骶管滴注联合腰椎牵引治疗急性腰椎间盘突出症178例临床观察  

Clinical evaluation of sacral canal injection plus traction therapy for acute lumbar disc protrusion

作　　者：姜伟[1] 杨敏[1] 王江林[1] 胥方元[1] 

机构地区：[1]泸州医学院附属医院康复医学科,四川泸州646000

出　　处：《泸州医学院学报》2012年第4期413-415,共3页Journal of Luzhou Medical College

摘　　要：目的:观察骶管滴注联合腰椎牵引对急性腰椎间盘突出症的疗效,为临床治疗急性腰椎间盘突出症探求新方法。方法:178例确诊为腰椎间盘突出症急性发作的患者随机分为两组:实验组90例,予以骶管滴注联合腰椎牵引治疗;对照组88例,仅予腰椎牵引治疗。评估两组患者治疗前、后疼痛缓解程度,治疗效果。结果:两组患者治疗后视觉模拟评分法(VAS)评分比较治疗前均有下降,两者间差异有统计学意义(P<0.05);并且实验组VAS评分下降程度较对照组明显,两者间差异有统计学意义(P<0.05)。实验组治愈率78.9%,有效率94.5%;对照组治愈率46.6%,有效率78.4%,两组间疗效比较差异有统计学意义(P<0.05)。结论:骶管滴注联合腰椎牵引治疗急性腰椎间盘突出症,使患者疼痛症状缓解明显,效果比单纯使用腰椎牵引物理治疗显著。Objective： To observe the clinical therapeutic effect of sacral canal injection plus vertebra traction for the treatment of acute lumbar disc protrusion.Methods： 178 patients were selected and divided into experimental group and control group.The experimental group was treated by sacral canal injection combined with vertebra traction,while the control group was treated by vertebra traction only.The clinical symptoms and signs were assessed before and after treatment.Results： The VAS of the experimental group was better than that of the control group after treating（P0.05）.The recovery rate of two groups was 78.9% and 46.6%,while the effective rate of two groups was 94.5% and 78.4% respectively.There was significant difference between the two groups（P 0.05）.Conclusion： The treatment for acute lumbar disc protrusion by sacral canal injection combined with vertebra traction is less painful,more effective and acceptable.It may have a better effect than traction therapy alone.

关 键 词：腰椎间盘突出症 腰椎牵引 骶管注射疗法 

分 类 号：R681.5[医药卫生—骨科学]