| Objective:To investigate the clinical efficacy of Bushengzhuangjin Decoction combined with Massage in the treatment of degenerative lumbar spondylolisthesis,and to observe the significance of the combination of the two in the clinical treatment,in order to explore a better treatment method for degenerative lumbar spondylolisthesis,and to provide a certain objective basis for its clinical application.Methods: Western medicine diagnosis of degenerative lumbar spondylolisthesis and Chinese medicine diagnosis of lumbago(deficiency of liver and kidney)were selected from the orthopedics department of Fujian provincial people's hospital from October 2017 to October2019.A total of 85 patients were included in the study according to the diagnostic criteria.Control group: 2 days after joining the project,the treatment was mainly performed with hip flexion and knee flexion,and the treatment lasted for 3 weeks.Experimental group: on the basis of the control group,Taking orally Bushenzhuangjin decoction was used for 3consecutive weeks.2 cases fell off in the experimental group,and the final number of cases was 40,including 10 males and 30 females.The average age was 59.73±6.75 years old,with an age range ranging from 45 to 70 years old.The control group lost 3 cases,and the final number of cases was 40,including 9 males and 31 females.The average age was 61.30±7.91 years old,and the age range was 40-70 years old.The two groups were compared in terms of gender,age,slippage disconnection and slippage degree to determine the comparability.VAS scores,JOA score index scores,and surface EMG indicators(AEMG and MF of the multifarious muscles,erector ridge muscles)were observed and recorded in the two groups before treatment,after treatment,1 month after treatment,and 3 months after treatment.Result:1.Through statistical analysis,there was no statistically significant difference between the two groups in the general conditions before treatment(gender,age,onset segment,degree of slippage,etc.)(P < 0.05),suggesting comparability.2.There were no statistically significant differences in VAS score,JOA score,and surface EMG measurements between the two groups before treatment(P>0.05),indicating comparability.3.VAS score:Comparison within the group: VAS scores of the two groups after treatment,1 month after treatment and 3 months after treatment were better than before treatment,and the difference was statistically significant(P < 0.05).Comparison between groups: in terms of each follow-up time after treatment,VAS score of the experimental group was better than that of the control group,and the difference was statistically significant(P < 0.05).4.JOA score: intra-group comparison: the JOA score of the two groups after treatment,1 month after treatment and 3months after treatment was better than that before treatment,and the difference was statistically significant(P < 0.05).Comparison between groups: in terms of each follow-up time after treatment,JOA score of the experimental group was better than that of the control group,and the difference was statistically significant(P < 0.05).5.Surface EMG value:AEMG:intra-group comparison: after treatment,1 month after treatment,and 3 months after treatment,both the multifissure muscle AEMG and the erector ridge muscle AEMG of the two groups were better than before treatment,and the difference was statistically significant(P< 0.05).Comparison between groups: in terms of each follow-up time after treatment,both the multi-fissure muscle AEMG and the erector ridge muscle AEMG of the test group were better than the control group,with statistically significant differences(P <0.05).MF:intra-group comparison: after treatment,1 month after treatment,and 3 months after treatment,the MFS and MF in both groups were better than before treatment,and the difference was statistically significant(P < 0.05).Comparison between groups: in terms of each follow-up time after treatment,MF and MF in the test group were better than those in the control group,with statistically significant differences(P < 0.05).6.Total efficacy of the two groups:the experimental group cured 2 people,12 people with obvious effects,24 people with effective effects,and 2 people with ineffective effects,with a total effective rate of 95%;the control group cured 2 people,6 people with obvious effects,21 people with effective effects,and 11 people with ineffective effects,with a total effective rate of 72.5%.The difference was statistically significant(P < 0.05).Conclusion:Bushenzhuangjin Decoction combined with Massage in the treatment of degenerative lumbar spondylolisthesis has a remarkable effect,which not only improves the symptoms of lumbar and leg pain and the function of lumbar back muscles significantly,but also effectively improves the quality of life of patients. |
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