摘要
目的:探讨高压氧治疗能否减轻腰椎间盘术后的水肿,促进受损神经根尽快恢复及临床症状的缓解。方法:采取随机抽签法将46例患者分为两组,一组术后采用高压氧治疗,另一组做对照组。结果:治疗组术后3,7,14dVAS评分分别为(6.0±1.2),(2.6±1.2),(1.2±1.0)分,对照组分别为(7.7±0.8),(5.6±1.0),(4.8±1.4)分,与对照组比较差异有显著性意义(P=0.000,F=133.433,df1=1,df2=44)。治疗组术后疼痛时间(1.6±1.1)d,对照组术后疼痛时间(4.5±1.8)d。术后疼痛时间两组比较差异有显著性意义(t=6.709,P<0.001)。体感诱发电位(SEP)变化:治疗组P40差值2.3±2.4,对照组2.0±2.1,与对照组比较差异无显著性意义(t=0.453,P>0.05)。结论:术后高压氧治疗有助于神经根的复原,SEP在治疗前后不显著,可能与SEP不敏感有关,须进一步观察。
AIM:To determine the effects of hyperbaric oxygen given on edema, the recovery of depressed nerve root and remission of clinical symptoms in patients with lum bar intervertebral disc herniation after surgery. METHODS:Forty-six subjects, 31 males and 15 females with an average age of 28 years, having lumbar spine surgical procedures participated in a prospective, r andomized, single-blind study and equally divided into treatment and control gr oups. Patients in the treatment group received hyperbarci oxygen at 3 days posto peratively for one week, whereas in the control group patients only received reh abilitation exercise. RESULTS:Clinical outcomes were evaluated for the 14 days postoperative period. The VAS scores of the treatment group were(6.0±1.2),(2.6±1.2)and (1.2± 1.0)respectively at 3, 7 and 14 days postoperatively, significantly lower than those of the control subjects(7.7±0.8),(5.6±1.0),(4.8±1.4),(P=0.000,F =133.433,df1=1,df2=44).There was also a significant difference of postoperative pain period(1.6±1.1)vs(4.5±1.8)d,between the two group (t=6.709,P< 0.001). Somatosensory evoked potential (SEP) test showed that no significant difference was seen between the two groups (t=0.453,P >0.05),with the different value of ( 2.3±2.4) and (2.0±2.1) respectively.
出处
《中国临床康复》
CSCD
2003年第26期3602-3603,共2页
Chinese Journal of Clinical Rehabilitation
关键词
腰椎间盘突出症
术后
高压氧疗法
疼痛
体感诱发电位
Postoperative yperbaric oxygen therapy is useful for the patients w ith lumbar intervertebral disc herniation to recovery nerve root.Furthermore,SEP has no obvious changes before and after treatment, and it is probably related w ith the insens
