Risk Factors Of Chinese Medicine Treatment For Giant/Ruptured Lumbar Disc Herniation

Objective:Through retrospective analysis of the clinical data of patients with giant/ruptured lumbar disc herniation,the relevant risk factors of giant/ruptured lumbar disc herniation were discussed and analyzed to provide a basis for clinical diagnosis and treatment.Methods:Adopt the method of retrospective analysis,this study established suzhou city hospital of traditional Chinese medicine orthopedics for research center,in accordance with the exclusion criteria,selection between September 2013 and June 2019 diagnosed with huge type 80 cases of patients with lumbar disc prolapse,and selected 80 cases of non huge patients of lumbar intervertebral disc protrusion,through questionnaire and clinical data and imaging data to study the general information and investigate the imaging data or other information,and the statistical analysis of the collected data are discussed,it is concluded that the huge type lumbar intervertebral disc protrusion disease risk factors and risk factors of conservative treatment.Results:(1)by the single factor analysis,acuteness activity,increased intra-abdominal pressure,duration of diabetes,history of massage traction,pfirrmann grading is associated with the onset of giant/ruptured lumbar intervertebral disc protrusion(p<0.05),age,history of the waist injury is suspected risk factors(p<0.1),the age,course of binary Logistic regression analysis,acuteness activity,history of diabetes,massage,traction,pfirrmann grading is the independent risk factors for the onset of giant/ruptured lumbar intervertebral disc protrusion(p<0.05),intra-abdominal pressure increases and the waist injury history is not independent risk factors(p>0.05).Among them,patients younger than 40 years old(OR=2.4595 95%ci:1.05,5.76)had a course of disease within 3 months(OR=3.404,95%ci:1.522,7.617).The higher the grade of pfirrmann,the greater the risk of disease.(2)by the single factor analysis of the waist injury history,acuteness activity,increased intra-abdominal pressure,diabetes is associated with the conservative treatment of huge type lumbar disc(p<0.05),pfirrmann grading is suspicious risk factors(p<0.1),the binary Logistic regression analysis acuteness activity,and elevated intra-abdominal pressure is huge conservative treatment of lumbar disc prolapse were independent risk factors(p<0.05),the waist injury history,diabetes,and pfirrmann grading is not independent risk factors of conservative treatment(p>0.05).Conclusion:Giant/ruptured lumbar disc herniation has a large potential risk,according to the relevant risk factors screening potential risk patients,effective health education and the relevant risk factors to take effective control,can reduce the incidence of probability.Patients receiving conservative treatment can effectively avoid relevant risk factors and develop good living habits,which can improve the therapeutic effect of conservative treatment and avoid aggravation of symptoms or even surgical treatment.