The Clinical Efficacy Observation Of Duhuojisheng Decoction Conbined On Postlumbar Surgery Syndrome

Objective:To observe the Clinical efficacy of Duhuo Jisheng Decoction combined with low back muscle exercise on postlumbar Surgery Syndrome,thus providing a reference for the development of treatment program for postlumbar Surgery Syndrome.Methods:A total of 60 consecutivet patients with postlumbar Surgery Syndrome to our study from March 2015 to August 2016.All patients was randomly divided into two groups,with 30 patients in group A and 30 in group B.The control group(A group)was treated by conventional therapy combine with Low Back Muscle Exercise,While B group were received Duhuo Jisheng Decoction.All cases were evaluated for clinical and functional outcomes.The visual analogue scale(VAS)scores,The Japanese Orthopaedic Association Scores(JOA)scores.While the Roland-Morrise were used for Activities of daily living outcomes.Results:All the patients were followed up 7 to 15 months,,average 11.2 months.The course of disease,age,gender and other basic information had no statistical difference among all patients who met the inclusion criteria,The changes of JOA,VAS and Roland-Morrise between the two group were not significantly different before treatment.Mean VAS scores was 4.87±1.63,3.60±1.33 and 2.07±1.05 respectively in group B at after treatment,3-months and 6-months follow-up.While the mean VAS scores was 5.87±1.50,4.97±1.62 and 3.10±1.21 in group A.There is a statistical differences of VAS scores between two groups after treatment,3-months and 6-months follow-up(P<0.05).The mean of JOA scores increase from(9.73±1.83)before treatment to(19.00±1.66)after treatment and(22.23±1.70)at 3-months follow-up,(23.77±1.25)at 6-months follow-up in group A.While the mean JOA scores was(10.10±1.60),(19.90±1.42),(24.771±1.65),(25.40±1.25)in group B.Significant differences of JOA scores was found between two groups(all P<0.05).The mean of Roland-Morrise score Reduced from 11.35 ± 2.37 at before treatment to 2.67±1.14 at 6-months follow-up in group A.While the mean Roland-Morrise score was 12.05±1.93,and 2.03±0.86 in group B.Statistical analysis revealed that there was significant difference in Roland-Morrise score between A and B group at their follow-up(P<0.01).Conclusion:1.Duhuo Jisheng Decoction conbined with low back muscle exercisee can effectively relieve the Symptom of low back pain of postlumbar Surgery Syndrome,2.Duhuo Jisheng Decoction conbined with low back muscle exercise can improve the lumbar function 3.Duhuo Jisheng Decoction conbined with low back muscle exercise can improve the quality of life of patients.