Yao C, He B, Zhou J, Xie L. Clinical therapeutic effect of self-prescribed Sanhanchushi Tongbi on lumbar disc herniation. World J Clin Cases 2024; 12(18): 3444-3452 [PMID: 38983417 DOI: 10.12998/wjcc.v12.i18.3444]
Corresponding Author of This Article
Lin Xie, MD, Chief Physician, Department of Orthopedics, The Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Traditional Chinese Medicine, No. 100 Shizi Street, Hongshan Road, Nanjing 210028, Jiangsu Province, China. xielin074@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Clin Cases. Jun 26, 2024; 12(18): 3444-3452 Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3444
Table 1 Comparison of the traditional Chinese medicine syndrome scores
Group
n
TCM syndrome score
Before treatment
After treatment
Observation group
104
14.36 ± 3.57
6.21 ± 2.11
Control group
107
14.28 ± 3.43
7.46 ± 3.08
t value
0.166
3.429
P value
> 0.05
< 0.05
Table 2 Comparison of the Japanese Orthopedic Association scores
Group
n
Main symptoms
Clinical signs
Daily activity
JOA scores
Before treatment
After treatment
Before treatment
After treatment
Before treatment
After treatment
Before treatment
After treatment
Observation group
104
5.24 ± 0.56
7.84 ± 1.03
2.54 ± 0.50
4.58 ± 0.63
7.79 ± 1.68
12.06 ± 1.16
15.57 ± 1.89
24.48 ± 1.56
Control group
107
5.19 ± 0.62
6.79 ± 1.13
2.51 ± 0.50
3.54 ± 0.57
7.81 ± 1.54
11.34 ± 1.87
15.51 ± 1.84
21.67 ± 2.37
t value
0.614
7.048
0.436
12.581
0.090
3.350
0.234
10.143
P value
> 0.05
< 0.05
> 0.05
< 0.05
> 0.05
< 0.05
> 0.05
< 0.05
Table 3 Comparison of the visual analog scale scores
Group
n
VAS
Before treatment
After treatment
Observation group
104
8.25 ± 1.11
2.25 ± 0.54
Control group
107
8.12 ± 1.24
3.12 ± 0.87
t value
0.802
8.698
P value
> 0.05
< 0.05
Table 4 Comparison of the Oswestry disability index
Group
n
ODI
Before treatment
After treatment
Observation group
104
41.56 ± 4.21
14.15 ± 7.25
Control group
107
41.52 ± 4.24
22.54 ± 7.14
t value
0.069
8.469
P value
> 0.05
< 0.05
Table 5 Comparison of interleukin-6, tumor necrosis factor-α and C-reactive protein levels
Group
n
IL-6 (μg/L)
TNF-α (ng/L)
CRP (mg/L)
Before treatment
After treatment
Before treatment
After treatment
Before treatment
After treatment
Observation group
104
134.25 ± 7.34
90.24 ± 5.25
2.88 ± 0.25
1.05 ± 0.12
24.32 ± 3.58
9.24 ± 2.64
Control group
107
133.55 ± 7.28
109.62 ± 6.77
2.86 ± 0.22
1.36 ± 0.34
24.28 ± 3.44
14.68 ± 2.97
t value
0.695
23.191
0.617
8.878
0.082
14.048
P value
> 0.05
< 0.05
> 0.05
< 0.05
> 0.05
< 0.05
Table 6 Comparison of S substance P and neuropeptide Y levels
Group
n
SP (ng/L)
NPY (ng/L)
Before treatment
After treatment
Before treatment
After treatment
Observation group
104
368.84 ± 27.54
102.38 ± 19.87
142.28 ± 15.87
38.69 ± 5.34
Control group
107
367.94 ± 27.78
131.65 ± 20.34
142.11 ± 15.84
69.64 ± 5.87
t value
26.489
10.570
0.077
40.028
P value
> 0.05
< 0.05
> 0.05
< 0.05
Table 7 Comparison of superoxide dismutase and malondialdehyde levels
Group
n
SOD (mg/L)
MAD (μg/L)
Before treatment
After treatment
Before treatment
After treatment
Observation group
104
92.74 ± 5.44
134.57 ± 7.42
5.82 ± 1.54
2.15 ± 0.54
Control group
107
93.47 ± 5.51
112.54 ± 6.24
5.76 ± 1.49
4.05 ± 0.67
t value
0.968
23.365
0.287
22.641
P value
> 0.05
< 0.05
> 0.05
< 0.05
Table 8 Comparison of clinical outcomes, n (%)
Group
n
Cure
Improvement
Failure to heal
Overall efficiency
Observation group
104
68 (65.38)
32 (30.77)
4 (3.85)
100 (96.15)
Control group
107
52 (48.60)
43 (40.19)
12 (11.21)
95 (88.79)
χ2
-
-
-
4.086
P value
-
-
-
< 0.05
Citation: Yao C, He B, Zhou J, Xie L. Clinical therapeutic effect of self-prescribed Sanhanchushi Tongbi on lumbar disc herniation. World J Clin Cases 2024; 12(18): 3444-3452