Retrospective cohort study on the curative effect of Tongluo Qutong ointment on cold-dampness type lumbar disc herniation
HOU Zhi-hui
JIANG Xiao-meng
XING Chao-feng
SUN Xiao-hang
ZHANG Kai
ZHOU Ming-wu
CHEN Jia
Abstract：Objective:To study the clinical effect of Tongluo Qutong ointment in the treatment of lumbar disc herniation,and analyze the therapeutic advantages of Tongluo Qutong ointment and its contraindications.Methods:A total of 240 patients with cold-dampness type lumbar disc herniation in our hospital were selected and randomly divided into control group and treatment group,with 120 cases in each group.The treatment group was divided into several subgroups according to age,BMI and course of disease.The control group was treated with acupuncture and rehabilitation training,after acupuncture,"five-point support method"was used for rehabilitation training.All of them were treated 6 times a week and 1 course 2 weeks.On the basis of the control group,after rehabilitation training,Tongluo Qutong ointment was applied at the corresponding points and pain sites,2～3 tablets each time,for 8 hours each time,once a day,2 weeks for a course of treatment.Results:Before treatment,there was no significant difference in the Japanese Orthopaedic Association evaluates treatment(JOA)score between the two groups.After treatment,JOA score in both groups increased,and that in the treatment group was significantly higher than the control group with significant difference(P<0.05).Before treatment,there was no significant difference in McGill pain scores between the two groups.After treatment,the McGill pain score in both groups decreased,and the treatment group was significantly lower than the control group,with significant difference(P<0.05).The total clinical effective rate of the treatment group was higher than that of the control group(P<0.05).The pain of lumbar disc herniation was improved in all subgroups.Among them,age>60 years old,BMI<26.9,and the disease course<3 years were the curative advantage of Tongluo Qutong Ointment.Conclusion:Tongluo Qutong ointment can significantly improve the lumbar function of patients with cold-dampness type lumbar disc herniation,and it is recommended to select patients with corresponding characteristics in clinical use.
Keywords：Tongluo Qutong ointmentcold-damp typelumbar disc herniationlow back paincohort study
Publication Date：2024-07-15
Online Publishing Date：2026-08-14(First online date of this platform, not the publication date of the document)
Pages：6( 1350-1355 )