| Objective:Research of oralling medicine decoction of Buyanghuanwu on improving the curative effect of Treating the Numbness Pain Caused by Qi Stagnation and Blood Stasis of Lumbar Disc Herniation after Operation, At the same time compare and observe the difference of its short-term and long-term curative effect between Buyanghuanwu group、mecobalamin group and blank group.The purpose is to provide a theoretical basis for the clinical treatment.Methods:This study of 90 patients selected from the orthopedic department in Chengdu university of traditional Chinese medicine hospital between October 2013 to March 2015 in the Affiliated Hospital of treated, the clinical diagnosis is lumbar disc herniation after the detailed examination, at the same time they met the inclusion criteria. Samples will be collected according to the cases of postoperative clinical different drugs selected for lower extremity numbness pain into A, B, C three groups, the patients on The basis for the treatment of postoperative day 1+Buyanghuanwu soup fixed group A, the patients on The basis for the treatment of postoperative day 1 +mecobalamin fixed Group B, the patients on The basis for the treatment of postoperative day 1 fixed Group C, the total number of sample is 30 cases. Date were recorded by the first postoperative day、third day、 1week、4 weeks、2 months、 3months time after Operation, the observation time is six months. By VAS and JOA score. First we need clearly to compare the differences before using the experimental drug from the former age, sex, length of duration of surgery, operative time, blood loss, the total value of JOA、VAS pain scores at the first day of the lumbar spine compared to. If there is no significant difference between A、B、C three groups, we can compare the difference between its short-term and long-term curative effect between Buyanghuanwu group、mecobalamin group and blank group, which draw conclusions.pairwise sequence comparison.Results:First of all, there was no significant difference (P> 0.05) between A, B, C three groups of samples on age、sex、duration of disease、surgery operative time、the amount of bleeding、postoperative VAS pain score on the first dayand the total value of the lumbar JOA score. The real statistical induction, with 3 days,1 week,4 weeks after the VAS pain score no statistical differences (P> 0.05), lumbar JOA score (P> 0.05) is statistically significant. Group A and group B compared with group Crespectivelycan be learned that there were significantly different (P< 0.05) in postoperative 2 months to 3 months after the statistics section point of VAS score and JOA score, and all were better than that of group C. Finally, group A and group B contrast can be learned that there was no statistical difference (P> 0.05) in day 3, week 1 and 4 weeks in various statistical segment point, but from 2 months to 3 months during this time, all statistics section points to analyze statistically significant (P< 0.05), and group A in the VAS, JOA score values are better than group B.Conclusion:1. Three treatmental groups of A、B、C are all effective methods on treating the Numbness Pain Caused by Qi Stagnation and Blood Stasis of Lumbar Disc Hemiation after Operation, but group A or group B and C group respectively compare to find, the clinical curative effect which oral Buyanghuanwu and mecobalamin is more obvious than basic treatment group.2. Compared Group A and Group B,we found the patients had no significant difference effect after oralling Buyanghuanwu and mecobalamin on treating the numbness pain caused by Qi stagnation and blood stasis of lumbar disc hemiation after operation within one month.3. Compared Group A and Group B,we found the patients had clear significant difference effect after broiling Buyanghuanwu and mecobalamin on treating the numbness pain caused by Qi stagnation and blood stasis of lumbar disc hemiation after operation after one month. The effect of oralling Buyanghuanwu was significantly better than mecobalamin group.4. Compared A group (TCM group) with group B (mecobalamin group),we found there were no significant difference in short-term effect on treating the numbness pain caused by Qi stagnation and blood stasis of lumbar disc hemiation after operation, A group was significantly higher than that of group B, it explained that Buyanghuanwu was better than mecobalamin during treatment. |
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