Objective To explore the effect of modified Shentong Zhuyu Decoction on the levels of inflammatory factors and pain in patients with lumbar disc herniation (LDH).Methods A total of 93 patients with LDH treated in Nanchang Hongdu Traditional Chinese Medicine Hospital in Nanchang from March 2022 to July 2023 were selected as the research subjects and randomly divided into test group (n=47)and control group (n=46)using a random number table method.The control group was treated with Celecoxib,and on this basis,the test group was treated with modified Shentong Zhuyu Decoction for 3 weeks.The pain severity,lumbar function,inflammatory factor levels,oxidative stress response,and quality of life were compared between the two groups.Results After treatment,the visual analog scale (VAS)score and Oswestry disability index (ODI)score in the test group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of interleukin-1β,tumor necrosis factor-α,malondialdehyde,and interleukin-6 in the test group were lower than those in the control group,while the level of superoxide dismutase (SOD)was higher than that in the control group,and the differences were statistically significant(P<0.05).The MOS 36-item short from health survey(SF-36)score in the test group after treatment was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The modified Shentong Zhuyu Decoction can reduce inflammation and oxidative stress reactions,alleviate pain severity,improve lumbar function and quality of life in the treatment of LDH.
姜杰 ;周龙殿;于江涛;陶志强. 身痛逐瘀汤加减方对腰椎间盘突出症患者炎症因子水平及疼痛的影响[J]. 中国当代医药, 2024, 31(18): 47-50.
JIANG Jie ZHOU Longdian YU Jiangtao TAO Zhiqiang. Effect of modified Shentong Zhuyu Decoction on the levels of inflammatory factors and pain in patients with lumbar disc herniation. 中国当代医药, 2024, 31(18): 47-50.
Chen X,Li Y,Wang W,et al.Correlation between inflammatory cytokine expression in paraspinal tissues and severity of disc degeneration in individuals with lumbar disc herniation[J].BMC Musculoskelet Disord,2023,24(1):193.
Chiarotto A,Maxwell LJ,Ostelo RW,et al.Measurement Properties of Visual Analogue Scale,Numeric Rating Scale,and Pain Severity Subscale of the Brief Pain Inventory in Patients With Low Back Pain:A Systematic Review[J].J Pain,2019,20(3):245-263.
[8]
Hooff MLV,Spruit M,Fairbank JCT,et al.The Oswestry Disability Index(Version 2.1a):Validation of a Dutch Language Version[J].Spine,2015,40(2):83-90.