Study on the Quantity Effect of Traditional Chinese Medicine for Invigorating Qi and Promoting Blood Circulation on the Recovery of Cauda Equina Syndrome after Lumbar Disc Herniation
YANG Hongjie,CHEN Xiao-dong,ZHAO Hai-bo
Department of Spine and Orthopaedics, Luohu District Hospital of Traditional Chinese Medicine, Shenzhen 518000, China
Abstract:
Objective To compare the efficacy of astragalus in the treatment of cauda equina syndrome (CES) after lumbar disc herniationde compression operation and to find out the best scheme of Chinese medicine for CES. Methods 60 cases of lumbar disc herniation with cauda equina syndrome were selected according to the order of treatment. The patients were divided into treatment group, reinforcement group and control group according to the principle of equal probability. Each group was divided into 20 patients. The patients in the treatment group were treated with traditional Chinese medicine of invigorating Qi and activating blood circulation, which the differential treatment method was used. The control group was treated with the simple decompression operation and traditional nursing. The treatment group was treated with traditional Chinese medicine of invigorating Qi and activating blood circulation after the decompression operation. The cases in the strengthening group were treated with traditional Chinese medicine of invigorating Qi and activating blood circulation. On the basis of the decompression operation, the dosage of astragalus in the decoction of invigorating Qi and activating blood circulation doubled. To compare the efficacy of astragalus in the treatment of CES patients without dosage.Results After 90 days of decompression operation, ODI scores of three groups were compared and the data of three groups were statistically significant (P < 0.05) after one-way ANOVA. 90 days after decompression, the total effective rate of the three groups (%): 95.0 in the strengthening group, 80.0 in the treatment group and 60.0 in the control group. The data showed significant difference by the rank sum test (P < 0.05). Conclusion The Chinese medicine of invigorating Qi and promoting blood circulation can increase the dosage of astragalus membranaceus, which has a good clinical effect on the recovery of CES patients after operation of lumbar disc herniation, and it can be further applied in clinic.
