The Clinical Observation Of No.1 Anti-plid Prescription Combined Lumbar Posterior Bone Graft Fusion And Internal Fixation Surgery Treating PLID

Objective: Prolapsed of lumbar intervertebral disc(PLID)is a disease with the primary symptoms of lumbago and radiating pain of lower extremities.Generally,with the degeneration of lumbar intervertebral disc and the joint action of external environment and the organism itself,the original balance of the spine is upset,so the annulus fibrosus is broken and nucleus pulposus is extruded,which make the never root,blood vessels and spinal marrow stimulated or pressed,then this will cause lumbago and radiating pain of lower extremities.For the therapy,non-operative treatment and operative treatment can be used to treat the disease;clinical data shows non-operative treatment has significant efficiency,but still 10% to 15% patients need to take operative treatment.There are several operative treatment methods.Generally,the doctor will combine the patient's conditions to choose the operative treatment method.At present,the operative treatment method most widely used is posterior lumbar discectomy+ spinal canal depression + interverbral implanted bone fusion,and the patient's pain in lower extremities and waist can be relived significantly after this operation.But for part of the patients,the symptoms are not relived significantly after this operation,and different levels of pain of lower extremities and waist and numbness of lower extremities are left.Meanwhile,for these patients,their postoperative function recovers slowly,which affects badly the efficiency of the operation for treating PLID.Under this background and the theory of the combination of Chinese traditional medicine and Western medicine,this study observes the clinical efficiency of No.1 anti-PLID prescription treating patients with PLID who have taken lumbar posterior bone graft fusion and internal fixation surgery.So the suggestions and advices can be pointed out to improve the clinicalefficiency of this surgery.Methods: The clinical data came from the patients with PLID who had taken lumbar posterior bone graft fusion and internal fixation surgery from orthopedics department of the third hospital east branch of Hebei medical university.There were totally 40 subjects,and they were chosen strictly according to the established standards of ruling out and bringing into.After that,according to the different operation time,the 40 cases were divided into two groups randomly: control group of 20 cases adopted postoperative routine treatment,and the treatment group of 20 cases adopted the treatment method of the control group plus No.1 anti-PLID prescription.These cases took follow-up visits on the last day before the surgery,the second week after the surgery,the forth week after the surgery and the sixth week after the surgery,and the period of the observation and follow-up was six weeks.And then the general data,such as the patient's sex,age,course of disease and operative segments were collected,and VAS pain grade,JOA lumbago and skelalgia grade system,Oswestry disability index questionnaire were used to assess theses cases.Finally,every index of the two groups was treated in statistic way using the SPSS 21.0 statistic analysis software.And then we observed the preoperative and postoperative efficiency of the two groups and the postoperative difference between the two groups,analyzed and concluded.Results: The results of VAS,JOA,ODI grads and the date of sex,age,course of disease and operative segments of the two groups before the last day of the surgery had no significant difference after being treated in statistics way(P>0.05),and the two groups of cases had comparability.Seen from the three grades of VAS,JOA and ODI,the patients' conditions of the two groups in the second week after the surgery were better than that on the last day before the surgery.The grades of VAS,ODI of the two groups in the second week,the forth week and the sixth week after the surgery had significant difference(P<0.05),the grades of VAS and ODI showed the trend of the decreasing,and for every observed point,the VAS grade and ODI grade of treatment group were both smaller than that of the control group;JOA gradesof the two groups in the second week,the forth wee,and the sixth week all had significant difference(P<0.05),and the JOA grade showed the trend of increasing,for every observed point,JOA grades of treatment group were all bigger than that of the control group,which indicated that the efficiency of treatment group was better than that of the control group.Conclusions: No.1 anti-PLID prescription is benefit to improve the postoperative clinical symptoms,reduce the postoperative recovery period,and can effectively improve the patient's life quality.Meanwhile,No.1prescription for PLID has the advantages of stable efficiency,no side-effect,strong tolerance for patients and convenient operation,and it is badly benefit to improve the clinical efficiency of the PLID surgery.