups to evaluate the effect of kidney-tonifying prescription on intervertebral fusion at the operative level.The changes of TCM symptom scores before and 3 months after surgery were analyzed to evaluate the effect of oral kidney-tonifying decoction on TCM symptoms and signs,so as to study the clinical efficacy of kidney-tonifying decoction combined with TLIF in the treatment of lumbar spondylolisthesis.Results:1.After statistical analysis of age,gender,segment and degree of slippage before treatment,there was no statistically significant difference between the two groups(all P> 0.05),indicating that the two groups were comparable.2.The comparison of preoperative VAS scores between the two groups was not statistically significant and was comparable.The score decreased to different degrees at 2 weeks,3 months and 6 months after the operation,and the reduction in the observation group was better than that in the control group,with statistically significant differences(P< 0.05).3.There was no statistical significance in preoperative ODI score between the two groups,which was comparable.The score decreased to different degrees at 2 weeks,3 months and 6 months after the operation,and the reduction in the observation group was better than that in the control group,with statistically significant differences(P< 0.05).4.The number of patients with lumbar fusion in the two groups at 3 months after surgery was significantly higher in the observation group than in the control group,with statistically significant differences(P<0.05),and there was no significant difference in the number of patients with lumbar fusion at 6 months after surgery(P> 0.05).5.At 1 months and 2 months after the operation,the score of TCM symptoms in both groups was lower than that before the operation,and the observation group was better than the control group(P<0.05).Conclusion:1.Kidny-tonifying prescription combined with TLIF in the treatment of lumbar spondylolisthesis can effectively reduce postoperative pain,improve postoperative lumbar mobility and improve lumbar function;2.The rate of lumbar fusion in the disjoint segment after lumbar spondylolisthesis(TLIF)can be significantly improved by oral tonifying the kidney and supplementing the patient.3.Kidny-tonifying prescription combined with TLIF in the treatment of lumbar spondylolisthesis can significantly reduce the score of TCM symptoms and improve the symptoms and signs of TCM.