| Background:Lumbar disc herniation is a common orthopedic disease,which seriously affects patients’ quality of life and working ability.Chinese medicine has rich theoretical and practical experience in treating lumbar disc herniation,mainly including acupuncture,cupping,tui-na,internal and external application of traditional Chinese medicine,etc.According to clinical experience,Chinese medicine has certain efficacy in treating lumbar disc herniation,which can relieve pain,improve lumbar spine It can relieve pain,improve the function of the lumbar spine and promote local blood circulation.However,clinical treatment efficacy and treatment mechanism still need further in-depth research and discussion.Therefore,the study on the combined treatment of lumbar disc herniation with Chinese medicine can help to investigate the mechanism of action and clinical application value of Chinese medicine in the treatment of lumbar disc herniation,provide new ideas and methods for clinical treatment,and help to improve the treatment effect and the quality of life of patients.Objective:To investigate the clinical efficacy of combining lumbar paralytic capsule with manipulation in the treatment of blood stasis and qi stagnation type lumbar intervertebral disc herniation,and to provide clinical evidence for the combined treatment of lumbar intervertebral disc herniation with traditional Chinese medicine.Methods:Patients with lumbar disc herniation with blood stasis and qi stagnation treated in the Department of Orthopedic and Traumatology,Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine between November 2021 and November 2022 were selected,and 60 patients were selected strictly according to the Na exclusion criteria,and these patients were divided into two groups using randomized grouping,the observation group was given lumbar paralytic capsule combined with lumbar spine standardized manipulation treatment,and the control group was given celecoxib capsule treatment,both treatment courses were 2 weeks.The clinical efficacy was observed by visual analog scoring(VAS),Oswestry dysfunction index questionnaire(ODI),Japanese Orthopaedic Association Assessment Treatment Score(JOA)and Quality of Life Scale(SF-12),and the observation indexes were recorded at the visit points before enrollment,2 weeks,1 month and 3 months after treatment.SPSS20.0 statistical software was used for data processing of the collected patient data,and all data were tested for normal distribution,and all measurement data were expressed as mean±standard deviation(x±s),and independent sample t-test and rank sum test were used for measurement data,and chi-square test was used for counting data;paired sample t-test was used for comparison between different time points of the same group,and independent sample t-test was used between different groups of the same time point.The above tests were based on P<0.01 for statistically significant differences,P<0.05 for statistically significant differences,and P>0.05 for no statistical differences.Results:A total of 60 patients with blood stasis and qi stagnation type lumbar disc herniation were included in this study,including 30 patients(16 males and 14 females)in the observation group,with a mean age of 48.20 ± 14.13 years and a mean disease duration of 18.70 ± 21.55 months;30 patients(12 males and 18 females)in the control group,with a mean age of 44.13 ± 12.38 years and a mean disease duration of There was no statistical significance in the comparison of gender,age and disease duration between the two groups after statistical tests(P>0.05),which was comparable between the groups.The VAS score,ODI score,JOA score and SF-12 score(P>0.05)were not statistically different between the two groups before enrollment and were comparable.1.VAS scores:VAS scores of patients in both groups decreased at each visit point of treatment compared with those before treatment(P<0.05),and VAS scores of the observation group decreased at 1 month after treatment and 3 months after treatment compared with those before treatment,which was statistically significant by statistical test(P<0.05),and at 2 weeks of treatment,VAS scores of the observation group were not significantly different from those of the control group(P>0.05),which was not There was no statistical significance.2.ODI scores:The ODI scores of patients in both groups at each visit point of treatment were lower than those before treatment(P<0.05),and the ODI scores of the observation group were lower than those of the control group at 2 weeks and 1 month after treatment,which were statistically significant by statistical test(P<0.05),and were significantly lower than those of the control group at 3 months after treatment,which were statistically significant by statistical test(P<0.01).3.JOA scores:JO A scores of patients in both groups at each visit point of treatment were lower than before treatment(P<0.05),and JOA scores of the observation group were higher than those of the control group at 2 weeks,1 month and 3 months after treatment,and there was a statistically significant difference by statistical test(P<0.01).The improvement rate of JOA score treatment in the observation group was significantly higher than that in the control group at 2 weeks,1 month and 3 months after treatment,and there was a statistically significant difference by statistical test(P<0.05).JOA efficacy was determined as 70%in the observation group and 45.16%in the control group,which was statistically significant after statistical test(P<0.05).4.SF-12 scores:PCS scores and MCS scores of patients in both groups increased at each visit point of treatment compared with those before treatment(P<0.05),and PCS scores of the observation group were higher than those of the control group 1 month after treatment and 3 months after treatment,and there was a statistically significant difference by statistical test(P<0.05),and PCS scores of the observation group were not significantly different from those of the control group at 2 weeks of treatment(P>0.05),which was not statistically significant.The MCS scores of the observation group were higher than those of the control group at 2 weeks,1 month after treatment and 3 months after treatment,and there was a statistically significant difference(P<0.01)by statistical test.5.Safety evaluation:no adverse events occurred during the treatment and follow-up of all patients.Conclusion:Through the comparison of the efficacy of two methods of clinical observation for the treatment of blood stasis and qi stagnation type lumbar intervertebral disc herniation,it was found that the application of Lumbar Paralysis Tong capsule with lumbar spine standardized manipulation can better treat the symptoms of blood stasis and qi stagnation type lumbar intervertebral disc herniation,improve the function of lumbar spine and improve the quality of life,and provide clinical evidence for the combined treatment of lumbar intervertebral disc herniation by Chinese medicine. |
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