The Observation About Curative Effect Of Postoperative Residual Symptoms After Treating Lumber Disc Herniation With Lumbocrural Pain Particles

Objective:To understand the curative effect of postoperative residual symptoms after treating Lumber disc hemiation(LDH)with perioperative oral lumbocrural pain particles(preparation made by The Wendeng Osteopath Hospital)and explore its mechanism;Providing some clinic reference data about combining traditional Chinese and western medicine methods in promoting effect of surgical treatment of lumbar disc prolapse.Methods:From March 2015 to August 2015,60 subjects who were diagnosed with lumbar intervertebral disc protrusion by the Pinal Column and Spinal Cord Department Ⅱ in Wendeng Osteopath Hospital were selected according to requirements of the subject in Shandong province,and then they were divided into the experimental group and the control group with 30 cases in each group according to the order of admission and checking the random number table.Both groups did percutaneous endoscopic lumbar discectomy(PELD)surgery under the local anesthetic.Preoperative two groups were given conventional drug treatment and postoperative function exercise,and the control group was given oral mecobalamin Tablets while the experimental group was given oral mecobalamin Tablets and lumbocrural pain particles within 1～30 days after admission.Two groups were made balanced comparison in terms of patients’ age,gender,duration,lesion segment,the operation time as well as the visual analogue scale(visual analogue scale,VAS)of the first day in hospital and assessment of the Japanese Orthopaedic Association scores(Japanese Orthopaedic Association Scores,JOA).The two groups were carried on the statistical analysis respectively according to their VAS,JOA scores after surgery with 3 days,2 weeks,1 month,3 months of,the calculated improving rate,the statistics of the residual symptoms bounce rate within 3 months after surgery and patients’ satisfaction evaluation;Statistically significant(P<0.05),no statistical difference(P>0.05).Results:The 60 subjects completed the treatment in strict accordance with requirements of the project with their follow-up data of the first 3 months after surgery.Two groups were made the statistical analysis and no statistically significant difference(P>0.05)in terms of patients\age,gender,duration,lesion segment,the operation time as well as VAS,JOA scores on the day of admission,which is comparable.The two groups\improving rate of VAS and JOA scores in each observation point were rising after surgery;The experimental group’improving rate of VAS and JOA scores in each observation point was higher than the control groups’,and its improving rate of VAS score was statistically difference(P<0.05)while the improving rate of JOA score was no statistical difference(P>0.05)on the third day of 2 weeks after operation;The improving rate of VAS score in 1 month,3 months after operation was no statistical difference(P>0.05)while the JOA score was statistically difference(P<0.05);The experimental group’ bounce rate of symptoms within 3 months after operation was significantly lower than the control group,and its curative effect satisfaction of patients’ last follow-up was also superior to the control group,there were significant statistical difference(P<0.05).Conclusions:1.The perioperative oral Chinese medicine prescription of lumbocrural pain particles can quickly improve postoperative residual symptoms of lumbocrural pain,numbness weakness of lumbar intervertebral disc protrusion and significantly improve the patients’ quality of life after surgery.2.With the method of combining traditional Chinese and western medicine,Taking lumbocrural pain particles to treat postoperative residual symptoms of lumbar disc prolapse on the basis of oral western medicine of Mecobalamin Tablets is significantly better than the treatment with Mecobalamin Tablets solely,which has no adverse reactions.