腰大肌间沟注射碱化镇痛液治疗根性坐骨神经痛

The clinical observation of the treatment of radicular sciatica using psoas compartment block

目的 观察碱化镇痛液注入腰大肌间沟治疗根性坐骨神经痛的临床疗效。方法 将 1 0 8例随机分为LPVS、LPV两组 ,采用病人单盲法分别在腰大肌间沟注入碱化镇痛液 (利多卡因 2 0 0mg +强的松龙 2 5mg +维生素B1 2 1mg +碳酸氢钠 2 0 0mg加生理盐水至 2 0ml)和宋文阁氏镇痛液 (利多卡因 2 0 0mg +强的松龙 2 5mg +维生素B1 2 1mg加生理盐水至 2 0ml) ,用VRS - 5、直腿抬高试验等评估镇痛效果。结果 LPVS、LPV两组有效率分别为 88.89%、72 .2 2 %(P <0 .0 5 )。

Objective Two therapeuic methods for the treatment of radicular sciatica by psoas compartment block was compared.Methods One hundred and eight cases of radicular sciatca were randomly divided into two groups.Group LPVS54 cases,the nerve blocked Solution was composed of Lidocain 200 mg,Vitamine B 12 1 mg,prednisolone 25 mg,sodinm bicarbonate 200 mg,normal saline ad 20 ml.Group LPV54 cases,received injection free of Sodium bicarbonate.Both effects were scored and analysed according to VRS-5 and straight leg test.Results The overall satisfactory rate of the group LPVS was 88.89% and other group LPV was 75.92%( χ 2test for paired date P <0.05).Conclusion Addition of Sodium bicarbonate in the psoas compartmert block increases the clinical efficacy for the treatment of radicular sciatica.