Early Clinical Observation Of Shujin Huoxue Decoction Combined With Intervertebral Foramen Mirror Surgery For Treatment Of Lumbar Disc Herniation Of Qi Stagnation And Blood Stasis Type

Objective: To observe the early clinical efficacy of percutaneous transforaminal endoscopic surgery(PTED)combined with Shujin Huoxue Decoction in the treatment of lumbar disc herniation of qi stagnation and blood stasis type.Methods: From January 2021 to December 2022,60 patients(20-65 years old)with lumbar intervertebral disc herniation due to qi stagnation and blood stasis who met the inclusion criteria and were treated in the Fourth Department of Orthopedics,Yunnan Provincial Hospital of Traditional Chinese Medicine,were randomly divided into treatment group and control group;The routine treatment after PETD surgery was taken as the control group,while the treatment group was treated with routine treatment after PTED surgery plus oral prescription Shujin Huoxue Decoction for 1 month.All intervertebral foramen endoscopic surgery were performed by the same surgeon.By recording the VAS,JOA,and ODI scores of the two groups of patients before,one week after,and one month after surgery.One month after surgery,the early clinical efficacy was evaluated using the modified Mac Nab standard.After all data are collected and sorted out,SPSS26.0 software is used for analysis and processing.Results:(1)Baseline analysis: Age,course of disease,gender,preoperative VAS score,JOA score,and ODI index were all comparable(P>0.05).(2)VAS score: Compared within the group,the VAS score of patients in the two groups in the first month after surgery was lower than that in the first week after surgery,and the VAS score of patients in the two groups at each time point after surgery was improved compared with that before surgery(P<0.05),with a statistically significant difference;In comparison between groups,there was no statistically significant difference one week after surgery(P>0.05),but there was statistically significant difference one month after surgery(P<0.05).(3)JOA score: Compared within the group,the JOA score of patients in the two groups in one month after surgery was greater than that in one week after surgery;The JOA scores of the two groups of patients at each time point after surgery were improved compared to those before surgery(P<0.05),with a statistically significant difference;In comparison between groups,there was no statistically significant difference one week after surgery(P>0.05),but there was statistically significant difference one month after surgery(P<0.05).(4)Comparison of ODI index: Intragroup comparison showed that the ODI score index of patients in the two groups in the first month after surgery was smaller than that in the first week after surgery;The ODI index of the two groups of patients at each time point after surgery was improved compared to that before surgery(P<0.05),with a statistically significant difference.Compared between the two groups,the difference was not statistically significant one week after surgery(P>0.05),while the difference was statistically significant one month after surgery(P<0.05).(5)Evaluation of the efficacy of modified Mac Nab: One month after surgery,the excellent and good rate in the treatment group was 93.1%,which was higher than 82.8% in the control group.The difference between the two groups was statistically significant(P<0.05).(6)Safety observation: During the study,there was no significant abnormality in all indicators of the patient,and no adverse reactions or events occurred.Conclusion: "Shujin Huoxue Decoction combined with PTED surgery for the treatment of lumbar disc herniation due to qi stagnation and blood stasis has a definite clinical effect in the early stage,which is superior to PTED surgery alone.It can alleviate the symptoms of patients and accelerate their recovery.".