Control Study On The Conserviative Treatment With Traditional Chinese Medicine Or Western Medicine During The Chronic Phase Of Lumbar Disc Herniation

Background:Lumbar Disc Herniation is one of common orthopaedic disorders,and usually the progression can be devided into acute and chronic phrase.The patients will feel better with pain in low back and legs during the chronic phase of Lumbar Disc Herniation,but their work-life will also be disturbed by it.The conservative treatment about he chronic phase of lumbar disc herniation can be divided into traditional Chinese medicine,western medicine and integrated Chinese and western medicine treatment at the present time.Traditional Chinese medicine treatment usually uses massage,acupuncture and herb medicine.While western medicine treatment usually uses traction treatment,physiotherapy,dehydration medicine and pain medicine. Integrated Chinese and western medicine treatment use traditional Chinese medicine treatment and western medicine treatment.Most patients can be cured with conservative treatment during chronic phrase,but the curative effect of few patients isn't ideal.Traditional Chinese medicine treatment and western medicine treatment both can cure patients with good curative effect,so need to control study on them.The purpose of this paper is to explore whether the curative effect of traditional Chinese medicine treatment is better than western medicine treatment or not,and to supply further clinical bases.Object:Control study on the curative effect of Traditional Chinese medicine treatment mainly with massage and western medicine treatment mainly with traction. Methods:60 patients were divided by central randomized block design into treatment group and control group averagely.Treatment group uses massage mainly.Massage:Relexing back parenchyma,pulling-shaking waist & "obliquely-pulling" or "spinal totation manual repositing".The young adults are mainly used "spinal totationg manual reposition" therapy,while the frail elderly are used "obliquely-pulling" therapy.Three times a week.Iontophoresis with traditional Chinese herbal medicine:Spraying Guyouling over the affected part,then adhibitting therapeutic instrument.Three times a week, half an hour every time.Traditional Chinese medicine:Wind-cold-damp retention type and deficiency of liver and kidney type in TCM syndrome differentiation.Wind-cold-damp retention type:dispelling Wind,expelling cold-evil and disinhibiting dampness,use Duhuojisheng decoction.Deficiency of liver and kidney type:Yang deficiency: Warming kidney and enhancing yang,using Jinkuishenqi bolus;Yin deficiency: Reinforcing kidney to replenish yin,use Liuweidihuang bolus.Control group uses traction treatment,physiotherapy,pain medicine and electromagnetic therapy.Hauling weight is from 26 to 30 kg according to the patient's avoirdupois,once a day,20 minutes at a time.Electromagnetic therapy:Use electromagnetic treatmenr and infrared rag shine treatment,once a day each,20 minutes at a time.Each period of treatment is 3 weeks,then analyse the data,assess curative effect. Follow up the symptoms and signs 2 weeks late in order to know the cure rate, remission rate and recurrence rate.Results:At the beginning,sex,age,segment of age and the scores of X-ray,CT etc are not statistically significant(P＞0.05)between treatment group and control group.So the baseline is consistent.The two group didn't have excellent cases after one week's treatment.The curative effect,excellence rate and excellent-and-good rate are not statistically significant(P＞0.05) between treatment group and control group.After two weeks' treatment,the scores of curative effect are statistically significant(P＜0.01),the treatment group's is better than the control group's.Even so,the excellence rate(P＞0.20),excellent-and-good rate(P＞0.05) are not statistically significant between treatment group and control group.After tree weeks' treatment,the treatment group is better than the control group not only in curative effect(P＜0.01) but also in excellence rate(P＜0.05),but the excellent-and-good rate(P＞0.05) is not statistically significant between treatment group and control group yet.Two weeks late without any treatment,the treatment group is better than the control group not only in curative effect and excellence rate(P＜0.05)but also in excellent-and-good rate(P＜0.05).One the whole,the mean scores is 23.5,17.9,12.5 to 7.60 from the beginning to the following-up with a descending trend,they are statistically significant(P＜0.01).Taking the beginning score's effect into account,we analyse the score of curative effect,the outcome is consistent.The treatment group's mean score and the control group's descend in turn at every recording time point.Taking the beginning score's effect into account,we analyse the score of curative effect,the outcoming is consistent.The outcome is:the curative effect of treatment group's third recod and following record is the best,the curative effect of control group's third recod and following record and treatment group's second record is better,the curative effect of control group's first recod is good,and the curative effect of control group's beginning recod and treatment group's beginning record is the worst.So the curative effect is getting better by the time fluiding,no matter treatment group or control group.Conclusions1.The curative effect of conservative treatment is getting better by time during the time of treatment and following up.2.The curative effect of conservative treatment mainly with massage is better than the curative effect of conservative treatment mainly with traction.3.The conservative treatment mainly with massage can improve Laseque's Test and Bragard sign better than the curative effect of conservative treatment mainly with traction.4.The curative effect of conservative treatment cannot improve lower-limb muscular strength effectively.