腰椎旁神经阻滞联合臭氧注射或超短波治疗腰椎间盘突出症疗效观察

摘要

Objective To observe the efficacy of lumbar adjacent nerve block combined with ozone injection or ultra-short wave in treating lumbar disc herniation. Methods 82 patients with lumbar disc herniation admitted to our hospital from January to May in 2011 were randomly divided into group A ( 40 cases ) and group B ( 42 cases ) . Group A was treated by lumbar adjacent nerve block combined with ozone injection, while group B was treated by lumbar adjacent nerve block combined with ul-trashort wave, and both groups were treated for four weeks. VAS score, clinical efficacy, adverse effect and complications of the two groups before treatment and the four weeks during treatment were observed. Results The VAS score of the two groups before treatment showed no statistically significant difference ( P > 0. 05 ), but one week, two weeks, three weeks and four weeks after treatment, it showed statistically significant difference ( P <0. 01 ) . Lumbodynia and knee pain of the two groups were relieved after treatment In group A, 21 cases were cured, 10 cases were significantly improved, 7 cases were improved and 2 cases were invalid; In group B, 29 cases were cured, 8 cases were significantly improved, 2 cases were improved and 3 cases were invalid , and the differences between the two groups were not statistically significant (u= -1.313, P =0. 189 ) .3 cases in group A and 5 cases in group B appeared some discomfort around injection site after treatment, and 4 cases in group B appeared discomfort on lumbar skin after ultrashort wave treatment. Conclusion Lumbar adjacent nerve block combined with ozone injection or ultra-short wave is effective and safe in treating lumbar disc herniation. Lumbar adjacent nerve block combined with ultrashort wave is better than combined with ozone injection in terms of improving pain degree.%目的 观察腰椎旁神经阻滞联合臭氧注射或超短波治疗腰椎间盘突出症的疗效.方法 选择我院2011年1-5月收治的腰椎间盘突出症患者82例,采用随机数字表法将患者分为A组40例,B组42例.A组采用腰椎旁神经阻滞联合臭氧注射治疗,B组采用腰椎旁神经阻滞联合超短波治疗,两组疗程均为4周.观察两组患者治疗前及治疗4周内的疼痛视觉模拟评分(VAS评分)、临床疗效,不良反应及并发症发生情况.结果 两组治疗前VAS评分比较,差异无统计学意义(P>0.05),治疗1周、2周、3周、4周比较,差异均有统计学意义(P<0.01).治疗后两组患者腰腿痛症状均有不同程度的缓解,A组治愈21例、显效10例、有效7例、无效2例,B组治愈29例、显效8例、有效2例、无效3例,两组疗效间差异无统计学意义(u=-1.313,P=0.189).A组有3例、B组有5例患者在治疗后出现腰椎旁注射部位不适感,B组有4例患者在超短波治疗后出现腰部皮肤不适感.结论 腰椎旁神经阻滞联合臭氧注射或超短波治疗腰椎间盘突出症疗效较好,安全可行,腰椎旁神经阻滞联合超短波治疗在改善患者疼痛方面优于腰椎旁神经阻滞联合臭氧注射治疗.