|
|
Clinical study on self-made Yiqi Huoxue Quyu Decoction in the treatment of postoperative syndrome of lumbar disc herniation |
GONG Jian1 GAO Yingqing1 GONG Yanhong2 |
1.Department of Orthopaedics, Tieling Central Hospital, Liaoning Province, Tieling 112000, China;
2.Department of Pharmacy, Tieling Central Hospital, Liaoning Province, Tieling 112000, China |
|
|
Abstract Objective To explore clinical effect of self-made Yiqi Huoxue Quyu Decoction in the treatment of postoperative syndrome of lumbar disc herniation (LDH). Methods One hundred and three patients with postoperative syndrome of LDH admitted to Tieling Central Hospital from January 2017 to March 2019 were selected, they were divided into control group (51 cases) and study group (52 cases) according to random number table method. Control group was given routine treatment, and study group was given self-made Yiqi Huoxue Quyu Decoction on the basis of control group, two groups were treated for 4 weeks. Clinical efficacy, inflammatory factors, pain visual analogue scale (VAS), Oswestry dysfunction index (ODI), Chinese medicine symptom score and adverse reactions were compared between two groups. Results Total clinical effective rate in study group was significantly higher than that in control group after 4 weeks of treatment (P < 0.05). The serum levels of interleukin (IL)-1β, IL-6 and tumor necrosis factor-α in two groups were lower than those before treatment, and the levels in study group were lower than those in control group (P < 0.05). After treatment, the scores of VAS, ODI and Chinese medicine symptoms in two groups were lower than those before treatment, and those in study group were lower than those in control group (P < 0.05). No serious adverse reactions occurred in both groups. Conclusion Self-made Yiqi Huoxue Quyu Decoction can effectively improve clinical symptoms and reduce the level of inflammatory factors in the treatment of postoperative syndrome of LDH. It has good safety and high clinical application value.
|
|
|
|
|
[1] Hasvik E,Schj?覬lberg T,Jacobsen DP,et al. Up-regulation of circulating microRNA-17 is associated with lumbar radicular pain following discherniation [J]. Arthritis Res Ther,2019,21(1):186.
[2] Ishibashi K,Iwai H,Koga H. Chemonucleolysis with chondroitin sulfate ABC endolyase as a novel minimally invasive treatment for patients with lumbar intervertebral disc herniation [J]. J Spine Surg,2019,5(Suppl 1):S115-S121.
[3] 张立源,宋鹏程,宋雪,等.自拟独活寄生汤治疗腰椎间盘突出症椎间孔镜术后的感觉异常[J].国际中医中药杂志,2018,40(12):1138-1141.
[4] 丁伟国,徐卫星,卢笛,等.经皮椎间孔镜与开放椎板间开窗术治疗腰椎间盘突出症的疗效分析[J].中国内镜杂志,2016,22(4):43-48.
[5] 宋焕瑾,程斌,牛峰,等.腰椎间盘突出症保守治疗致马尾神经综合征28例临床分析[J].陕西医学杂志,2016, 45(3):313-316.
[6] 尚荣安,王少飞,晁建虎,等.自拟补气活血汤治疗腰椎间盘突出症术后综合征的效果[J].中国医药导报,2019, 16(6):151-153,158.
[7] 胡有谷.腰椎间盘突出症[M].3版.北京:人民卫生出版社,2004.
[8] 国家中医药管理局.中医内科病证诊断疗效标准(三)[J].湖北中医杂志,2002,24(4):10-12.
[9] 李大鹏,沈铁城,徐晓峰,等.双Endobutton 钢板重建喙锁韧带治疗Tossy Ⅲ型肩锁关节脱位短期疗效观察[J].山东医药,2014,54(32):76-78.
[10] 刘绮,麦明泉,肖灵君,等.中文版Oswestry功能障碍指数评定慢性腰痛患者的反应度研究[J].中国康复医学杂志,2010,25(7):621-624.
[11] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002.
[12] Hua W,Zhang Y,Wu X,et al. Full-endoscopic visualized foraminoplasty and discectomy under general anesthesia in the treatment of L4-L5 and L5-S1 disc herniation [J]. Spine (Phila Pa 1976),2019,44(16):E984-E991.
[13] Chen X,Chamoli U,Lapkin S,et al. Complication rates of different discectomy techniques for the treatment of lumbar disc herniation:a network meta-analysis [J]. Eur Spine J,2019,28(11):2588-2601.
[14] 袁小敏,琚红艳.综合康复治疗措施治疗腰椎间盘突出症术后的疗效观察[J].中国医药科学,2018,8(16):202-204,211.
[15] 区俊,姚玉葵,彭雪林.针灸推拿配合中药熏蒸治疗腰椎间盘突出症的治疗效果分析及对患者生活质量影响[J].中国医药科学,2018,8(5):68-71.
[16] 王雷,付晓芳,李无阴,等.中医综合治疗腰椎间盘突出症术后综合征的临床研究[J].中国中医急症,2018,27(3):449-451,468.
[17] 陈为坚,陈奕雄.委中刺络放血对腰椎间盘突出症术后综合征的疗效及对凝血的影响[J].世界中医药,2018, 13(5):1238-1241.
[18] 尚荣安,余红超,王少飞,等.补气活血汤联合经皮椎间孔镜治疗腰椎间盘突出症临床观察[J].中国医药导报,2018,15(21):64-67.
[19] 龚龙,黄明华.补气活血汤辅助经皮椎间孔镜手术治疗腰椎间盘突出症的临床效果[J].医学综述,2019,25(14):2908-2912.
[20] 沈源彬,关宏刚,曹正霖,等.益气活血祛瘀法在预防腰椎术后综合征及对血清TNF-α、IL-6的影响[J].浙江中医杂志,2017,52(9):636-637.
[21] 张家富,王洪乐,来庆春,等.除痹止痛汤治疗寒湿痹阻型腰椎间盘突出症的临床效果及对睡眠质量的影响[J].中国医药导报,2017,14(19):102-105.
[22] 王海超.观察益气养血、活血祛瘀类中药治疗神经根型颈椎病的临床疗效[J].中国医药指南,2015,13(11):209-210. |
|
|
|