Study On TCM Syndrome Differentiation Of Lumbar Disc Herniation And The Correlation Between Pain Factors And Anxiety And Depression

Objectives:Based on the analysis of the syndrome types,pain and psychological problems of the patients with lumbar disc herniation,the study explores the TCM classification of lumbar disc herniation and the relationship between pain symptoms and anxiety and depression.It is aims to find that the difference of classifications and pain and psychological problems in the lumbar disc herniation.Methods:54 patients with lumbar disc herniation from September 2018 to January 2021 were collected.According to the clinical symptoms,different questionnaires were filled in,including classification,tongue coating,Self-Rating Anxiety Scale,Self-Rating Depression Scale and Pain Catastrophizing Scale.The syndrome types,pain,anxiety and depression were evaluated,and statistical statistics were made.The analysis summarized the different TCM classifications of lumbar disc herniation,the effect of pain symptoms and anxiety and depression.Results:1.In terms of age,the average age of patients with blood stasis and qi stagnation type was 36.63±11.80 years old,and the average age of patients with liver and kidney deficiency type was 47.50± 11.51 years old.The age of patients with liver and kidney deficiency type was older than that of patients with blood stasis and Qi stagnation type,and the difference was statistically significant(P<0.01)2.In terms of SAS,SAS score of blood stasis and qi stagnation type was 48.21± 8.14,SAS score of liver and kidney deficiency type was 39.72± 7.38,SAS score of blood stasis and qi stagnation type was higher than that of liver and kidney deficiency type,the difference was statistically significant(P<0.05).SDS score of blood stasis and Qi stagnation type was 49.75±9.57,SDS score of cold dampness obstruction type was 38.33±10.18,SDS score of blood stasis and qi stagnation type was 49.75 ± 9.57 The SDS score of patients with cold dampness obstruction type was higher than that of patients with cold dampness obstruction type,and the difference was statistically significant(P<0.05)3.Multivariate logistic analysis showed that pain was correlated with anxiety and depression(P<0.05).Pain is a risk factor for anxiety and depression.Conclusion:SAS anxiety score of patients with blood stasis and qi stagnation was significantly higher than that of patients with liver and kidney deficiency;SDS depression score was significantly higher than that of patients with cold dampness obstruction.Psychological interv ention in advance for patients with blood stasis and qi stagnation can alleviate the psychological state of anxiety and depression,improve the analgesic effect of clinical treatment,improve the function of patients,and improve the quality of life,which is conducive to increasing the clinical treatment effect.