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Clinical therapeutic effect of self-prescribed Sanhanchushi Tongbi on lumbar disc herniation

World Journal of Clinical Cases 2024年第18期12卷 3444-3452页

作者： Cheng Yao Bin He Jie Zhou Lin Xie Department of orthopedics The Affiliated Hospital of Integrated Traditional Chinese and Western MedicineNanjing University of Traditional Chinese MedicineNanjing 210028Jiangsu ProvinceChina Department of orthopedics The Second Affiliated Hospital of Nanjing Medical UniversityNanjing 210000Jiangsu ProvinceChina

BACKGROUND Lumbar disc herniation(LDH)commonly occurs during spinal surgery;LDH is on the increase in younger patients and is classified as"paralysis"and"back pain."Sanhanchushi Tongbi(SPST)is a customized *** disperses cold,relieves pain,removes cold from the meridians and viscera,and treats neuropathic ***,few studies have investigated its mechanism of pain *** To observe the clinical therapeutic effects on LDH treated with self-prescribed *** A total of 211 patients with LDH syndrome were divided into two groups:107 patients in the control group were treated with conventional massage combined with traction,and 104 patients in the observation group were treated with a combination of the control regimen and self-prescribed oral *** patients were treated for 4 *** of traditional Chinese medicine(TCM)syndrome score and serum inflammatory factor levels were *** After therapy,the TCM syndrome score in the observation group was significantly lower than that in the control group(Pjapanese orthopedic association scores in the observation group were significantly higher than those in the control group after therapy(P<0.05).The levels of tumor necrosis factor-α,interleukin-6,and C-reactive protein were lower in the observation group than in the control group(P<0.05).In the observation group,superoxide dismutase levels were significantly higher,whereas malondialdehyde levels were significantly lower,compared with the control group(P<0.05).The overall efficacy rate in the observation group was 96.15%,which was substantially higher than that in the control group(88.79%;P<0.05).CONCLUSION Self-prescribed SPST can reduce the levels of inflammatory and pain-causing factors as well as lumbar pain in patients with LDH.

关键词： Self-prescribed Sanhanchushi Tongbi Lumbar disc herniation Pain factors Visual analog scale japanese orthopedic association scores Inflammatory factor

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