硬膜外麻醉下手法复位治疗急性腰椎间盘突出症疗效观察

目的：观察硬膜外麻醉下手法复位治疗急性腰椎间盘突出症的临床疗效。方法：运用日本骨科学会下腰痛评分法（M-JOh），分析60例急性腰椎间盘突出症，予以硬膜外麻醉下手法复位临床症状与效果的关系，并与单纯手法复位治疗组，于手法复位3天，1月后复查。结果：疗效结果改善率为68．48％，对照组46．4％，按分级疗效治疗组显效率83．33%，对照组优良率5O%；平均改善指数和改善率均高于对照组。结论：硬膜外麻醉下手法复位是治疗急性腰椎间盘突出症保守治疗方法之一，有比较好的临床效果，运用量化评价方法易于评价临床疗效。

Efficacy observation on treatment of acute lumbar disc herniation by manipulative reduction with epidural anesthesia

Objective： To observe the clinical efficacy of manipulative reduction with epidural anesthesia in the treatment of acute lumbar disc herniation. Methods： By M-JOA from Institute of orthopedics in Japan, the relationship between the clinical symptoms and effects of 60 cases with acute lumbar disc herniation treated with manipulative reduction with epidural anesthesia. The group given manipulative reduction were treated for 3 days and rechecked after 1 month. Results： The improved rate of the treatment group was 68.48%, while that of the control group was 46.4%. The marked effective rate of the treatment group was 83.33%, the qualified rate of the control group was 50%; the improved index and rate of the treatment group were higher than those of the control group. Conclusion： Epidural anesthesia with manipulative reduction is one of the conservative treatments for acute lumbar disc herniation with good clinical effects, which is easy to give clinical evaluation by quantitative evaluation method.