Effect of Huoxue Tongdu Decoction combined with tendon-soothing maneuver on lumbar posterior angle and hemorhe-ology in patients with degenerative lumbar spinal stenosis of kidney blood type
Objective To observe the effect of Huoxue Tongdu Decoction combined with tendon-soothing maneuver on lumbar posterior angle and hemorheology in patients with degenerative lumbar spinal stenosis(DLSS)of kidney blood type.Methods A total of 210 DLSS patients of kidney blood type were randomly assigned into the treatment group(n=105)and the control group(n=105).All patients were managed by routine Western medicine and tendon-soothing maneuver,and those in the treatment group were additionally treated with Huoxue Tongdu Decoction.The aim was to compare traditional Chinese medi-cine(TCM)syndrome score,hemorheology indexes(plasma viscosity,packed cell volume[PCV],fibrinogen[FIB]),lumbar posterior angle,Japanese Orthopaedic Association(JOA),adverse reactions.The curative effect was assessed.Results The overall effective rate in the treatment group was better than that in the control group(94.29%[99/105]vs 79.05%[83/105],[P<0.05],respectively).After treatment,the patients in the two groups presented significantly lower TCM syndrome score and plasma viscosity,PCV,FIB,significantly higher the lumbar posterior angle and JOA scores than those before treatment(all P<0.05),and the improvements were more pronounced in the treatment group than in the control group(all P<0.05).The inci-dence of adverse reactions between groups was comparable(P>0.05).Conclusion For DLSS patients of kidney blood type,Huoxue Tongdu Decoction combined with tendon-soothing maneuver has definite curative effect,which can effectively improve hemorheology,increase lumbar posterior angle,and im-prove lumbar function.
SpineLumbarSpinal canalSpinal stenosisTraditional Chinese medicine therapyBone-setting manipulations
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