The Research On Therapeutic Effect Evaluation Criterion About Traditional Chinese Medicine Of Lubar Intervertebral Disc Protrusion

Objective: Lubar intervertebral disc protrusion(LIDP) is common disease,requently encountered disease of department of orthopaedics.It is"lumbago and skelalgia""arthromyodynia"in Traditional Chinese Medicine(TCM).At present, It's not difficult to diagnosis the primary disease along with the development of imageology.The main therapeutics are surgical therapeutics,non-surgical therapeutics and interventive therapeutics.The non-surgical combined therapy on LIDP is very important among the total.There is many therapic device.Therapy about TCM and Chinese crude drug hanv got a good therapeutic effect in our country. It's mechanism has achieved the level of molecule and immunology.But there is seldom unification on many evaluation criteriont.The study of therapeutic effect evaluation criterion on TCM symptom and functional generation is in the tentative stage.According to investigative technology on hygiene and the principle of design,meosurement and evaluation (DME),we try to get a eligible therapeutic effect evaluation criterion by researching the character and rule of traditional TCM symptom on LIDP.Method: There are one hundred and eighty patients in hospital with lubar intervertebral disc protrusion consistent with the regulation in this book :《Traditional Chinese Medicine standardization in the People's Republic of China·The diagnosis and curative effect standardization about TCM disease》.They had been treamed by non-surgical combined therapy. Among the totals,the first sixty patinents'differentiation of symptoms and signs of traditional Chinese medicine is syndrome of blood stasis(The first group), the second sixty patinents'differentiation of symptoms and signs of traditional Chinese medicine is cold-damp syndrome(The second group) and the second sixty patinents'differentiation of symptoms and signs of traditional Chinese medicine is liver and Sukra prameha syndrome(The third group),They are estimated by therapeutic effect evaluation criterion on quantization integral about TCM symptom and functional generation(A method) and JOA evaluation criterion(B method).Result: The results of the comparison on the first group,the second the third group and all the patients are that.The evaluation to degree of pathogenetic condition prior-treatment by A and B method is not significant difference(P>0.05);The evaluation to degree of pathogenetic condition post-treatment by A and B method is not significant difference(P>0.05);The evaluation to degree of pathogenetic condition post-treatment and prior-treatment by A method is significant difference(P<0.05);The evaluation to degree of l pathogenetic condition post-treatment and prior-treatment by B method is significant difference(P<0.05); The consequence of evaluation by A and B method is not significant difference(P>0.05)。Conclusion: The common TCM symptom on patients with LIDP was quantitative integrated.The function of patients with LIDP is estimated by this methods. The progressive rank of function post-treatment and prior-treatment is the evaluation criterion. It compared with JOA evaluation criterion。There is not significant difference between the two methods(P>0.05)...