Clinical Observation On Chronic Low Back Pain Back After Thoracolumbar Internal Fixation Treated By Fuyuan Huoxue Tang With Lumbar And Back Muscle Exercise

ObjectiveTo observe the clinical efficacy of Fuyuan Huoxue tang with lumbar and back muscle exercise in the treatment of chronic low back pain after internal fixation of thoracolumbar fracture,in order to improve the postoperative quality of life of patients.MethodsSixty patients with thoracolumbar fracture caused by traumatic single-level burst fracture in Fuzhou Second Hospital were screened from January 2020 to December 2020,who were treated with posterior open reduction and pedicle screw internal fixation for thoracolumbar fracture during hospitalization,and who still had low back pain in our hospital one month after surgical treatment,and were randomly divided into experimental group and control group,with 30 cases in each group.The control group was given celecoxib tablet,0.2g,twice a day,on the basis of conventional postoperative treatment,starting from the next day of return visit.The experimental group was additionally given Fuyuan Huoxue Tang and five-point support exercise for 3 weeks.The changes of interleukin-1β,interleukin-6,VAS score,ODI index and evaluation of TCM efficacy between the two groups before and 2 and 4 weeks after treatment were observed and compared.Results and data were analyzed by SPSS23.0.Results1.Before treatment,there was no significant difference in general data,clinical test indexes,pain scores and total symptom scores between the control group and the experimental group(P>0.05),which was comparable.2.After 2,and 4weeks of treatment,the values of inflammatory factors,VAS score and ODI index decreased in both groups.The differences between the two groups were statistically significant(P<0.05),and the experimental group was better than the control group.3.The curative effect of TCM syndromes and clinical efficacy were improved in the two groups at the 2nd and 4th week after treatment,and the experimental group was better than the control group(P<0.05),which had statistical significance.Conclusions1.Compared with western medicine alone,Fuyuan Huoxue Tang combined with lumbar and back muscle exercise and western medicine can effectively improve the clinical symptoms and signs of patients with chronic lumbago after thoracolumbar fracture with Qi stagnation and Blood stasis Type,and reduce the TCM syndrome score.2.Fuyuan Huoxue Tang combined with lumbar and back muscle exercise with western medicine therapy can effectively reduce the patients’ beta,IL-6,IL-1,VAS score,ODI score,the curative effect is superior to western medicine alone treatment,suggesting Fuyuan Huoxue Tang combined with lumbar and back muscle exercise can effectively alleviate the body’s inflammatory response,improve the thoracolumbar postoperative chronic low back pain,and can conducive to the spine rehabilitation and improve the ability of independent living.3.During the implementation of this project,the patients’ vital signs,liver and renal functions were all normal,and no obvious toxic and side effects were found.Therefore,it has high safety and high clinical application value.