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Blood-activating And Stas Is-removing Chinese Medicine And Betamethasone’s Alternately Injected Efficacy Of The Sacral In The Treatment Of Lumbar Disc Herniation

Posted on:2019-07-25Degree:MasterType:Thesis
Country:ChinaCandidate:C Q TangFull Text:PDF
GTID:2404330572498615Subject:Orthopedics scientific
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Low back pain caused by lumbar disc herniation is an important reason,in recent years,the clinical treatment of such patients with more caudal injection therapy to improve efficacy while reducing short course of treatment.Sacral therapy is to inject a certain amount of therapeutic drugs,such as local anesthetics,dexamethasone preparations or medicine by injection or drip sacral hiatus sacral epidural injection to achieve a method of treatment for therapeutic purposes,mainly for the waist and legs pain treatment;this treatment method is simple and safe,effective,thereby increasingly widespread clinical application.But there are some problems,the main problem centered on reasonable compatibility injection,according to clinical reports of domestic scholars choose different drugs,only in terms of dexamethasone drugs,there is dexamethasone,prednisolone,song acetonide and kenacort-a and the like.On this basis,many scholars also added B vitamins,basic drugs and even blood of addiction medicine.In addition,a variety of drugs,in particular in medicine after mixing,there is also a chemical reaction or the possibility of pharmacological antagonism between the drugs.Deng Fang and the Chinese and Western medicine mixed in a test tube observation,found that prednisone respectively Angelica,Salvia,bone Ning,Gimli and Hong Yong Hong dexamethasone,respectively,after hydrocortisone pine mixed reaction in vitro remarkable.Also you can see from the large number of clinical reports,Chinese medicine for the treatment of HIT LIDP can get the same effect with dexamethasones.Advantages of Chinese medicine is that side effects,the use of relatively safe,but relatively slow onset.ObjectiveTo investigate the effect and dexamethasone injections alternately sacral treatment of lumbar disc herniation clinical results,to enrich clinical treatment.MethodDecember 2011-December 2012 88 cases of lumbar disc herniation for the study,divided into two groups,control group 44 cases,intravenous infusion with Western medicine to physical methods of treatment,observation group,44 cases,Chinese medicine and Dexamethasone injections alternately sacral therapy,observed after treatment changes in relevant indicators.ResultsIn control group good rate 54.5%,the total efficiency of 77.3%,excellent rate of 77.3%in the observation group,the total efficiency of 93.2%in the observation group in the excellent rate and total efficiency was significantly better than the control group(P<0.05);two After treatment in the former group,straight leg raising test,joint activity score was significantly higher than treatment,IgG,IgM was significantly lower than before treatment,after treatment significant difference(p<0.05),compared with the observation group improved after treatment on the above indicators in the control group after treatment more significantly(P<0.05);after treatment,one week,four weeks after the VAS score,M-JOA scores compared with the control treatment decreased significantly,before and after treatment were significantly different(p<0.05),the observation group therapy After VAS score,M-JOA scores were significantly better than the control group(P<0.05).ConclusionChinese medicine and dexamethasone injections used in alternation in sacral treatment of lumbar disc herniation are effective.Not only can this treatment avoid the toleration of single drug,but also increase clinical efficacy,shorten course of treatment,meanwhile,reduce complication.It can be popularized in clinical application because of safety,economically,and convenience.
Keywords/Search Tags:Chinese medicine and dexamethasone alternately, sacral injection, lumbar disc herniation
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