骶管注射治疗下腰痛合并下肢放射痛的临床疗效观察

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1、·48·中华全科医学2013年1月第11卷第1期ChineseJournalofGeneralPractice，January2013，Vol.11，No.1·全科临床论著·骶管注射治疗下腰痛合并下肢放射痛的临床疗效观察陈泽群，王荣春，李义凯，银春景，郭伟锋【摘要】目的观察骶管注药术治疗下腰痛并下肢放射痛的临床疗效。方法将196例下腰痛合并下肢放射痛患者随机分为两组，98例接受骶管注射术，98例不作任何治疗。所有患者注射前和注射后1周，接受VerbalPainScore(VPS)和OswestryDisabilityIndex(ODI)评分。结果所有接受骶管注药治疗患者都

2、有不同程度的改善，治疗后的VPS和ODI优于治疗前，差异有统计学意义(P=0．0007;P=0．0008);未行骶管注药的患者VPS和ODI无明显改善，差异无统计学意义(P=0．36;P=0．35)。结论骶管注药治疗可明显缓解疼痛，提高生活质量。因此笔者认为这种安全简单的方法可应用于下腰痛合并下肢放射痛患者，可帮助获得更好的临床疗效。【关键词】骶管注射;放射性下肢痛;患者疗效【中图分类号】R681．5【文献标识码】A【文章编号】1674-4152(2013)01-0048-03ClinicalEffectsofCaudalEpiduralInjectiononPatien

3、tswithLowBackPainandRadicularLegPainCHENZe-qun，WANGRong-chun，LIYi-kai，etal．DepartmentofOrthopedicSurgery，ChangpingPeople’sHospitalofDongguan，Dongguan523573，Guangdong，China【Abstract】ObjectiveToobservetheclinicaleffectsofcaudalepiduralinjectiononpatientswithlowbackpainandradicularlegpain．Me

4、thodsAll196patientswithlowbackpainandradicularlegpainwererandomlydividedintotwogroups，98casesintheexperimentalgroupreceivedthecaudalepiduralinjection，while98patientsinthecontrolgroupdidnotreceiveanytreat-ment．AllpatientsreceivedtheassessmentofVerbalPainScore(VPS)andtheOswestryDisabilityIn

5、dex(ODI)scorebeforein-jectionandoneweekafterinjection．ResultsAllpatientsintheexperimentalgrouphaddifferentdegreesofimprovementafterthetreatment，theVPSandODIwerebetterascomparedwiththosebeforetreatment，thedifferenceswerestatisticallysignificant(P=0．00007;P=0．0008);Thepatientsinthecontrolgr

6、ouphadnoobviousimprovement，thedifferenceinODIandVPSwasnostatisticallysignificant(P=0．36;P=0．35)．ConclusionThecaudalinjectioncanobviouslyrelievethepainsofpatientsandimprovetheirqualityoflife．Sothissafeandsimplemethodshouldbewidelyappliedtothepatientswithlowbackpaincombinedwithradicularlegp

7、ain，andshouldachieveabetterclinicalefficacy．【Keywords】Caudalepiduralinjection;Radicularlegpain;Curativeeffect骶管注射疗法在临床已被广泛应用，骶管注药也管注药前都行腰椎MRI检查以证实，MRI特征符合下为广大临床医生接收并对腰腿痛实施有效的治疗，明列其一:①中央旁型椎间盘突出合并压迫神经根150确的提出了内固醇激素在骶管注射疗法中的重要作例。②腰椎管狭窄合并有继发于退变性小关节增生的用，内固醇激素的具体作用是抑制了神经根