神经刺激仪引导腰骶丛阻滞治疗腰椎间盘突出症的临床研究

目的 探讨神经刺激仪引导腰骶丛阻滞治疗腰椎间盘突出症的效果及安全性.方法 选取2006年3月～2010年3月北京航天总医院疼痛门诊和同时期骨科住院腰椎间盘突出症患者共61例（疼痛门诊30例为A组,男24例,女6例；骨科住院31例为B组,男23例,女8例）,A组应用神经刺激仪引导腰骶丛阻滞疗法,B组应用骨科腰椎间盘突出症常规保守治疗方法,即卧床休息、物理疗法、镇痛药物、营养神经药物、活血药物等.两组均记录一般状况、静止走动疼痛VAS评分、ODI评分、患者满意度.结果 A、B组治疗末次后走动疼痛VAS评分分别为（1.6±0.6）、（3.2±1.8）分,差异有统计学意义（P＜0.05）；A、B组治疗末次后ODI评分分别为（12.1±6.8）、（24.6±11.9）分,差异有统计学意义（P＜0.05）；A、B组治疗末次后患者满意率分别为100％、65％,差异有统计学意义（P＜0.05）.结论 神经刺激仪引导腰骶丛阻滞治疗腰椎间盘突出症的效果显著,临床安全.

Clinical study of nerve stimulator guided lumbar sacral plexus block in the treatment of lumbar disc herniation

Objective To investigate the effect and safety of nerve stimulator guided lumbar sacral plexus block in the treatment of lumbar disc herniation. Methods A total of 61 cases with lumbar disc herniation in pain outpatient and hospitalized in the Department of Orthopedics from March 2006 to March 2010 were selected （30 cases in pain outpatient were taken as group A, 24 cases of male, 6 cases of female; 31 cases in Department of Orthopedics were taken as group B, 23 cases of male, 8 cases of female）. Group A was given stimulator guided lumbar sacral plexus block therapy. Group B was given conventional conservative treatment in Department of Orthopedics, including bed rest, physical therapy, analgesics drugs, neurotrophic drugs, huoxue drugs. The general condition, static walking pain VAS score, ODI score, patient satisfaction were recorded in the two groups, Results After treatment walk pain VAS scores were （1.6±0.6） points, （3.2±1.8） points in group A, group B retrospectively, the difference was statistically significant （P 〈 0.05）. After treatment ODI scores were （12.1±6.8） points and （24.6±11.9） points in group A, group B retrospectively, the difference was statistically significant （P 〈 0.05）. After treatment the satisfaction rate of patients in group A, group B were 100%, 65%, the difference was statistically significant （P 〈 0.05）. Conclusion The effect of nerve stimulator guided lumbar sacral plexus block in the treatment of lumbar disc herniation is significant, it is safety in clinic.