| Objective: Through this clinical study on the treatment of residual low back pain after oblique lumber interbody fusion(OLIF)for degenerative lumbar spondylolisthesis(DLS).To evaluate the clinical efficacy and safety of Traditional Chinese Medicine Hot-Pack in the treatment of low back pain after oblique lumber interbody fusion for degenerative lumbar pondylolisthesis,To explore a safe and effective treatment for residual low back pain after lumbar spine surgery.Methods: According to inclusion criteria and exclusion criteria,66 patients were selected with degenerative lumbar spondylolissin treated in the Spinal Surgery Department of Fuzhou Second Hospital affiliated to Xiamen University from January 2021 to November 2021 who residual low back pain after had received oblique lumber interbody fusion.According to the random number table method,the patients were divided into control group and treatment group according to the diagnosis time sequence number,33 cases in each group.In both groups,patients were treated with conventional oral medication(celecoxib capsules +eperrisone hydrochloride tablets)as the basic treatment,The control group was treated with basic treatment + hot water pack hot compress,and the treatment group was treated with basic treatment + Traditional Chinese Medicine Hot-Pack hot compress.At the same time,patients in the two groups were followed up for a period of one month.During the follow-up period,VAS and JOA low back pain scale were used to evaluate the improvement of low back pain symptoms,The Oswestry Disability Index Questionnaire(ODI)assesses improvement in lumbar function.VAS score,JOA score and ODI index of 2 groups before treatment,2 weeks after treatment and 4 weeks after treatment were recorded and recorded by outpatient and telephone follow-up.Statistical software SPSS20.0 was used to analyze the data and evaluate the clinical efficacy.Results: The 66 patients included in the study were treated accordingly,and a total of 60 patients were actually completed.In the control group,a total of 30 patients completed the study,2 patients could not adhere to hot compress treatment due to pain,and 1 patient withdrew from the study due to personal reasons.In the treatment group,30 patients completed the study,1 patient dropped out of the study and 2 patients lost follow-up.The other patients showed no symptoms of scalding,ulceration and allergy at the treated site during the treatment,and were able to complete the treatment and follow-up.The general data of the two groups were statistically analyzed,including gender,age,operation time and amount of blood loss.7 males and 23 females in the control group,with an average age of60.03±10.56 years,an average operative time of 2.58±0.56 hours,and an intraoperative bleeding volume of 90.33±50.51 ml per capita.In the treatment group,there were 5 males and 25 females,with an average age of 61.70±7.93 years,an average operation time of 2.48±0.85 hours,and an average intraoperative blood loss of 109.33±87.96 ml.After statistical analysis,all P values were P>0.05,and the differences were not statistically significant,indicating comparability.There were no statistically significant differences in VAS score,JOA score and ODI index between 2 groups before treatment(P>0.05).After follow-up,VAS scores in both groups decreased significantly compared with before treatment,and VAS scores in the treatment group decreased more significantly 2 weeks and 4 weeks after treatment than in the control group(P<0.05).In terms of JOA score,the scores of 2 groups were improved compared with before treatment,and the scores of treatment group were improved significantly compared with control group(P<0.05).After 2 weeks of treatment and4 weeks of follow-up,the ODI index in 2 groups was lower than that before treatment,and the ODI index in the treatment group was better than that in the control group(P<0.05).Conclusion: It is safe and effective for patients with residual low back pain after oblique lumber interbody fusion in degenerative lumbar spondylolisthesis to apply traditional chinese medicine Hot-Pack,which can relieve the symptoms of low back pain,promote the recovery of lumbar function and improve the quality of life of patients. |
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