硬膜外麻醉下手法复位治疗急性腰椎间盘突出症临床疗效观察

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-JOA）,将60例急性腰椎间盘突出症患者随机分为治疗组和对照组两组,治疗组在硬膜外麻醉下手法复位,对照组单纯手法复位,观察两组的临床治疗效果,评价手法复位术后3d、1月的疗效.结果：术后一月治疗组改善率为68.48%明显高于对照组46.4%;按分级疗效,治疗组有效率83.33%,对照组有效率50.30%,改善率和有效率治疗组均高于对照组,差异有统计学意义（P〈0.05）.结论：硬膜外麻醉下手法复位是治疗急性腰椎间盘突出症一种有效的保守治疗方法,有较好的临床效果.

Clinical effect of Manual Reduction under Epidural Anesthesia on AcuteLumbar Intervertebral Disc Protrusion

Objective：To observe the clinical effect of manual reduction under epidural anesthesia on acute lumbar intervertebral discprotrusion. Methods： According the low back pain score of modified Japanese orthopedic Association （M-JOA）, 60 patients with acutelumbar intervertebral disc protrusion were random divided into treatment group and control group. The treatment group was was givenmanual reduction under epidural anesthesia. The control group was just given manual reduction. Observed the clinical curative effect of thetwo groups and evaluated the curative effect 3 days and 1 month after the manual reduction. Result： 1 month after the treatment, theimprovement rate of treatment group was 68.48% which was significantly higher than that （46.4%） of control group. According to curativeeffect classification, the effective rate of treatment group was 83.33%, the control group 50.30%. Both improvement rate and curative rateof the treatment group were higher than those of the control group. The difference was statistically significant （P〈0.05）. Conclusion：Manual reduction under epidural anesthesia is an effective conventional treatment for acute lumbar intervertebral disc protrusion. It hasbetter clinical curative effect.