The Recent Observation of Therapeutic Effect on Comprehensive Intervention with Traditional Chinese Medicine for Degenerative Lumbar Instability Syndrome in the Community

OBJECTIVE To explore the effect on comprehensive intervention with traditional Chinese medicine in the community for degenerative lumbar instability syndrome so as to provide supports and aids for establishing a comprehensive intervention protocol suitable for China and on the basis of community. METHODS All the patients of degenerative lumbar instability syndrome meeting the criteria were divided into the intervention group with 28 cases in it and the control group with 36 cases in it. Intervention group were given symptomatic treatment， accompanied with comprehensive intervention including health lecture， psychological counseling， functional exercises and various conservative treatment such as fumigation with herbs， acupuncture and moxibustion， acupotomy， maneuver， while control group were only provided symptomatic treatment. Both of the two groups were followed up for 6 months to evaluate following aspects: awareness of the disease， changes of clinical symptoms， the surgery rate and the medical imaging. RESULTS The intervention group's score of awareness of the disease was higher than that of control group with statistical significance (P<0.01). There was no statistical significance of JOA score and Oswestry Disability Index (ODI) in both groups before treatment (P>0.05). Improvement of JOA score and ODI can be observed in two groups after treatment. There was a statistical significant (P<0.01). Compared with control group， post-treatment JOA score of intervention group was higher (P<0.05)， as well as good rate of JOA (P<0.01). However， ODI and ratio of surgery of intervention group were lower than that of control group (P<0.05). There was no statistical significance of the changes of medical imaging during the 6 months (P>0.05). CONCLUSION Comprehensive intervention with traditional Chinese medicine has an obvious effect on treating degenerative lumbar instability syndrome which can alleviate the clinical symptoms， enhance awareness of the disease， decrease the surgery rate and improve the life quality of patients.