Observation on the Curative Efficacy of Buzhong Yiqi Decoction on Residual Symptoms of Aged Lumbar Fusion with Qi Deficiency and Blood Stasis
Objective:To observe the clinical efficacy of Buzhong Yiqi decoction in treating residual symptoms of the aged lumbar fusion with Qi deficiency and blood stasis.Methods:60 patients who had residual symptoms after transforaminal lumbar interbody fusion(TLIF)and belonged to Qi deficiency and blood stasis type according to traditional Chinese medi-cine(TCM)syndrome differentiation were divided into control group(30 cases)and observation group(30 cases)accord-ing to random number table method.The control group received basic treatment after surgery,and the observation group received basic treatment+Buzhong Yiqi decoction orally after surgery.Visual analogue scale(VAS)scores at the three observation points were collected before surgery,on the day 2 and day 16 after surgery to assess pain degree and lumbar Japanese orthopaedic association(JOA)scale to assess symptom relief and functional improvement of patients.The total amount of postoperative intramuscular painkiller,total amount of oral painkiller,postoperative time from the last intramuscular painkiller injection,postoperative time from the last oral painkiller injection and other data were com-pared between the two groups.The obtained data were statistically analyzed using SPSS 22.0,using P＜0.05 was statisti-cally significant to evaluate the clinical efficacy of Buzhong Yiqi decoction in treating residual symptoms after lumbar fu-sion of Qi deficiency and blood stasis in the elderly patients.Results:All 60 patients were followed up for 2-4 months.There were no significant differences in age,gender,preoperative VAS and JOA scores,surgical stage,surgical duration,and blood loss between the two groups(P＞0.05),the two groups were comparable.In terms of improvement of postop-erative residual symptoms,there was no significant difference in VAS scores on day 2 and day 16 after surgery between the two groups(P＞0.05),the pain control effect of the two groups was similar.There was no statistical difference in JOA scores between the two groups on the day 2 after surgery,and there was statistical difference in JOA scores on the day 16 after surgery.The observation group was higher than the control group,and the observation group was superior to the control group in symptom relief and functional improvement.In terms of analgesic drug use:there were statistical differ-ences between the two groups in terms of total intramuscular injection of painkillers,total oral painkillers,postoperative time from the last intramuscular injection of painkillers and postoperative time from the last oral painkillers(P＜0.05),and the amount and time of analgesic drugs used in the observation group were lower than those in the control group.Conclusion:Buzhong Yiqi decoction can effectively relieve the residual symptoms after lumbar fusion in the elderly patients and it is worth promoting in clinical practice.
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