骶神经丛阻滞治疗腰椎间盘突出症的临床分析

Clinical Analysis of Sacral Plexus Block in the Treatment of Lumbar Disc Herniation

目的分析骶神经丛阻滞治疗腰椎间盘突出症的临床效果。方法将2014年1月—2018年9月该院疼痛门诊治疗的98例腰椎间盘突出症患者分为观察组和对照组,每组49例。观察组患者应用骶神经丛阻滞治疗,对照组患者采用硬膜外腔注药法,比较分析两组的疗效。结果观察组治愈27例,显效11例,有效7例,无效4例,总有效率为91.84%;对照组治愈15例,显效7例,有效12例,无效15例,总有效率为69.39%,两组总有效率差异有统计学意义(χ^2=7.900,P=0.000);观察组患者治疗后的下肢疼痛评分、腰部疼痛评分、工作生活能力评分分别为(0.74±0.07)分、(0.65±0.09)分、(0.45±0.04)分,对照组分别为(1.11±0.11)分、(1.14±0.11)分、(1.37±0.15)分,三项指标观察组均明显优于对照组(t=19.864、24.133、4.768,P=0.000)。结论骶神经丛阻滞应用于腰椎间盘突出症的临床疗效显著,可有效缓解患者疼痛。

Objective To analyze the clinical effect of sacral plexus block in the treatment of lumbar disc herniation.Methods Ninety-eight patients with lumbar disc herniation treated in our hospital from January 2014 to September 2018 were divided into observation group and control group,with 49 cases in each group.Patients in the observation group were treated with sacral plexus block,and patients in the control group were treated with epidural cavity injection.The efficacy of the two groups was compared.Results In the observation group,27 cases were cured,11 cases were markedly effective,7 cases were effective,and 4 cases were ineffective.The total effective rate was 91.84%.The control group was cured in 15 cases,markedly effective in 7 cases,effective in 12 cases,and ineffective in 15 cases.The total effective rate was 69.39%,the total effective rate difference between the two groups was statistically significant(χ^2=7.900,P=0.000);the lower extremity pain score,lumbar pain score,and work life ability score of the observation group were(0.74±0.07)points,(0.65±0.09)points and(0.45±0.04)points,the control group were(1.11±0.11)points(1.14±0.11)points,(1.37±0.15)points,and the three indicators were significantly better than the control group,(t=19.864,24.133,4.768,P=0.000).Conclusion The clinical effect of sacral plexus block on lumbar disc herniation is significant,which can effectively alleviate pain in patients.