网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
对腰椎小关节综合征行体外冲击波联合椎间孔注射治疗的效果观察
作者:王磊  沈玉杰  黄小霞 
单位:武汉科技大学附属武汉市普仁医院 疼痛科, 湖北 武汉 430081
关键词:体外冲击波 腰椎小关节综合征 椎间孔注射 非甾体抗炎镇痛药 
分类号:R681.53
出版年·卷·期(页码):2018·46·第十二期(1377-1381)
摘要:

目的:探讨对腰椎小关节综合征行椎间孔注射联合体外冲击波治疗的效果。方法:选取140例我院收治的腰椎小关节综合征患者,入院时间为2014年3月至2018年1月,随机分为对照组(n=70,采取非甾体抗炎镇痛药治疗+体外冲击波治疗)与观察组(n=70,采取非甾体抗炎镇痛药治疗+体外冲击波治疗+椎间孔注射),观察相关指标及疗效。结果:观察组的治疗优良率显著高于对照组(P<0.05);两组在治疗后各个时间段VAS评分、RMDQ评分、ODI评分均显著降低,观察组在治疗1、4、8周时上述评分均明显低于对照组(P<0.05),两组治疗后QOL-SF36评分显著上升,且观察组的QOL-SF36评分显著高于照组(P<0.05),此外,观察组患者住院时间明显短于对照组(P<0.05)。结论:对腰椎小关节综合征行椎间孔注射及体外冲击波联合治疗的效果确切,能有效缩短病程,改善生活质量,具有临床推广价值。

Objective: To explore the effect of intervertebral foramen injection combined with extracorporeal shock wave therapy for lumbar facet joint syndrome. Methods: 140 patients with lumbar facet syndrome received from our hospital from March 2014 to January 2018 were randomly divided into control group(n=70,nonsteroidal anti-inflammatory analgesics therapy and extracorporeal shock wave therapy) and observation group(n=70,nonsteroidal anti-inflammatory analgesic therapy+extracorporeal shock wave therapy+intervertebral foramen injection), the related index and effect were observed. Results: Compared with the control group the excellent and good rate of treatment in the observation group was significantly higher(P<0.05).After treatment,the VAS score,RMDQ score and ODI score in each time period were significantly decreased in the two groups, the scores in the observation group were significantly lower than those in the control group when they were treated for 1,4 and 8 weeks respectively (P<0.05).The QOL-SF36 score increased significantly in the two groups,while the QOL-SF36 score in the observation group was significantly higher than that in the control group(P<0.05),in addition,the hospitalization time in the observation group was significantly shorter than that in the control group(P<0.05). Conclusion: The combination of intervertebral foramen injection and extracorporeal shock wave therapy for the lumbar facet syndrome is effective.It can effectively shorten the course of the disease and improve the quality of life.It has the value of clinical promotion.

参考文献:

[1] 陶熔,王静,李海芹,等.体外冲击波联合椎间孔注射治疗腰椎小关节综合征的疗效观察[J].中华物理医学与康复杂志,2017,39(1):34-37.
[2] 代燎原,朱慧锋,冯庆生,等.经骶管与椎间孔注射糖皮质激素治疗腰椎管狭窄症所致坐骨神经痛疗效比较[J].浙江医学,2015,37(16):1360-1362.
[3] 林仲法,熊家兴.椎间孔注射得宝松联合阿米替林治疗带状疱疹后遗神经痛65例疗效观察[J].中国麻风皮肤病杂志,2013,29(4):291.
[4] 孙建峰,钱宝延,段俊峰,等.放散状体外冲击波治疗腰三横突综合征的疗效观察[J].临床军医杂志,2015,43(10):1091-1092.
[5] 陈永军,韩冠宙.综合性运动干预治疗腰椎小关节综合征的疗效观察[J].中华物理医学与康复杂志,2016,38(1):58-60.
[6] 胡勇文,戚晴雪,甄鹏超,等.宫廷正骨手法联合腰脊神经后内侧支阻滞治疗腰椎小关节综合征60例疗效观察[J].世界中医药,2017,12(5):1061-1064.
[7] 李常威.体外冲击波治疗配合中医整脊手法治疗腰椎间盘突出症51例疗效观察[J].云南中医中药杂志,2017,38(10):64-66.
[8] 李传健,杨庆贤,钟光明,等.L4~L5和L5~S1旁椎间孔注射穿刺入路的应用解剖研究[J].解剖学研究,2013,35(1):58-60.
[9] 陈能,曾得明,陈国材,等.穴位注射与经椎旁椎间孔注射治疗腰椎间盘突出症疗效对比[J].河南中医,2016,36(11):1973-1975.
[10] 张跃全,席朝垒,丁利,等.脊-盆-髋调正手法配合银杏叶提取物腰椎间孔注射对腰椎间盘突出症患者血清IL-1β和TNF-α水平的影响[J].宁夏医科大学学报,2014,36(11):1240-1243.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 269940 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541