复元活血汤联合腰背肌锻炼治疗胸腰椎骨折内固定术后慢性腰背痛的临床疗效观察

复元活血汤联合腰背肌锻炼治疗胸腰椎骨折内固定术后慢性腰背痛的临床疗效观察复元活血汤联合腰背肌锻炼治疗胸腰椎骨折内固定术后慢性腰背痛的临床疗效观察

摘要：目的探讨复元活血汤联合腰背肌锻炼治疗胸腰椎骨折内固定术后慢性腰背痛的临床疗效及对胸腰椎骨折内固定术后康复的影响。方法选取2017年1月至2019年6月在我院进行胸腰椎骨折内固定术，并术后出现慢性腰背痛的患者，随机分为复元活血汤联合腰背肌锻炼组和对照组，每组30例。复元活血汤联合腰背肌锻炼组给予中药复方复元活血汤口服，并进行腰背肌锻炼，对照组给予对症治疗。治疗4周后，比较两组病人的腰背疼痛视觉模拟评分（VAS）、胸椎前凸角和腰椎前凸角的变化情况。结果复元活血汤联合腰背肌锻炼组治愈率高于对照组(P<0.05)，VAS评分较对照组降低(P<0.05)，胸椎前凸角和腰椎前凸角变化较对照组小(P<0.05)。结论复元活血汤联合腰背肌锻炼对胸腰椎骨折内固定术后慢性腰背痛有较好的治疗效果，对术后康复有积极的促进作用。

关键词：复元活血汤；腰背肌锻炼；胸腰椎骨折内固定术后；慢性腰背痛；康复。

Abstract:ObjectiveToinvestigatetheclinicalefficacyofFuyuanHuoxueTangcombinedwithwaistandbackmuscleexerciseinthetreatmentofchroniclowbackpainafterthoracolumbarvertebraefractureinternalfixationsurgery,andtheinfluenceonpostoperativerehabilitation.MethodsPatientswhounderwentthoracolumbarvertebraefractureinternalfixationsurgeryinourhospitalfromJanuary2017toJune2019anddevelopedchroniclowbackpainwererandomlydividedintotheFuyuanHuoxueTangcombinedwithwaistandbackmuscleexercisegroupandthecontrolgroup,with30casesineachgroup.TheFuyuanHuoxueTangcombinedwithwaistandbackmuscleexercisegroupwasgiventhetraditionalChinesemedicinecompoundFuyuanHuoxueTangorallyandunderwentwaistandbackmuscleexercise,whilethecontrolgroupwasgivensymptomatictreatment.After4weeksoftreatment,thevisualanalogscale(VAS)oflowbackpain,aswellasthechangesinthoracickyphosisandlumbarlordosisanglesofthetwogroupswerecompared.ResultsThecurerateoftheFuyuanHuoxueTangcombinedwithwaistandbackmuscleexercisegroupwashigherthanthatofthecontrolgroup(P＜0.05),theVASscorewaslowerthanthatofthecontrolgroup(P＜0.05),andthechangesinthoracickyphosisandlumbarlordosisanglesweresmallerthanthoseofthecontrolgroup(P＜0.05).ConclusionFuyuanHuoxueTangcombinedwithwaistandbackmuscleexercisehasagoodtherapeuticeffectonchroniclowbackpainafterthoracolumbarvertebraefractureinternalfixationsurgeryandhasapositiveeffectonpostoperativerehabilitation.

Keywords:FuyuanHuoxueTang;waistandbackmuscleexercise;thoracolumbarvertebraefractureinternalfixationsurgery;chroniclowbackpain;rehabilitationChroniclowbackpainisacommoncomplicationpostthoracolumbarvertebraefractureinternalfixationsurgery.Thisnotonlyreducesthequalityoflifeofpatients,butalsoaffectspostoperativerehabilitation.Therefore,findinganeffectivetreatmentplanisessential.

ThestudyshowedthatthecombinationofFuyuanHuoxueTangandwaistandbackmuscleexercisecaneffectivelyalleviatechroniclowbackpaininpatientspostthoracolumbarvertebraefractureinternalfixationsurgery.FuyuanHuoxueTang,aChineseherbalformula,hasbeenwidelyusedtotreatpainandinflammationintraditionalChinesemedicine.Waistandbackmuscleexercisecanimprovemusclestrength,flexibilityandcoordination,whichcanalsohelptoalleviatepain.

Theresultsofthisstudyalsoshowedthatthelumbarlordosisanglesofthetreatmentgroupweresignificantlyimprovedcomparedtothecontrolgroup.ThisindicatedthatthecombinationofFuyuanHuoxueTangandwaistandbackmuscleexercisenotonlyrelievedpain,butalsoimprovedthecurvatureofthespine,whichisimportantforpostoperativerehabilitation.

Insummary,FuyuanHuoxueTangcombinedwithwaistandbackmuscleexerciseisasafeandeffectivetreatmentplanforchroniclowbackpainafterthoracolumbarvertebraefractureinternalfixationsurgery.Itnotonlyalleviatespain,butalsoimprovespostoperativerehabilitationChroniclowbackpainisacommonproblemamongpatientswhohaveundergonethoracolumbarvertebraefractureinternalfixationsurgery.Thepaincansignificantlyaffecttheindividual'squalityoflife,limitingtheiractivitiesandabilitytoperformdailytasks.Therefore,effectivetreatmentplansarecrucialforpostoperativerehabilitation.

FuyuanHuoxueTangisatraditionalChinesemedicineformulathathasbeenusedforcenturiestoalleviatepainandimprovebloodcirculation.Thecombinationofthisformulawithwaistandbackmuscleexercisehasbeenfoundtobeaneffectivetreatmentplanforchroniclowbackpainafterthoracolumbarvertebraefractureinternalfixationsurgery.

ThemechanismofactionofFuyuanHuoxueTangisrelatedtoitsabilitytopromotebloodcirculationandremovestasis.Thiscanhelptoreduceinflammation,relievepain,andimprovehealing.Thewaistandbackmuscleexercise,ontheotherhand,canhelptostrengthenthemusclesintheaffectedarea,reducingthestrainonthespineandsupportingthehealingprocess.

AstudyconductedonpatientswithchroniclowbackpainafterthoracolumbarvertebraefractureinternalfixationsurgeryshowedthatthecombinationofFuyuanHuoxueTangandwaistandbackmuscleexercisesignificantlyreducedpainlevelsandimprovedthecurvatureofthespine.Thepatientsreportedimprovedmobilityandabetterqualityoflife.

ItisimportanttonotethatFuyuanHuoxueTangshouldonlybeusedundertheguidanceofaqualifiedChinesemedicinepractitioner.Additionally,patientsshouldalwaysconsultwiththeirdoctorbeforestartinganynewexerciseprogram,especiallyaftersurgery.

Inconclusion,chroniclowbackpainafterthoracolumbarvertebraefractureinternalfixationsurgeryisachallengingproblemthatrequiresaneffectivetreatmentplanforpostoperativerehabilitation.FuyuanHuoxueTangcombinedwithwaistandbackmuscleexercisehasbeenfoundtobeasafeandeffectiveoptionforalleviatingpainandimprovingpostoperativerehabilitation.However,itisimportanttoalwaysseekguidancefromqualifiedpractitionersandhealthcareprofessionalsChroniclowbackpainisamajorhealthissuethataffectsmillionsofindividualsworldwide.Inparticular,patientswhounderwentthoracolumbarvertebraefractureinternalfixationsurgeryareathighriskofdevelopingchroniclowbackpain.Theetiologyofchroniclowbackpainfollowingthoracolumbarfractureinternalfixationsurgeryiscomplexandmultifactorial,involvingfactorssuchastissuedamage,inflammation,nervedamage,andmuscleweakness.Therefore,aneffectivetreatmentplanisrequiredtomanagethisconditionandimprovepostoperativerehabilitation.

Pharmacotherapyisoneofthemainmanagementstrategiesforchroniclowbackpain;however,long-termuseofopioidscancauseaddictionandtolerance,leadingtoadverseeffectssuchasconstipation,nausea,andcognitiveimpairment.Asaresult,non-pharmacologicinterventionssuchasexercisetherapy,acupuncture,andherbalmedicineshavereceivedincreasingattentioninrecentyears.Inparticular,FuyuanHuoxueTang,aChineseherbalmedicineformula,hasbeenreportedtohavebeneficialeffectsonchroniclowbackpain.

FuyuanHuoxueTangisatraditionalChineseherbalmedicineformulaconsistingofRadixPaeoniaeAlba,RhizomaLigusticiChuanxiong,RadixRehmanniaePreparata,CortexEucommiaeUlmoidis,FructusCorni,andRadixAchyranthisBidentatae.Theformulaisbelievedtopromotebloodcirculation,alleviatepain,andimprovemusclefunction.RecentstudieshaveshownthatFuyuanHuoxueTangcaneffectivelyreducechroniclowbackpain,enhancejointfunction,andimprovequalityoflifeinpatientswithchroniclowbackpain.

InadditiontoFuyuanHuoxueTang,waistandbackmuscleexerciseisanothernon-pharmacologicinterventionthathasbeenreportedtoimprovechroniclowbackpain.Exercisetherapyaimstostrengthenthemusclessurroundingthespine,providingsupportandstabilitytotheback.Severalstudieshaveshownthatexercisetherapy,includingstretching,strengthening,andendurancetraining,caneffectivelyreducechroniclowbackpainandimprovephysicalfunction.

WhencombinedwithFuyuanHuoxueTang,waistandbackmuscleexercisecansynergisticallyenhancethetherapeuticeffectofeachtreatment,leadingtoimprovedoutcomesforpatientswithchroniclowbackpainafterthoracolumbarvertebraefractureinternalfixationsurgery.However,itisessentialtoconsultwithqualifiedpractitionersandhealthcareprofessionalsbef