摘要
目的:观察骶管注射治疗腰椎间盘突出症患者对其疼痛及功能改善的影响。方法:2002-08/2004-06南方医院康复科门诊及住院的腰椎间盘突出症患者40例。随机分为常规组20例和骶管组20例,治疗前及治疗后1天、1周和2周应用目测类比评分法(visualanalguescale,VAS)对疼痛进行评估,治疗前后应用腰椎疾患治疗成绩评分表对腰椎功能状态进行临床评定。结果:常规组和骶管组治疗前VAS评分分别为(7.6±1.4)和(7.8±1.4)分。注射治疗后第1天及第1周VAS评分常规组分别为(7.3±0.9)和(5.1±1.1)分,骶管组分别为(5.3±0.8)和(3.2±1.1)分,两组止痛效果比较,差异有显著性意义(t=2.614,2.362,P<0.05)。骶管组平均改善指数及平均改善率均高于常规组,但两组间比较差异均无显著性意义。结论:骶管注射有利于腰椎间盘突出症患者缓解疼痛,改善症状,恢复日常生活能力。
AIM:To observe the therapeutic effect of sacral canal injection on the relief of pain and the improvement of function in patients with lumbar disc herniation(LDH).METHODS:From August 2002 to June 2004,40 LDH patients from Outpatient Department of Rehabilitation Medicine or hospitalized in Nanfang Hospital were divided into sacral canal injection treatment group(n=20) and traditional treatment group(n=20).The pain was evaluated with visual analogue scale(VAS) before and at 1 day,1 and 2 weeks after treatment.The function of lumbar function was assessed clinically before and after treatment by using result scoring for the treatment of lumbar vertebral diseases.RESULTS:Before treatment,the VAS score was (7.6± 1.4) and (7.8± 1.4) points in the traditional treatment group and the sacral canal injection treatment group respectively,and,at 1 day and 1 week after treatment,it was (7.3± 0.9) and (5.1± 1.1) points in the traditional treatment group,and (5.3± 0.8) and (3.2± 1.1) points in the sacral canal injection treatment group respectively.There was significant difference in analgesic effects between the two groups(t=2.614,2.362,P< 0.05).The mean improvement index and mean improvement rate were all higher in the sacral canal injection treatment group than in the traditional treatment group,but there was on significant difference between them.CONCLUSION:The sacral canal injection is effective in relieving pain,improving symptom and recovering the ability of daily life in patients with LDH.
出处
《中国临床康复》
CSCD
北大核心
2005年第6期10-11,共2页
Chinese Journal of Clinical Rehabilitation
