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Article: Integration of traditional Chinese and western medicine for treating lumbar intervertebral disc herniation: Review analysis of 1586 cases

TitleIntegration of traditional Chinese and western medicine for treating lumbar intervertebral disc herniation: Review analysis of 1586 cases
Authors
Issue Date2006
PublisherChinese Association of Rehabilitation Medicine (中國康復醫學會). The Journal's web site is located at http://www.cqvip.com/qk/80481A/200544/#yearsnumfull
Citation
Chinese Journal Of Clinical Rehabilitation, 2006, v. 10 n. 39, p. 24-26 How to Cite?
中國臨床康復, 2006, v. 10 n. 39, p. 24-26 How to Cite?
AbstractAim: To summarize the short- and long-term curative effects of lumbar intervertebral disc herniation (LIDH) with integration of traditional Chinese and western medicine, and compare with the effect of surgical treatment. Methods: Totally 1 586 inpatients treated in the Department of Orthopaedics, Ruikang Hospital of Guangxi College of Traditional Chinese Medicine from January 2000 to December 2005 were volunteered to join the study, and they were diagnosed as LIDH by CT or MRI of lumbar spine. 1 There were 612 cases treated with operations. Operative style was mainly the removals of nucleus pulposus by lamina windowing, enlarge windowing of lamina, hemilaminectomy, vertebral canal decompression and microendoscopic discectomy, and partly the removals of nucleus pulposus by hemilaminectomy, laminectomy and transpedicular fixation, etc. 2 And 974 cases were treated with integration of traditional Chinese and western medicine. Chinese or western drugs were injected by intravenous drips, and the patients were also orally administrated with non-steroid analgesics and homemade traditional Chinese medicine preparations such as Huoxue Zhitong capsule or Qufeng Sanhan capsule and Bushen Shujin capsule (all the herbs were purchased from local medical materials company), which was followed by block therapy, lying in plank bed for resting, traction, massage manipulation, local scald therapy and so on. One or manifold methods were adopted in non-operative group. The period of treatment depended on the locus and degree of lesions, and short-term was defined as before treatment or from 3 months to 2 years post-treatment by return visit, while long-term was defined as more than 2 years post-treatment by telephone interview. Curative effect: 1 Excellent: All the symptoms were relieved, and the patients recovered to normal work and life; 2 Good: Part of symptoms was relieved, but the patients did not recovered to normal levels. Results: There were 996 patients lost in the long-term follow-up by telephone interviews. Comparison of short- and long-term curative effects: The cases who got excellent and good outcomes were significantly higher in operation group than in non-operative group [95.42%, 72.9%, (u=14.333 3, P < 0.01)], but no significant difference was found in the long-term curative effects between two treatment groups [92.65%, 88.0%, (u=0.458 6, P > 0.05)]. Conclusion: As for LIDH, the short-term curative effect of traditional Chinese medicine and western medicine integration treatment is better than that of conservative treatment, while the long-term curative effect is similar between integration treatment and conservative treatment, suggesting that conservative treatment and postoperative rehabilitative exercises are still crucial for LIDH patients after surgical treatment.
Persistent Identifierhttp://hdl.handle.net/10722/177739
ISSN
2009 SCImago Journal Rankings: 0.105
References

 

DC FieldValueLanguage
dc.contributor.authorJia, JHen_US
dc.contributor.authorLi, SBen_US
dc.contributor.authorZhou, XMen_US
dc.contributor.authorZou, DQen_US
dc.contributor.authorQiu, XJen_US
dc.contributor.authorChen, WGen_US
dc.date.accessioned2012-12-19T09:39:45Z-
dc.date.available2012-12-19T09:39:45Z-
dc.date.issued2006en_US
dc.identifier.citationChinese Journal Of Clinical Rehabilitation, 2006, v. 10 n. 39, p. 24-26en_US
dc.identifier.citation中國臨床康復, 2006, v. 10 n. 39, p. 24-26-
dc.identifier.issn1671-5926en_US
dc.identifier.urihttp://hdl.handle.net/10722/177739-
dc.description.abstractAim: To summarize the short- and long-term curative effects of lumbar intervertebral disc herniation (LIDH) with integration of traditional Chinese and western medicine, and compare with the effect of surgical treatment. Methods: Totally 1 586 inpatients treated in the Department of Orthopaedics, Ruikang Hospital of Guangxi College of Traditional Chinese Medicine from January 2000 to December 2005 were volunteered to join the study, and they were diagnosed as LIDH by CT or MRI of lumbar spine. 1 There were 612 cases treated with operations. Operative style was mainly the removals of nucleus pulposus by lamina windowing, enlarge windowing of lamina, hemilaminectomy, vertebral canal decompression and microendoscopic discectomy, and partly the removals of nucleus pulposus by hemilaminectomy, laminectomy and transpedicular fixation, etc. 2 And 974 cases were treated with integration of traditional Chinese and western medicine. Chinese or western drugs were injected by intravenous drips, and the patients were also orally administrated with non-steroid analgesics and homemade traditional Chinese medicine preparations such as Huoxue Zhitong capsule or Qufeng Sanhan capsule and Bushen Shujin capsule (all the herbs were purchased from local medical materials company), which was followed by block therapy, lying in plank bed for resting, traction, massage manipulation, local scald therapy and so on. One or manifold methods were adopted in non-operative group. The period of treatment depended on the locus and degree of lesions, and short-term was defined as before treatment or from 3 months to 2 years post-treatment by return visit, while long-term was defined as more than 2 years post-treatment by telephone interview. Curative effect: 1 Excellent: All the symptoms were relieved, and the patients recovered to normal work and life; 2 Good: Part of symptoms was relieved, but the patients did not recovered to normal levels. Results: There were 996 patients lost in the long-term follow-up by telephone interviews. Comparison of short- and long-term curative effects: The cases who got excellent and good outcomes were significantly higher in operation group than in non-operative group [95.42%, 72.9%, (u=14.333 3, P < 0.01)], but no significant difference was found in the long-term curative effects between two treatment groups [92.65%, 88.0%, (u=0.458 6, P > 0.05)]. Conclusion: As for LIDH, the short-term curative effect of traditional Chinese medicine and western medicine integration treatment is better than that of conservative treatment, while the long-term curative effect is similar between integration treatment and conservative treatment, suggesting that conservative treatment and postoperative rehabilitative exercises are still crucial for LIDH patients after surgical treatment.en_US
dc.languagechien_US
dc.publisherChinese Association of Rehabilitation Medicine (中國康復醫學會). The Journal's web site is located at http://www.cqvip.com/qk/80481A/200544/#yearsnumfull-
dc.relation.ispartofChinese Journal of Clinical Rehabilitationen_US
dc.relation.ispartof中國臨床康復-
dc.titleIntegration of traditional Chinese and western medicine for treating lumbar intervertebral disc herniation: Review analysis of 1586 casesen_US
dc.typeArticleen_US
dc.identifier.emailZhou, XM: xianzhou@hkucc.hku.hken_US
dc.identifier.authorityZhou, XM=rp01129en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.scopuseid_2-s2.0-33846320422en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33846320422&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume10en_US
dc.identifier.issue39en_US
dc.identifier.spage24en_US
dc.identifier.epage26en_US
dc.identifier.scopusauthoridJia, JH=24597404100en_US
dc.identifier.scopusauthoridLi, SB=35074312400en_US
dc.identifier.scopusauthoridZhou, XM=8217375200en_US
dc.identifier.scopusauthoridZou, DQ=35075611800en_US
dc.identifier.scopusauthoridQiu, XJ=35074782100en_US
dc.identifier.scopusauthoridChen, WG=35073510200en_US

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