| Purpose:1.To evaluate the clinical efficacy of Mongolian medicine GL-HYⅠtype hot compress belt protection combined with Mongolian medicine Sendeng 4 decoction in the treatment of lumbar disc herniation,and provide a basis for further standardizing and standardizing Mongolian medicine hot compress therapy.2.To Preliminary evaluation of the clinical effect of Mongolian medicine combined with acupoints on lumbar disc herniation3.To Clarify the effectiveness and safety of Mongolian medicine GL-HY type I hot compress belt protection combined with Mongolian medicine Sendeng 4 decoction in the treatment of lumbar disc herniation;And improve the recognition and acceptance of Mongolian medicine GL-HY I type hot compress belt protection,hoping that Mongolian medicine GL-HY I type hot compress belt protection can better provide treatment effects for patients.Methods:A total of 60 patients who were recruited by the Mongolian Medical Surgery Department of the Affiliated Hospital of Inner Mongolia Minzu University during January2022-March 2023,who were consistent with the Mongolian-Western medical diagnosis of lumbar disc herniation and the inclusion of this topic,were selected according to the random number table in statistics.Methods were randomly divided into 30 patients in the experimental group and 30 patients in the control group.Early stage: Stir Senden-4 soup with vinegar and warm water,divide 15 g into 15cm×20cm bags for later use.Operation:Experimental group: put Senden-4 decoction into the inner bag of Mongolian GL-HYⅠheat compress belt,make the patient sit and lie down,and wrap Mongolia GL-HYⅠheat compress belt around the waist.Control group: put the patient in bed,apply Senden-4decoction on the herniated lumbar intervertebral disc of the patient,and then irradiate with a specific electromagnetic wave therapeutic device,and place the specific electromagnetic wave therapeutic device at a distance of 30-50 cm from the patient’s body surface.All were controlled at about 40°C～50°C,hot compress was applied for 30 minutes,and hot compress therapy was performed twice a day.One course of treatment was 7 days,and 3 courses of continuous treatment were performed.During the treatment,the temperature should be adjusted according to the patient’s tolerance and skin elasticity.The basic situation,VAS score sheet,JOA score sheet and symptom score sheet were followed up and recorded at five time points before treatment,1 week,2 weeks,3 weeks after treatment,and 1 month after treatment.Results:1.Basic information: Statistical analysis of gender,age,and course of disease data between two groups of patients showed that P>0.05,with no statistically significant difference,indicating comparability between the two groups.2.VAS score:(1)Intragroup comparison: The VAS scores of the experimental group and the control group were compared before treatment,1 week,2 weeks,3 weeks,and 1 month after treatment.The results showed that the VAS scores of the experimental group and the control group decreased after statistical analysis compared to before treatment,and the difference was statistically significant(P<0.05).It indicates that the pain symptoms of patients with lumbar disc herniation can be effectively alleviated through two treatment options.(2)Inter group comparison: Statistical analysis was conducted on the VAS scores of the two groups before and after 1 week of treatment,and the result was P>0.05,with no statistically significant difference;The VAS scores of the experimental group and the control group were compared between the two groups for 2 weeks,3 weeks,and 1 month after treatment.The results showed that the scores of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05),indicating that the treatment effect of the control group was not as good as that of the experimental group.3.JOA score:(1)Intragroup comparison: The J0 A scores of the two groups were compared before and after treatment for 1 week,2 weeks,3 weeks,and 1 month.The results showed that after statistical analysis,the JOA scores of both groups increased compared to before treatment,and the difference was statistically significant(P<0.05).This indicates that both groups of patients have significantly alleviated clinical symptoms,improved lumbar mobility,and improved quality of life.(2)Inter group comparison: Comparing and analyzing the JOA scores of the two groups before and after 1 week of treatment,the results showed that P>0.05,with no statistically significant difference;Comparison was conducted between the experimental group and the control group at various time points after treatment(2 weeks,3 weeks,and 1 month after treatment).The results showed that the JOA scores of the experimental group were higher than those of the control group,and the difference was statistically significant(P<0.05).This indicates that the treatment effect of the experimental group is better than that of the control group.4.Symptom score:(1)Intragroup comparison: Statistical analysis showed that the symptom scores of the experimental group and the control group before treatment for 1 week,2 weeks,3 weeks,and1 month after treatment increased compared to before treatment,and the differences were statistically significant(P<0.05).Intragroup comparisons were conducted on symptoms such as low back pain,lower limb pain or numbness,walking ability,and daily living ability before treatment,as well as 1 week,2 weeks,3 weeks,and 1 month after treatment.The results showed that P<0.05 and the difference was statistically significant,indicating that both the experimental group and the control group could effectively alleviate the symptoms of patients with lumbar disc herniation.Intragroup comparisons were made on the symptoms of lower limb cooling,The results showed that the differences in the experimental group were statistically significant(P<0.05),while the control group showed statistical significance starting from the third week(P<0.05),indicating that the experimental group began to exert efficacy from treatment,while the control group exerted efficacy from the third week.Indicates that the experimental group took effect early.(2)Inter group comparison: Comparing the symptom scores of the experimental group and the control group before and after 1 week of treatment,the results showed that P>0.05,and the difference was not statistically significant;A comparison was conducted between the two groups after treatment for 2 weeks,3 weeks,and 1 month.The results showed that the symptom scores of the experimental group were higher than those of the control group,and the difference was statistically significant(P<0.05).Comparing the various symptoms between groups,the results showed that there was no comparability in the symptoms of lower limb cooling,and there was no statistically significant difference in the scores of low back pain and walking ability(P>0.05).There was no difference in the efficacy between the two groups.Statistical analysis of the scores of lower limb pain/numbness and daily living ability one month after treatment showed a statistical difference(P<0.05),indicating that the experimental group had a better prognosis and treatment effect than the control group.5.Comparison of treatment effectiveness: Among the 30 experimental group patients,2were cured,13 were significantly effective,12 were effective,and 3 patients felt ineffective.The total effective rate of the experimental group reached 90%,with a significant rate of43.33%;Among the 30 control group patients,there were no cured cases,8 cases were significantly effective,15 cases were effective,and 7 cases were ineffective.The total effective rate in the control group was 76.67%,with a significant rate of 26.67%.The result of efficacy data analysis was P<0.05,and the difference was statistically significant.Indicating that the therapeutic effect of the experimental group is superior to that of the control group.6.Safety comparison: A total of 5 adverse reactions occurred,including 2 in the experimental group and 3 in the control group.After statistical analysis,the difference was not statistically significant(P>0.05).Indicates good safety for both groups.Conclusion:1.The combination of Mongolian medicine GL-HYⅠtype hot compress and belt protection,Mongolian medicine Sendeng 4 decoction,and specific electromagnetic wave therapy device combined with Mongolian medicine Sendeng 4 decoction can effectively alleviate clinical symptoms of patients with lumbar disc herniation,and improve their lumbar mobility function and quality of life.2.The therapeutic effect of Mongolian medicine GL-HYⅠtype hot compress belt protection combined with Mongolian medicine Sendeng 4 decoction on lumbar disc herniation is better than that of specific electromagnetic wave therapy device combined with Mongolian medicine Sendeng 4 decoction.3.The combination of Mongolian medicine GL-HYⅠtype hot compress belt protection and Mongolian medicine Senden-4 soup,as well as specific electromagnetic wave therapy devices combined with Mongolian medicine Senden-4 soup,can treat symptoms such as low back pain,lower limb pain/numbness,lower limb cooling,walking ability,and daily living ability.Moreover,the combination of Mongolian medicine GL-HYⅠtype hot compress belt protection and Mongolian medicine Senden-4 soup has a fast onset and good prognosis in treating lower limb pain/numbness and daily living ability symptoms.4.The incidence of adverse reactions in this experiment is low and the safety is good,indicating that the method of Mongolian medicine GL-HY type I hot compress belt protection combined with Senden-4 decoction for treating lumbar disc herniation is worth promoting in clinical practice. |
PDF Full Text Request