骶管阻滞治疗腰椎间盘突出症的临床研究

Clinical Research of Lubar Intervertebral Disc Protrusion with Caudal Epidural Block Treatment

目的探讨运用骶管注射疗法治疗腰椎间盘突出症,提高临床症状显效率,减少复发率的疗效。方法156例病人随机分为对照组79例,治疗组77例,接受牵引、按摩、针灸、中频电或骶管注射治疗。观察治疗后最快疼痛缓解时间,最短维持有效时间,治疗前后腰痛评测、显效率,治疗后3～12个月复发率。结果两组对比,治疗组平均疼痛缓解时间缩短5min,最短维持有效时间延长70min,显效率提高15.36%,复发率为1.64%,与对照组差异显著(P<0.05)。结论两组治疗前后腰痛评测方面无明显差异,但治疗组在其他五方面均优于对照组。

Objective To approach the Caudal Epidural Block pain treatment to increase the therapeutic efficacy and decrease recurrence rate of lubar intervertebral disc protrusion on the basis of the traditional treatment. Methods 156 cases patients were randomly allocated two groups：control（79 cases treated with draw, massage, acupuncture and intermediate frequency electricity）and treatment（77 cases treated with Caudal Epidural Block pain treatment on the basis of control）. The quick odynolysis time,keep shortest effective time,lower back pain survey before and after treatment,all excellence rate and recurrence rate in 3 to 12 month post2treatment were observed. Results Average odynolysis time shorten 5 minutes, kept shortest effective time extend 70 minutes,all excellence rate raised 15.36% and recurrence rate is 1.64% in treatment. Conclusion there was not difference in lower back pain survey when put before and after treatment but there were difference in other five aspects.