侧隐窝及椎间孔注药联合推拿治疗腰椎间盘突出症效果观察

发布时间：2018-07-10 09:44

本文选题：腰椎间盘突出症 + 侧隐窝　；参考：《山东医药》2015年02期

【摘要】：目的观察侧隐窝、椎间孔注药联合推拿疗法治疗腰椎间盘突出症的效果。方法腰椎间盘突出症患者300例,随机分为三组,各100例。A组采用侧隐窝和椎间孔注药(配方:康宁克通A 10 mg,利多卡因60 mg,维生素B121 000μg,加生理盐水至8 m L)联合推拿疗法(腰部按压、斜扳、直腿抬高),B组仅予侧隐窝和椎间孔注药治疗,C组单用推拿疗法。治疗后3~4周计算优良率及治愈率,记录A、B组局部注药次数及药物用量。分别于治疗后3、6、12个月观察复发情况。记录治疗期间的并发症及不良反应发生情况。结果治疗后3~4周,A组治愈率、优良率高于B、C组(P均0.05)。A组注药次数及康宁克通A用量低于B组(P均0.05)。治疗后6、12个月,A、C组复发率低于B组(P均0.05)。A、B组注药时均未出现全脊髓麻醉、马尾综合征及肌无力等神经损伤现象。C组治疗后3例出现腰痛加重,经卧床休息2~3 h恢复到治疗前。结论侧隐窝、椎间孔注药联合推拿治疗腰椎间盘突出症疗效较好,复发率低。
[Abstract]:Objective to observe the effect of lateral recess, intervertebral foramen injection and massage therapy on lumbar disc herniation. Methods 300 patients with lumbar disc herniation were randomly divided into three groups. Group A (n = 100) was treated with lateral recess and intervertebral foramen injection (formulation: Kangninkitong A 10 mg, lidocaine 60 mg, vitamin B12 21 000 渭 g, normal saline to 8 mL). Group B was treated with only massage therapy for lateral recess and intervertebral foramen. The excellent and good rate and cure rate were calculated 3 ~ 4 weeks after treatment, and the times of local injection and the dosage of drugs were recorded. Recurrence was observed at 6 and 12 months after treatment. The complications and adverse reactions during treatment were recorded. Results 3 weeks after treatment, the cure rate of group A was higher than that of group B (P 0.05). The times of injection and the dosage of Kangning Ketong A in group A were lower than those in group B (P 0.05). The recurrence rate in group C was lower than that in group B (P 0.05). There was no total spinal cord anesthesia in group A (P 0.05). The symptoms of nerve injury such as cauda equina syndrome and myasthenia were aggravated in group C. after treatment, the recurrence rate in group C was significantly lower than that in group B (P 0.05). Conclusion the treatment of lumbar disc herniation with intervertebral foramen injection combined with massage is effective and the recurrence rate is low.
【作者单位】：广州医科大学附属广佛医院;佛山市南海区第二人民医院;山东省立医院;
【分类号】：R681.53

【相似文献】