腰神经后支阻滞在腰腿痛治疗中的应用效果分析  

Analysis of the application effect of posterior branch block of lumbar nerve in the treatment of low back and leg pain

作　　者：司亚洲 Si Yazhou(Xicheng Community Health Service Center,Gaoyou,Yangzhou,Jiangsu 225600,China)

机构地区：[1]江苏省扬州市高邮市西城社区卫生服务中心,江苏扬州225600

出　　处：《首都食品与医药》2024年第8期48-51,共4页Capital Food Medicine

摘　　要：目的分析腰腿痛患者采用腰神经后支阻滞方案的效果及意义。方法从2022年5月-2023年5月间抽选腰腿痛患者50例为观察对象,按照抽签法将患者分成对比组、试验组,每组腰腿痛患者25例,对比组患者采取美洛昔康及西替利嗪疗法,试验组在对比组治疗方案基础上再行腰神经后支阻滞疗法,比较分析两组患者的疼痛程度、功能障碍改善情况、临床疗效、腰椎功能恢复程度及下肢运动功能。结果试验组治疗1周、治疗2周、治疗3周时的疼痛程度评分均较对比组低,P<0.05;试验组治疗1周、治疗2周、治疗3周时的功能障碍评分低于对比组,P<0.05;试验组临床治疗总疗效显著比对比组高,P<0.05;试验组出院时、随访1个月、随访3个月时腰椎功能评分高于对比组,P<0.05;试验组出院时、随访1个月、随访3个月时下肢运动功能评分高于对比组,P<0.05。结论采用美洛昔康、西替利嗪为腰腿痛患者实施治疗时,联合使用腰神经后支阻滞疗法可以快速缓解疼痛,改善功能障碍情况,对于提高腰椎功能、运动能力有积极影响,疗效理想,具有临床推广意义。Objective To observe the effect and significance of lumbar nerve posterior branch block in patients with low back and leg pain.Methods From May 2022 to May 2023,50 patients with low back and leg pain were selected as the subjects,and the patients were divided into the comparison group and the experimental group according to the lottery method,with 25 patients with low back and leg pain in each group,the patients in the comparison group were treated with meloxicam and cetirizine,and the experimental group was treated with posterior branch block therapy of the lumbar nerve on the basis of the treatment plan of the comparison group,and the pain level,improvement of functional impairment,clinical efficacy,recovery of lumbar spine function and motor function of the two groups were compared and analyzed.Results The pain scores of the experimental group were lower than those of the comparison group after 1 week,2 weeks of treatment and 3 weeks of treatment,P<0.05;the functional impairment scores of the experimental group at 1 week,2 weeks of treatment and 3 weeks of treatment were lower than those of the comparison group,P<0.05;the total clinical treatment effect of the experimental group was significantly higher than that of the comparison group,P<0.05;the lumbar spine function score of the experimental group was higher than that of the comparison group at discharge,1 month of follow-up and 3 months of follow-up,P<0.05;at discharge,1 month of follow-up and 3 months of follow-up,the motor function score of lower limbs was higher than that of the comparison group,P<0.05.Conclusions When meloxicam and cetirizine are used for the treatment of patients with low back and leg pain,the combination of lumbar nerve posterior branch block therapy can quickly relieve pain and improve functional impairment,which has a positive impact on improving lumbar spine function and exercise ability,and has ideal efficacy and clinical promotion significance.

关 键 词：腰椎功能 腰腿痛 运动能力 腰神经后支阻滞 疗效 

分 类 号：R681[医药卫生—骨科学]