摘要
目的观察比较三氧腰椎旁注射联合硬膜外阻滞及单纯硬膜外阻滞治疗腰椎间盘突出症的效果。方法腰椎间盘突出症患者60例，随机分为两组：单纯行硬膜外阻滞组（对照组）和硬膜外阻滞联合三氧组（治疗组），各组30例。于治疗前和治疗后3、6个月时采用VAS评分评估疼痛程度，并观察治疗前后临床体征变化。结果与对照组相比，治疗组治疗结束时及3个月时VAS评分较低（P〈o．05）；6个月时，对照组优效、良效、好转、无效率依次为66．7％（20／30例）、6．7％（2／30例）、6．7％（2／30例）、20．0％（6／30例）；治疗组优效、良效、好转、无效率依次为73．3％（22／30例）、13．3％（4／30例）、6．7％（2／30例）、6．7％（2／30例），治疗组总有效率高于对照组（P〈0．05）。结论三氧腰椎旁注射联合硬膜外阻滞治疗腰椎间盘突出症疗效优于单纯采用硬膜外阻滞。
Objective To observe and compare the effects of paravertebral ozone injection and epidural nerve block with single epidural nerve block for patients with lumbar intervertebral disc herniation. Methods Sixty patients with lumbar intervertebral disc herniation were randomly divided into two groups, 30 cases in each group, single epidural nerve block group （control group） and para- vertebral ozone injection combined with epidural nerve block group （treatment group）. VAS and clin- ical efficacy were recorded. Results Compared with the control group, VAS was low at the end of treatment and 3 months after treatment in the treatment group（P^0.05）. The excellent, good, improved and ineffective rates were 66.7% （20/30 cases）, 6.7% （2/30 cases） , 6.7% （2/30 cases）, 20.0~ （6/30 cases） in the control group and 73.30/00 （22/30）, 13.30/00 （4/30）, 6.7~/oo （2/30） and 6, 70/00 （2/30 cases） in the treatment group successively. The total effective rate in the treatment group was higher than that in the control group（P^0.05）. Conclusion The efficacy of paraverte- bral ozone injection combined with epidural nerve block is superior to that of single epidural nerve block for the treatment of patients with lumbar intervertebral disc herniation.
出处
《实用疼痛学杂志》
2013年第1期33-35,共3页
Pain Clinic Journal
关键词
三氧
神经传导阻滞
硬膜外腔
腰椎间盘突出症
Ozone
Nerve block
Epidural space
Lumbar intervertebral disc herniation
