Observation On The Curative Effect Of Shentong Zhuyu Decoction Combined With Percutaneous Intervertebral Foraminoscope In The Treatment Of Lumbar Disc Herniation

Objective:To evaluate the clinical effect of Shentong Zhuyu Decoction on nerve root irritation after lumbar foramen surgery through scale assessment.Compare the curative effect difference between traditional Chinese medicine combined with surgical treatment and simple surgery in the treatment of lumbar disc herniation,so as to compare the better treatment methods after endoscopic surgery for patients with lumbar disc herniation of Qi stagnation and blood stasis.Methods:This study used a randomized controlled trial.The scope of the study was inpatients in the orthopedic wards of Dongzhimen Hospital,Beijing University of Chinese Medicine from September 2019 to December 2019.Refer to the diagnostic basis and syndrome differentiation of lumbar disc herniation in the Standards for Diagnosis and Treatment of Traditional Chinese Medicine Type standard,including patients who meet the standard,and randomly divided patients into traditional Chinese medicine combined surgery treatment group and simple surgery treatment group for 3 months of treatment and clinical observation.The Japanese Orthopaedic Association evaluated treatment scores(JOA)and Oswestry Dysfunction Index Questionnaire(ODI)scores before and after treatment,14 days after surgery,1 month after surgery,and 3 months after surgery.Fill in the clinical research case report form.Statistical data,and compare the numerical changes to evaluate the improvement of postoperative nerve root irritation symptoms of the two groups of patients,and analyze the difference in efficacy.In order to explore the better rehabilitation method after percutaneous intervertebral discectomy for lumbar disc herniation of qi stagnation and blood stasis type.Results:Thirty-six cases(17 males and 19 females)were actually included in this study,17 in the test group and 19 in the control group.Aged 18-83 years,with an average age of 55.4 years.After the data was collected,statistics were applied using SPSS 22.0 statistical software.The results are as follows:1.JOA score:By comparing the JO A scores before and 14 days after surgery,1 month after surgery,and 3 months after surgery,it was found that the JO A score data of 14 days after surgery were significantly improved in both groups than before treatment(P<0.05),in which the JOA score of the experimental group was significantly improved compared to the control group(P<0.05);the JOA score of the two groups in the first month after surgery was significantly higher than that before the treatment(P<0.01),and the experimental group was more JOA The scores were significantly improved(P<0.05);the JOA scores of the two groups at 3 months after surgery were significantly higher than those before treatment(P<0.05),but the JOA scores of the two groups were not statistically significant(P>0.05)..2.JOA score treatment improvement rate:use=JOA score treatment improvement rate calculation formula:.treatment improvement rate=([post-treatment score-pre-treatment score]/[29-pre-treatment score]*100%),according to the data results can be The improvement rate of JOA score in the experimental group was significantly higher than that in the control group 14 days after the operation,and there was a significant difference between the two groups(P<0.05).The improvement rate of JOA score in the experimental group was significantly higher than that in the control group at 1 month after operation,and there was a significant difference between the two groups(P<0.01).The improvement rate of JOA score in the experimental group at 3 months after operation was not significantly different from that in the control group(P>0.05).3.Evaluation of JOA curative effect:The JOA curative effect judgment at the last follow-up was obtained by the improvement rate of the JOA treatment.Fisher exact test showed that there was no statistical significance in the evaluation of the JOA curative effect between the two groups(P>0.050).4.ODI score:The ODI score data of the two groups at 14 days after surgery were significantly lower than before treatment(P<0.05),but there was no significant difference between the two groups(P>0.05);ODI score data were significantly lower than before treatment(P<0.05),in which the ODI score of the test group was significantly lower than the control group(P<0.01);the ODI scores of the two groups at 3 months after surgery were significantly higher than before the treatment.Decrease(P<0.05).The ODI score of the test group was significantly lower than that of the control group(P<0.05).Conclusion:By comparing the curative effect of two methods after percutaneous intervertebral discectomy for lumbar disc herniation of qi stagnation and blood stasis type,we can know that:applying Shentongzhuyu decoction combined with percutaneous intervertebral disc for lumbar discectomy Both surgical treatment and simple application of percutaneous intervertebral foramenectomy for lumbar disc herniation with qi stagnation and blood stasis syndrome can achieve significant results.The application of oral Shentong Zhuyu Tang Chinese medicine treatment has a certain effect in the short-term relief of nerve root irritation after percutaneous intervertebral foramenectomy,but there is no significant difference in long-term clinical effect.