摘要
目的:分析胫神经H反射与血瘀气滞型腰椎间盘突出症(L5S1)患者MRI及临床表现的相关性,探讨其评估价值。方法:检测57名血瘀气滞型腰椎间盘突出症(L5S1)患者H反射,与对照组健康人群比较,观察其特征性表现;将H反射与患者MRI分级、JOA评分及VAS评分进行相关性分析。结果:57名患者中,未引出H反射16例,H反射异常30例,正常11例,总异常率为80.70%,显著高于对照组,差异有统计学意义(P<0.01)。H反射评分与患者腰椎MRI的分级呈负相关(OR=-0.455,P=0.005),与VAS评分呈负相关(OR=-0.356,P=0.003),与JOA评分呈正相关(OR=0.439,P=0.007)。结论:H反射对血瘀气滞型腰椎间盘突出症(L5S1)有一定诊断价值,能够用于评估患者病情变化。
Objective:To analyze the correlation between tibial nerve H reflex and MRI and clinical manifestations in patients with blood stasis and Qi stagnation lumbar disc herniation(L5S1),and to explore its evaluation value.Methods:The H reflex of 57 patients with lumbar disc herniation with blood stasis and Qi stagnation(L5S1)were detected and compared with healthy subjects of blank control group to observe the characteristic manifestations.Correlation analysis between H reflex and MRI grading,JOA score and VAS score were conducted.Results:Among 57 patients,there were 16 cases without elicitation of H reflex,30 cases with abnormal H reflex and 11 cases with normal H reflex,which showed with a total abnormal rate of 80.70%.It was significantly higher than the blank control group(P<0.01).H reflex score was negatively correlated with the grading of lumbar MRI(OR=-0.455,P=0.005).It was negatively correlated with VAS score(OR=-0.356,P=0.003),and was positively correlated with JOA score(OR=0.439,P=0.007).Conclusion:H reflex has certain diagnostic value for blood stasis and Qi stagnation lumbar intervertebral disc herniation(L5S1).It can effectively assess the patient’s condition change.
作者
戚晴雪
申秉炎
刘航
刘华
赵环宇
QI Qingxue;SHEN Bingyan;LIU Hang;LIU Hua;ZHAO Huanyu(Huguosi Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Chinese Medicine,Beijing 100029,China.)
出处
《中国中医骨伤科杂志》
CAS
2021年第6期32-35,40,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
北京市首都临床特色应用研究与成果推广项目(Z161100000516123)。
关键词
H反射
腰椎间盘突出症
血瘀气滞
核磁共振分级
临床表现
H reflex
lumbar disc herniation
blood stasis and Qi stagnation
MRI grade
clinical manifestation
