腰椎间盘突出症2种非手术疗法的效果观察  

Effectiveness of two different methods on patients with prolapse of lumbar intervertebral disc

作　　者：云虹[1] 姜天乐[2] 

机构地区：[1]北京大学医院麻醉科,北京100871 [2]北京世纪坛医院麻醉科

出　　处：《中国校医》2010年第6期442-443,共2页Chinese Journal of School Doctor

摘　　要：目的观察治疗腰椎间盘突出症2种方法的效果。方法 40例患者随机分为2组,分别选用L3横突加椎旁神经阻滞(A组)法和硬膜外阻滞法(B组)治疗,且行疼痛测定视觉模拟标尺法(VAS)评分,并监测血压变化、腰痛反应和离床行走时间。结果 2组方法治疗VAS评分均下降(P<0.05),2组治疗前后比较差异无统计学意义(P>0.05),且A组无不良反应。结论 2种方法治疗腰椎间盘突出症均有效,A组更适合门诊应用。Objective To evaluate the curative effectiveness of two different methods on patients with prolapse of lumbar intervertebral disc.Methods A total of 40 patients with prolapse of lumbar intervertebral disc were divided into Group A and Group B randomly and treated with two different methods,L3 transverse block plus paravertebral nerve block was performed in Group A and epidural block in Group B.Simultaneously,VAS scores,blood pressure,low back pain reaction and the time of walking away from the bed were recorded.Results The VAS scores of two groups both declined,P〈0.05.There was no significant difference between two groups before and after the treatment,P〉0.05.Adverse effects were not found in Group A.Conclusions The two methods are valid in the treatment of the patients with prolapse of lumbar intervertebral disc.The method used in Group A is more suitable for outpatients.

关 键 词：椎间盘移位 神经传导阻滞 镇痛 硬膜外 

分 类 号：R681.53[医药卫生—骨科学]