硬膜外麻醉下大推拿复位与侧隐窝神经阻滞三维正脊治疗腰椎间盘突出症的疗效比较  

Comparation of the treatment of lumbar disc herniation by great massage manipulation under epidural anesthesia and lateral recess nerve block with three-dimensional spine manipulation

作　　者：李万林[1] 黄靖宇[1] 

机构地区：[1]南方医科大学第三附属医院中医骨伤科,广东广州510630

出　　处：《实用医院临床杂志》2010年第2期80-82,共3页Practical Journal of Clinical Medicine

摘　　要：目的观察硬膜外麻醉下大推拿复位与侧隐窝神经阻滞配合三维正脊治疗腰椎间盘突出症的安全性并对临床疗效进行对比。方法对2006年7月至2009年5月252例腰椎间盘突出症患者进行回顾性研究,其中采用硬膜外麻醉下大推拿复位治疗120例(治疗1组),腰椎侧隐窝神经阻滞配合三维正脊治疗132例(治疗2组),临床疗效采用SPSS13.0软件进行统计分析。结果治疗1、2组临床痊愈分别为31、66例,显效69、36例,好转13、24例,无效7、6例,分级疗效比较,差异有统计学意义(P(0.05),总有效率差异无统计学意义(P(0.05);两组均未见不良反应。结论侧隐窝神经阻滞配合三维正脊治疗腰椎间盘突出症安全,是非手术疗法中有效的方法。Objective To compare the clinical efficacy and safety of great massage manipulation under epidural anesthesia and lateral recess nerve block with three-dimensional spine manipulation in the treatment of lumbar disc herniation.MethodsFrom July 2006 to May 2009,252 cases of lumbar disc herniation were studied retrospectively,including 120 cases （group 1） treated by great massage manipulation under epidural anesthesia and 132 cases （group 2） treated by lumbar lateral recess nerve block with three-dimensional spine manipulation.SPSS13.0 software was used to statistically analyze the clinical efficacy.ResultsIn group 1 there were 31 cases recovered,69 cases markedly effective,13 cases effective and 7 cases ineffective,while those in group 2 were 66 cases,36 cases,24 cases and 6 cases respectively.The difference was statistically significant （P ﹤ 0.05） between the efficacy of the two groups in each grade.There was no significant difference （P﹥0.05） between the total effective rates of the two groups.There was no adverse reaction in both groups.Conclusion Lateral recess nerve block with three-dimensional spine manipulation is a safe and effective non-surgical therapy in the treatment of lumbar disc herniation.

关 键 词：腰椎间盘突出症 硬膜外麻醉 推拿 神经阻滞术 三维正脊疗法 侧隐窝 

分 类 号：R681.53[医药卫生—骨科学]