Soluble CD40L (sCD40L) levels and acute coronary syndrome (First Affiliated Hospital of Zhengzhou University, Department of Physiotherapy, Zhengzhou 450052)
[Abstract] Objective: To observe the efficacy of Integrative Medicine in the treatment of lumbar disc herniation. Methods: 280 patients were randomly divided into two groups. The treatment group received massage, traction, and DC Chinese medicine import therapy, while the control group received conventional treatment, including traction, oral medication, and intravenous infusion. The results showed that the treatment group was significantly better than the control group, with a total effective rate of 98%. The comparison of overall efficacy between the two groups showed P < 0.01, indicating a statistically significant difference. Conclusion: Integrative Medicine is an important therapeutic measure for the non-surgical treatment of lumbar disc herniation.
Keywords: Disc; Massage; Traction; DC Chinese medicine
Lumbar disc herniation is a common clinical condition, treated by surgical and non-surgical methods. Non-surgical treatments include massage, traction, and are easily accepted by patients. Since 1999, we have treated 190 cases of lumbar disc herniation with good results. The following report details the treatment:
1 Materials and Methods
1.1 General Information: All patients were inpatients. A total of 280 cases were randomly divided into treatment and control groups. The treatment group consisted of 190 cases, including 96 males and 94 females, aged 20-76 years, with an average age of 47.4 years. The longest duration was 30 years, the shortest 6 days. There were 124 cases with a history of trauma, and 66 cases with significant incentive. The control group consisted of 90 cases, including 51 males and 39 females, aged 19-79 years, with an average age of 51.6 years. The longest duration was 30 years, the shortest 9 days. There were 63 cases with a history of trauma, and 27 cases with obvious lure sleepy. All patients had typical clinical symptoms and signs, confirmed by X-ray, CT, and MRI. The age of onset, clinical manifestations, and course were generally not statistically significant. They were comparable.
Clinical signs and symptoms were categorized as follows: Type I, simple low back pain, totaling 67 cases, with 45 cases in the treatment group and 22 cases in the control group. Most cases had paravertebral deep tenderness, and a positive straight leg raise test (+). Type II, low back pain with leg pain, totaling 144 cases, with 96 cases in the treatment group and 48 cases in the control group. Most were associated with perineal pain, spinous process or paravertebral deep tenderness, and a positive straight leg raise test (+). Type III, totaling 69 cases, with 46 cases in the treatment group and 23 cases in the control group, mainly characterized by numbness, a sense of frozen and intermittent claudication, with a positive straight leg raise test (+).
CT scan findings: Simple central protrusion in 36 cases, simple side prolapse in 103 cases; intervertebral disc prolapse with central type spinal stenosis, lateral recess stenosis, and yellow ligament hypertrophy in 20 cases; simple side prolapse combined with these complications in 26 unilateral cases. The largest prolapse was 0.9 cm, and the smallest was 0.3 cm.
1.2 Diagnosis Based On: Clinical symptoms, signs, X-ray findings, CT, and MRI diagnosis. Excluded spinal tumors, tuberculosis, aseptic inflammation, and other diseases.
1.3 Treatment:
1.3.1 Control Group: Bed rest, low back pain, bone pain liquid, indomethacin, severe cases received intravenous safflower injection (40ml, each R1, lOd for treatment), avoiding prolonged standing, sedentary for a long time, and going with low back muscles functional training. According to the conventional mechanical bed traction method, using a double spinal traction bed, once a day, 10 times for one course. The traction weight was 1/2 of the patient's body weight ± 10kg. Patients prone, then first tender point side hand attached to the waist, wrist flexion, internal and external rotation movement for 10 minutes; then hands overlap parts pressing lower back pain, gradually forced re-waist tender point and ring-hop; thumb repeated operation 20 times. In patients with flu, swelling, heat, pain after surgery, stand on the affected side, one hand pressing the vertebral body, the other hand forcibly holding up the knee gradually stretched back flipped 10 times. Patients often feel lower back pain and sciatica who alternately lift their left and right legs, once a day, a total of 10 days. This approach can lift nerve root adhesion and promote the nucleus pulposus satisfaction.
② Treatment Group: Received massage and DC drug iontophoresis. Using the GZ134 type hyperosteogeny drug electrophoresis treatment instrument. Basic Recipe consists of: the system, Aconitum 30g, Kusnezoffii 30g, Asarum 30g, mastic 30g, Myrrh 30g, Chinese angelica 30g, Safflower 60g, eucommia 60g, Achyranthes bidentata 30g, teasel 30g, independent living 30g, Shenjin grass 30g, Speranskia 30g, Treats 30g, Atractylodes 30g, add rice wine, vinegar, 250ml suffering spare. Take the liquid 10ml treatment pad soaked in anode drug, a drug pad on the lumbosacral region and buttocks, the other drugs outside the pad on the leg. Non-role in pole placed in the back of the thoracic area, current...