A comprehensive evaluation study on the therapeutic effect,economic cost,and long-term recurrence rate of Taohong Siwu decoction combined with radiofrequency thermocoagulation in patients with cervical and lumbar disc herniation
Objective:Exploring the comprehensive therapeutic effect,economic cost,and long-term recurrence rate of Taohong Siwu Tang combined with radiofrequency thermocoagulation in patients with cervical and lumbar disc herniation.Methods:A prospective study was conducted on 152 patients with cervical and lumbar disc herniation admitted to our hospital from March 2021 to March 2023.They were randomly divided into a study group of 76 cases and a control group of 76 cases using a random number table method.The control group received radiofrequency thermocoagulation treatment,while the study group received a combination of Taohong Siwu Tang and radiofrequency thermocoagulation treatment.The differences in efficacy,pain level,economic indicators,cervical and lumbar spine function(JOA score),serum factor levels,intervertebral disc retraction length,and long-term recurrence rate between the two groups were compared.Results:Rank sum test of rank data showed that compared to the control group,the study group had better efficacy and total effective rate(P<0.05).Compared to the control group,the study group had lower VAS scores and hospitalization costs after treatment,and shorter hospital stay(P<0.05).Compared with before treatment,JOA scores in both groups increased(P<0.05),after 1 week of treatment and 3 months after treatment,and the study group was higher than the control group(P<0.05).Compared to before treatment,after one week of treatment,two groups of IL-1 β、IL-6,TNF-ɑ、The CRP levels were all reduced(P<0.05),and the study group was lower than the control group(P<0.05).Compared to the control group,the study group had a higher intervertebral disc retraction length at 3 months after treatment,and a lower recurrence rate at 1 year after treatment(6.58%vs 19.74%)(P<0.05).Conclusion:The combination of Taohong Siwu Tang and radiofrequency thermocoagulation has a good therapeutic effect on cervical and lumbar disc herniation,which can effectively alleviate pain,reduce treatment costs,improve cervical and lumbar spine function,regulate serum factor levels,increase intervertebral disc retraction length,and reduce long-term recurrence rate.
Cervical and lumbar disc herniationTaohong Siwu TangRadiofrequency thermocoagulationTherapeutic effectEconomic costsLong term recurrence rate