Clinical observation of the effects of modified Duhuo-Jisheng decoction for treatment of paresthesia after transforaminal endoscopic discectomy in patients with lumbar disk herniation
10.3760/cma.j.issn.1673-4246.2018.12.008
- VernacularTitle: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
- Author:
Liyuan ZHANG
1
;
Pengcheng SONG
;
Xue SONG
;
Jie YU
Author Information
1. 中国中医科学院广安门医院南区骨二科
- Keywords:
Intervertebral disc displacement;
Foraminotomy;
Paresthesia;
Du Huo Ji Sheng Tang;
Quality of life
- From:
International Journal of Traditional Chinese Medicine
2018;40(12):1138-1141
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effects of modified Duhuo-Jisheng decoction for treatment of paresthesia after transforaminal endoscopic discectomy in patients with lumbar disk herniation. Methods A total of 89 lumbar disk herniation patients with paresthesia after transforaminal endo-scopic discectomy were divided into the control group (n=44) and the treatment group (n=45) by random number table method. The control group were treated with mecobalamin capsule, and the treatment group treated modified Duhuo-Jisheng decoction. The two groups were treated for 4 weeks. The VAS scale was used to evaluate the pain level of the lower extremities, and the nylon rope test score was used to evaluate the numbness of the lower extremities; and the Oswestry Disability Index was used to evaluate lumbar function; and the World Health Organization Quality of Life (WHOQOL-BREF) was used to evaluate the quality of life. The clinical efficacy of the two groups was compared. Results The total effective rate was 93.3％ (42/45) in the treatment group and 75.0％ (33/44) in the control group. There were significant differences between the two groups (χ2=5.641, P<0.05). After treatment, the VAS score and ODI score in the treatment group were significantly lower than those in the control group (t=11.440, 8.976, P<0.01). The nylon rope test score and WHOQOL-BREF score were significantly higher than those of the control group (t=10.524, 6.221, P<0.01). Conclusions The modified Duhuo-Jisheng decoction can significantly improve pain and numbness of lower extremities, lumbar function and quality of life in lumbar disk herniationpatients with paresthesia after transforaminal endo-scopic discectomy.
