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时间:2020-04-20
《牛痘疫苗致炎兔皮提取物颈部硬膜外注射治疗颈椎间盘突出症的临床研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、西部医学2014年8月第26卷第8期MedJWestChina,August2014,Vo1.26,No.8·989·牛痘疫苗致炎兔皮提取物颈部硬膜外注射治疗颈椎间盘突出症的临床研究*盛福庭,罗声臻,李朝举,彭卫东,徐建立(深圳市龙岗区横岗人民医院麻醉科,广东深圳518000)【摘要】目的探讨牛痘疫苗致炎兔皮提取物颈部硬膜外注射治疗颈椎间盘突出症的临床效果。方法将9O例行颈硬膜外阻滞治疗的颈椎间盘突出症患者随机分成3组,每组各3O例。A组:牛痘疫苗致炎兔皮提取物+复方倍他米松+罗哌卡因,B组:牛痘疫苗致炎兔皮提取物+罗哌卡因,C组:复方
2、倍他米松+罗哌卡因+维生素B。记录治疗第5天的VAs、症状体征评分及副作用;用Macnab标准评估治疗后1、6和12个月的疗效。结果注药第5天3组VAs、症状体征等评分分别为:A组显著优于B组,B组显著优于C组(均P<0.05);3组副作用无显著差异(P>0.05);治疗后1、6和12个月3组的Macnab有效率分别为A组显著优于B组,B组显著优于C组(均P3、盘突出症【中图分类号】R681.53【文献标志码】Adoi:10.3969/j.issn.1672—3511.2014.08.010TheclinicresearchontreatmentofcervicaldischerniationwithcervicalepidurallateralinterspaceextractfromrabbitskininflamedbyvacciniavirusinjectionSHENGFu-ting,LUOSheng-zhen,LIChao-ju,etal(HenggangPeople'sHospi4、tal,Shenzhen518000,Guangdong)[Abstract]ObjectiveToexploretheclinicaleffectofcervicalepidurallateralinterspaceextractfromrabbitskinInflamedbyvacciniavirusinjectiononcervica1discherniation.Methods90patientswithcervica1discherniationtreatedbycervicalepiduralblockwererandoml5、ydividedintogroupA,groupBandgroupC.GroupAwastreatedwithextractfromrabbitskinInflamedbyvacciniavirus,ropivacaineandcompoundbetamethasone.GroupBwastreatedwithextractfromrabbitskinInflamedbyvacciniavirusandropivacaine.GroupCwastreatedwithcompoundbetamethasone,ropiva—cainean6、dvitaminB.TheVASscore,symptomsandsignsandsideeffectwererecorded.Thecurativeeffectwasevalua—tedbyMacnabcriteria1month,6monthsand12monthsaftertreatment.ResultsThescoreofVASandsymptomsandsignsinthegroupAwasbetterthanthatofgroupB(P7、oupC(PO.05).ClinicalefficacyrateingroupAwasbetterthanthatofgroupB(P8、ntwithextractfromrabbitskinIn—flamedbyvacciniavirus,ropivacaineandcompoundbetamethasoneinjectioncanmore
3、盘突出症【中图分类号】R681.53【文献标志码】Adoi:10.3969/j.issn.1672—3511.2014.08.010TheclinicresearchontreatmentofcervicaldischerniationwithcervicalepidurallateralinterspaceextractfromrabbitskininflamedbyvacciniavirusinjectionSHENGFu-ting,LUOSheng-zhen,LIChao-ju,etal(HenggangPeople'sHospi
4、tal,Shenzhen518000,Guangdong)[Abstract]ObjectiveToexploretheclinicaleffectofcervicalepidurallateralinterspaceextractfromrabbitskinInflamedbyvacciniavirusinjectiononcervica1discherniation.Methods90patientswithcervica1discherniationtreatedbycervicalepiduralblockwererandoml
5、ydividedintogroupA,groupBandgroupC.GroupAwastreatedwithextractfromrabbitskinInflamedbyvacciniavirus,ropivacaineandcompoundbetamethasone.GroupBwastreatedwithextractfromrabbitskinInflamedbyvacciniavirusandropivacaine.GroupCwastreatedwithcompoundbetamethasone,ropiva—cainean
6、dvitaminB.TheVASscore,symptomsandsignsandsideeffectwererecorded.Thecurativeeffectwasevalua—tedbyMacnabcriteria1month,6monthsand12monthsaftertreatment.ResultsThescoreofVASandsymptomsandsignsinthegroupAwasbetterthanthatofgroupB(P7、oupC(PO.05).ClinicalefficacyrateingroupAwasbetterthanthatofgroupB(P8、ntwithextractfromrabbitskinIn—flamedbyvacciniavirus,ropivacaineandcompoundbetamethasoneinjectioncanmore
7、oupC(PO.05).ClinicalefficacyrateingroupAwasbetterthanthatofgroupB(P8、ntwithextractfromrabbitskinIn—flamedbyvacciniavirus,ropivacaineandcompoundbetamethasoneinjectioncanmore
8、ntwithextractfromrabbitskinIn—flamedbyvacciniavirus,ropivacaineandcompoundbetamethasoneinjectioncanmore
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