神经妥乐平治疗腰椎术后残余症状的临床研究

发布时间：2018-04-14 16:33

本文选题：腰椎间盘突出症 + 神经妥乐平　；参考：《医药论坛杂志》2016年12期

【摘要】：目的观察腰椎术后应用神经妥乐平对下肢残余放射痛、麻木和神经功能改善情况的影响,探讨腰椎术后促进神经恢复及减轻残余症状的药物治疗方法。方法收集2015年6月至2016年6月收治诊断为腰椎间盘突出症并进行手术的95例患者,其中治疗组47例术后短期静脉给予神经妥乐平+七叶皂苷钠,对照组48例术后仅给予七叶皂苷钠。对比分析治疗组和对照组术前、术后1周、术后3个月的下肢疼痛视觉模拟评分(VAS)和日本骨科协会(JOA)评分以及患者主观麻木感,评估患者神经功能恢复及症状改善情况。结果治疗组术后1周及3个月的腰椎JOA、VAS评分及下肢麻木改善率均优于对照组(P0.05)。结论神经妥乐平能有效缓解腰椎术后疼痛、麻木并促进神经功能恢复;联合应用七叶皂苷钠治疗腰椎术后残余症状有明显疗效。
[Abstract]:Objective to observe the effects of neurotropin on residual radiodynia, numbness and improvement of nerve function of lower extremity after lumbar operation, and to explore the method of drug treatment for promoting nerve recovery and alleviating residual symptoms after lumbar vertebra operation.Methods Ninety-five patients with lumbar disc herniation were treated from June 2015 to June 2016. 47 patients in the treatment group were treated with neurotoclopine aescinate sodium via vein for a short period after operation.In the control group, 48 cases were treated with sodium aescinate only after operation.The visual analogue score of lower extremity pain (VAS) and JOAA (Japan Orthopedic Association) before operation, 1 week after operation and 3 months after operation in the treatment group and the control group were compared with those in the control group, and the subjective numbness of the patients was evaluated to evaluate the recovery of nerve function and the improvement of symptoms.Results the VAS score and lower limb numbness improvement rate in the treatment group were better than those in the control group at 1 week and 3 months after operation (P 0.05).Conclusion neurotropin can effectively relieve postoperative pain, numbness and promote the recovery of nerve function, and combined with sodium aescinate in the treatment of postoperative residual symptoms of lumbar vertebrae has obvious curative effect.
【作者单位】：河南省人民医院骨科;
【分类号】：R687.3

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