| Objective:To observe the clinical effect of Dilong Powder on the residual symptoms of lumbar disc herniation after Intervertebral foramen endoscopy(Qi stagnation and blood stasis syndrome).Methods:60 patients who met the inclusion criteria were selected and randomly divided into a control group and an experimental group,with 30 patients in each group,according to the order of treatment.The control group received routine postoperative treatment and functional exercise,while the experimental group continued to take Dilong San for 4 weeks on top of the control group.Record the VAS score,JOA score,and traditional Chinese medicine syndrome score table of the patient before surgery,3 days after surgery,1 week after surgery,4 weeks after surgery,and 3 months after surgery through hospitalization,postoperative outpatient follow-up,and telephone follow-up.Analyze and compare the results,and evaluate the clinical efficacy of the patient using the improved Mac Nab treatment efficacy evaluation standard at the4 th week after surgery.Use SPSS 25.0 statistical software to process,analyze,and summarize all data generated during the experimental process.Results:1.Intragroup comparison: The VAS,JOA,and Traditional Chinese Medicine Syndrome Score scores of the two groups of patients were statistically significant(P<0.05)before and 3 days after surgery,1 week after surgery,4 weeks after surgery,and 3 months after surgery.The above evaluation indicators at each observation time point after surgery showed statistical differences(P<0.05)compared to the preoperative comparison.The VAS score and Traditional Chinese Medicine Syndrome Score showed a continuous downward trend at each time point after surgery,while the JOA score showed a continuous upward trend.2.Inter group comparison: There was no statistically significant difference in VAS scores between the two groups before surgery(P>0.05),but there was a statistically significant difference in VAS scores at 3 days,1 week,4 weeks,and 3 months after surgery(P<0.05).The VAS scores of the experimental group at 3 days,1 week,4 weeks,and 3 months after surgery(3.16±0.64,1.83±0.59,0.76±0.62,0.46±0.50)were lower than those of the control group(3.53±0.77,2.10±0.66,0.90±0.71,0.57±0.54).There was no statistically significant difference in JOA scores between the two groups before surgery(P>0.05).The JOA scores of the experimental group(12.16±0.91,14.93±0.88,22.60±0.81,24.33±0.92)were higher than those of the control group(12.06±0.82,14.53 ± 0.81,22.10±0.92,23.83±0.98)at 3 days,1 week,4 weeks,and 3 months after surgery,and the difference was statistically significant(P<0.05).There was no statistical difference(P>0.05)between the two groups in the preoperative TCM syndrome score.The TCM syndrome score of the experimental group(3.80±0.55,2.30±0.46,2.03±0.41,1.83±0.38)was lower than that of the control group(4.13±0.57,2.50±0.62,2.20±0.40,1.93±0.36)at 3 days,1 week,4 weeks,and 3 months after surgery,and the difference was statistically significant(P<0.05).3.Efficacy: The cure rate of the experimental group was 70%,and the excellent and good rate was 93.33%(21 cases were excellent and 7 cases were good).The cure rate of the control group was 36.66%,and the excellent and good rate was 90.00%(11 cases were excellent and 16 cases were good).After testing,P<0.05,the difference was statistically significant.Conclusion:Percutaneous Intervertebral foramen endoscopic technique is effective in the treatment of lumbar disc herniation,and Dilong Powder is effective in the treatment of residual symptoms of lumbar disc herniation after Intervertebral foramen endoscopic surgery(qi stagnation and blood stasis syndrome).It is safe and effective in alleviating pain and improving lumbar function,which is worthy of further promotion in clinical practice. |
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