| 腰椎间盘突出症的骶管注射疗法 |
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| 引用本文： | 温优良,李义凯,梁兴森,陈先武. 腰椎间盘突出症的骶管注射疗法[J]. 中国中医骨伤科杂志, 2011, 0(3): 17-20 |
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| 作者姓名： | 温优良 李义凯 梁兴森 陈先武 |
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| 作者单位： | 南方医科大学中医院学院骨伤推拿教研室;广东省第二人民医院康复医学科; |
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| 基金项目： | 东莞市医疗卫生单位科研计划项目(编号:200910515025) |
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| 摘 要： | 目的：探讨骶管注射疗法对腰椎间盘突出症的临床作用。方法：将90例腰椎间盘突出症的患者,随机分为生理盐水组、地塞米松低剂量组、地塞米松高剂量组、曲安奈德低剂量组、曲安奈德高剂量组和丹参注射液组,每组15例。每组患者均按照各自的组方配制成20mL的溶液给予骶管注射。治疗前及治疗后即刻、1周和2周均使用改良的日本矫形外科学会（M-JOA）腰痛评分标准和疼痛视觉模拟评分（VAS）进行临床疗效评价。结果：治疗前各组患者M-JOA腰痛评分和VAS评分比较差异无统计学意义（P〉0.05）;治疗后即刻各组患者的VAS评分与治疗前比较均有降低（P〈0.05）,但M-JOA评分与治疗前比较差异无统计学意义（P〉0.05）;骶管注射治疗后,糖皮质激素各组的M-JOA评分与VAS评分比生理盐水组和丹参注射液组降低明显（P〈0.01）,但生理盐水组和丹参注射液组、糖皮质激素各剂量组之间的M-JOA评分与VAS评分相比较差异无统计学意义（P〉0.05）。治疗后1周,曲安奈德组的M-JOA评分与VAS评分降低比地塞米松组明显（P〈0.05）,但治疗后2周,曲安奈德组与地塞米松组的M-JOA评分与VAS评分比较差异无统计学意义（P〉0.05）。结论：腰椎间盘突出症的骶管注射疗法中,中药制剂的作用与生理盐水无异;起关键作用的是糖皮质激素,且临床运用中最好遵循低剂量给药和水剂优先的原则。
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| 关 键 词： | 腰椎间盘突出症 骶管注射 糖皮质激素 中药制剂 |
Sacral Injection Therapy Treating Lumbar Disc Protrusion |
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| WEN YuLiang , LI Yikai LIANG Xingsen ,CHEN Xianwu College of Traditional Chinese Medical,Southern Medical University,Guangzhou, Rehabilitation medicine departments,Guangdong NO. Provincial People's Hospital Guanghou. Sacral Injection Therapy Treating Lumbar Disc Protrusion[J]. Chinese Journal of Traditional Medical Traumatology & Orthopeics, 2011, 0(3): 17-20 |
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| Authors: | WEN YuLiang LI Yikai LIANG Xingsen CHEN Xianwu College of Traditional Chinese Medical Southern Medical University Guangzhou Rehabilitation medicine departments Guangdong NO. Provincial People's Hospital Guanghou |
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| Affiliation: | WEN YuLiang 1,2 LI Yikai 1 LIANG Xingsen 2,CHEN Xianwu 2 1College of Traditional Chinese Medical,Southern Medical University,Guangzhou,510515 2Rehabilitation medicine departments,Guangdong NO.2 Provincial People's Hospital Guanghou 510317 |
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| Abstract: | Objective: To discuss the clinical effectiveness of sacral injection therapy to treat lumbar disc protrusion.Methods: All of 90 patients with lumbar disc protrusion were divided into 6 groups randomly: the control group,low dose hexadecadrol injection group,high dose hexadecadrol injection group,low dose triamcinolone acetonide injection group,high dose triamcinolone acetonide injection group and DanShen injection group.Each group has the patients of same number,and the injection volumes were all 20 ml in e... |
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| Keywords: | Lumbar disc protrusion Sacral injection therapy Glucocorticoid Traditional Chinese medicine preparation |
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