| Objective: To observe the clinical efficacy of the treatment of DLSS with Lumbar instability(kidney deficiency and blood stasis type)by combining the internal fixation technology of lumbar fusion with Tongdu activating blood soup,and to observe the improvement of Tongdu activating blood soup in the symptoms of lumbar and leg pain and lumbar vertebrae function of the patient after surgery,and to evaluate its clinical efficacy.Methods: The study selected 60 patients with degenerative lumbar spinal stenosis and lumbar instability(kidney deficiency and blood stasis type)who were treated in the spine department of Fuzhou Second Hospital from January 2020 to December 2020 and who were to be treated with fixed decompression in lumbar fusion.The patients were randomly grouped according to the order of visits,and divided into control groups: surgical treatment and routine treatment.Experimental group: on the basis of the control group,Tongdu activating blood soup was added.Both groups of patients after surgery were given bed rest and postoperative auxiliary function exercise.After surgery the patients were followed up for 1 month by means of inpatient,outpatient and telephone follow-up,then the VAS score,JOA score and TCM symptom score were recorded and compared before operation,1 week,2 weeks and 4 weeks after operation,meanwhile the clinical therapeutic efficacy of patients was evaluated by TCM efficacy index in 4 weeks after operation.Results:(1)A total of 60 patients were included,and the follow-up time was 4 weeks.of which One patient in the experimental group was terminated the trial after surgery due to nausea discomfort after taking Chinese medicine,so 59 cases were finally included in this study,the remaining patients all cooperated and successfully completed the study.The average age of 29 cases in the experimental group was 59.31±3.58,and the average course of disease was 46.03±6.93 months,and the stenotic segments were located in L4 / 5 and L5 / S1,which were divided into 17 cases and 12 cases.The average age of 30 cases in the control groups was 55.33±3.33,and the average course of disease was 46.33±7.16 months,and the stenotic segments were located in L4 / 5 and L5 / S1,which were divided into 21 cases and 9cases.(2)There was no statistically significant difference in preoperative VAS score,JOA score and TCM symptom score between the two groups(P > 0.05),which was comparable.Within the two groups: VAS score and JOA score at 1 week,2 weeks and 4 weeks after operation were compared with those before operation,the differences were statistically significant(P < 0.05);TCM symptom score at 4 weeks after operation were compared with those before operation,the differences were statistically significant(P < 0.05).Between the two groups: after 1 week,2 weeks and 4 weeks of follow-up time,the VAS score of the experimental group decreased significantly compared with the control group,the difference was statistically significant(P < 0.05),the JOA score increased compared with the control group,the difference was statistically significant(P <0.05),the TCM symptom score of the experimental group decreased slightly compared with the control group,the difference was statistically significant(P <05).The total effective rate was 96.6% in the experimental group and 83.3% in the control group in 4 weeks after operation,and the difference was statistically significant(P <0.05).Conclusion: the treatment of DLSS with Lumbar instability(kidney deficiency and blood stasis type)by combining the internal fixation technology of lumbar fusion with Tongdu activating blood soup has played a good synergistic effect in the early intervention,which can enhance the surgical effect,meanwhile,improve the symptoms of lumbar and leg pain and lumbar vertebrae function of the patients and TCM syndrome,promote the recovery and deserve clinical promotion. |
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