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Clinical Research Of Integrated TCM Treatment For Large Lumbar Disc Herniation

Posted on:2012-11-10Degree:MasterType:Thesis
Country:ChinaCandidate:Z Y YeFull Text:PDF
GTID:2154330335967971Subject:Orthopedics scientific
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BackgroundLumbar disc herniation is very common clinical disorders waist is one of Orthopedics of the common disease. Inventory is all waist lumbar vertebrae between the lumbar joint component of the lumbar vertebrae plays a support role to connect and buffer from the nucleus, cartilage, fibrous ring of three parts. Lumbar disc herniation of lumbar intervertebral disc degeneration occurs later, in the role of external forces, the annulus rupture, herniated nucleus stimulation or nerve root compression, vascular or spinal cord caused by organizations such as low back pain, and the radioactivity associated with sciatic nerve pain and other symptoms which A disease characterized by. Clinically, most doctors choose lumbar surgery for disc herniation. Because there is surgical risk and surgical risk of recurrence after surgery, many patients refused surgical treatment, and tends to non-surgical treatment. Our hospital in this context, to develop comprehensive treatment of traditional Chinese medicine in the treatment of lumbar disc herniation giant made a good effect. For the large lumbar disc herniation, it not only provides another path to a treatment, while reducing the patient to endure the pain of surgery to avoid surgical risk and postoperative risk of recurrence.ObjectiveTo investigate the clinical efficacy of TCM Comprehensive Treatment for lumbar disc herniation, provide an objective basis for clinical treatment.MethodsTo retrospective research methods, through the Chinese Medicine Hospital, Shantou City, the huge hospital treatment of lumbar disc herniation were followed up for efficacy. To investigate the clinical efficacy of TCM Comprehensive Treatment for lumbar disc herniation, provide an objective basis for clinical treatment. Outcome Assessment included VAS score and JOA score.ResultVAS score after treatment from the initial 6.16±1.44 points down to 1.62±1.17 points, the difference was significant (P<0.01), improvement rate was 73.26±20.36%; JOA score improved from 16.82±3.79 increased to 20.67±3.74 min Points, the difference was significant (P<0.01), improvement rate was 42.38±26.65%. Follow-up, VAS score was 1.76±1.44 points, JOA score was 20.82±4.79 minutes, compared with scores after treatment were not statistically different (P> 0.05). Improve the overall efficacy rate by JOA designated, which markedly effective in 25 cases (83.33%), effective accounted for 3 cases (10%), ineffective in 2 cases (6.67%), the total effective rate was 93.33%. Before treatment, the activity of the whole range of cases:52.41±10.14 degrees flexion and extension, lateral bending 40.64±15.53°, rotation 39.98±16.26 degrees. Activity after treatment was: 71.52 14.45 degrees flexion and extension, lateral bending 48.56 12.23°, rotation 46.65±16.58 degrees. After treatment of the lumbar spine activity were improved obviously, the difference was statistically significant (P<0.01). In the follow-up activity was:69.25±16.81 degrees flexion and extension, lateral bending 49.25±13.78 degrees, rotation 48.53±10.59 degrees. Comparison of the activity and treatment were not statistically different (P> 0.05).ConclusionClinically, most doctors choose lumbar surgery for disc herniation. This study integrated traditional Chinese medicine treatment of lumbar disc herniation large, significant effect, and stability, and surgical treatment was close, but it reduces the risk of surgery and various surgical complications; from the lumbar spine stability perspective, integrated TCM therapy can Significantly improve the patient's lumbar spine range of motion, avoid surgery on the lumbar spine caused by the destruction of the stability of various complications. To massage chiropractic, acupuncture and manipulative reduction under traction mainly with traditional Chinese medicine syndrome Oral, topical, physical therapy and functional exercise and other therapies integrated traditional Chinese medicine treatment of lumbar disc herniation great and effective, feasible treatment worthy of further promotion of...
Keywords/Search Tags:Large lumbar disc herniation, Integrated TCM treatment, Conservative treatment
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