| Lumbar disc herniation (LDH) is the frequently-occurring and common disease of the orthopedics, which is the most common cause of clinical disorders of low back pain. The disease incidence in multiple age and can cause very serious impact of the patients'live and work. Foreign studies show that about 60 to 80 percent of the people in a certain period in their lives to be plagued by low back pain. In the reasons for the loss of labor in adults, low back pain ranked No.3. Sciatica is about 25% of low back pain, and the lumbar disc herniation is a major cause of sciatica.At present, internationally recognized that the treatment divided in to two categories, the surgical treatment and non-surgical treatment. Most scholars of home and abroad preferred non-surgical treatment. In fact, about 80 to 90 percent patients of the LDP can take effect with non-surgical treatment, and the manipulation is the most commonly used and the certainly effect method. In this regard, the Chinese traditional medicine has a wealth of experience and plays an important role. Therefore, the research and development of lumbar disc herniation by Chinese Herbs Integrative Medicine based method of conservative treatment is of great significance.ObjectiveThrough accessing to the past medical records to analize the effect of the Prescription-'ziyintongluo';and to study the clinical availability of the Prescription-'ziyintongluo'by contrasting experiments.Methods Using retrospective analysis to accessing and summarizing the past medical records of low back pain of lumbar disc herniation which were recorded by the doctors of Orthopedics 2 from Guangdong hospital of Traditional Chinese Medicine (zhuhai) in 2009 and 2010, to statistics that how many patients were the ones who were the Yin deficiency type and treated by the Prescription-'ziyintongluo', then to induct and analysis. Patients with the Yin deficiency type low back pain of lumbar disc herniation from June 2010 to March 2011 were divided into two groups according to whether treated by the Prescription-'ziyintongluo'or not. The treatment group were treatet by the Prescription-'ziyintongluo'and conservative treatment of Integrative Medicine (Physical Therapy and Manipulations); the control group were treatet by celecoxib capsules and conservative treatment of Integrative Medicine, in a course of treatment for 2 weeks or more. Then using universal International JOA scale and VAS scale for the observation indicators to Observe and record the clinical symptoms, signs, the score before and after treatment of each patient, and make a final Conclusion of the clinical efficacy.ResultsSearching 80 past medical records of the Prescription-'ziyintongluo' in the treatment to the Yin deficiency type low back pain of lumbar disc berniation which were recorded by the doctors of Orthopedics 2 from Guangdong hospital of Traditional Chinese Medicine (zhuhai) in 2009 and 2010, Average age was 58.21, The longest duration was 20 years, and the shortest one was one day. the number of cure patients was 5,the number of effective patients was 50, the number of Improved patients was 20, the number of Invalid patients was 5 (4 patients were treated with surgery). From June 2010 to March 2011, there was no significant statisttical difference before treatment and after 1 week's treatment between two groups'JOA scale and VAS scale, and show that the effect between two treatment was nearly the same after 1 week's treatment, there were significant differences after 2 weeks'treatment between two groups'JOA scale and VAS scale, and show that the effect of The treatment group was better than the one of the control group.Conclusion the Prescription-'ziyintongluo'in the treatment to the Yin deficiency type low back pain of lumbar disc herniation has clinical efficacy, Improve quality of patients'life, is granules and improvement of traditional Chinese decoction, reflects modernization of Traditional Chinese Medicine. |
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