用神经刺激仪行神经阻滞治疗腰椎间盘突出症的临床疗效观察  

Treatment of Lumbar Intervertebral Disc Protrusion through Lumbar Plexus Block and Sciatic Nerve Block Guided by Nerve Stimulator

作　　者：陈素丽[1] 郝润中 徐瑞玲[1] 李树人[2] 

机构地区：[1]北京航天总医院麻醉科,北京100075 [2]友谊医院麻醉科,北京100050

出　　处：《麻醉与监护论坛》2005年第4期227-228,共2页Forum of Anesthesia and Monitoring

摘　　要：目的：观察神经刺仪引导下腰丛＋坐骨神经阻滞联合药物，理疗等对腰椎间盘突出症的疗效。方法：选择腰椎间盘突出症患者30例，采用神经刺激仪引导下腰丛＋丛骨神经阻滞联合药物、理疗等治疗，以视觉模拟评分（VAS）综合评定治疗效果。结果：治疗前为VAS评分为8-10分，治疗后1-5周VAS评分明显降低，与治疗前比较有显著性差异（P〈0.01），总有效率100%。结论：神经刺激仪引导下腰丛＋坐骨神经阻滞联合药物、理疗等治疗对缓解腰椎间盘突出症所致腰腿痛疗效显著而安全。To observe Ihe efflcacy of lumbar plexus block and sciatic nerve block guided by nerve stimulator eombiped with medicine therapy and physical Methods： Thirty patients suffedng from herniated tumbar intervertebral disk were selected The lumbar plexus block and the sciatic nerve block were performed once every week for five weeks according to the degree of pain rebel. The clinic effect was evaluated before and after treatment with visual analogue scale （VAS） Results： The score of VAS was 9.32 ± 0.58 before treatment. The scores of VAS on one week. two week three week four week and five week after treatment were respectively 6. 60 ±035 5.38 ± 0.41,4.20 ± 0.50,3.14±0.25 and 2.31±0.52 There was significant difference in VAS after treatment. Conclusions： The cliic effect of lumbar plexus block and sciatic nerve block guided by nerve stimulator with herniated lumbar intervertebral disk is efficient on relief pain The therapy is safe for patient.

关 键 词：神经刺激仪 腰椎间盘突出症 腰丛阻滞 坐骨神经阻滞 神经阻滞治疗 临床疗效观察 VAS评分 联合药物 视觉模拟评分 显著性差异 

分 类 号：R681.53[医药卫生—骨科学] R752.12[医药卫生—外科学]