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恩再适注射液肌注治疗LDH术后残余神经痛的临床疗效观察
引用本文:徐昆,郝佳颖,肖天洁,杜元良,孙贺,张义龙,赵艳军,张峥.恩再适注射液肌注治疗LDH术后残余神经痛的临床疗效观察[J].河北医学,2016(10):1689-1691.
作者姓名:徐昆  郝佳颖  肖天洁  杜元良  孙贺  张义龙  赵艳军  张峥
作者单位:1. 承德医学院附属医院,河北 承德,067000;2. 河北省围场满族蒙古族自治县医院,河北 围场,068450;3. 河北省围场满族蒙古族自治县中医院,河北 围场,068450
摘    要:目的::观察恩再适注射液肌注治疗LDH(腰椎间盘突出症)术后残余神经痛的临床疗效。方法:选择年龄于40~59岁之间的LDH患者90例(男女各45例)经正规保守治疗4周无效且VAS≥5分患者,行腰4-5或腰5-骶1髓核摘除、椎间融合术后第2周仍存在下肢疼痛或(和)麻木者,按照完全随机等分法分三组、每组30例:A组(维生素B1+B12注射液组),B组(注射用腺苷钴胺组),C组(恩再适注射液组),通过上述三组治疗3~6周后,观察恩再适注射液组治疗LDH术后残余神经痛的临床疗效。结果:C组(恩再适注射液组)临床疗效显著优于A、B两组。结论:恩再适注射液可显著改善LDH术后残余神经痛症状,具有显著临床疗效。

关 键 词:腰椎间盘突出症  腰椎术后  残余神经痛  恩再适注射液

Observation on Clinical Curative Effect of Analgecine Muscle Injection Treating Postoperative Residual Neuralgia of LDH
Abstract:Objective:To observe the clinical curative effect of analgecine muscle injection treating postoper-ative residual neuralgia of LDH ( protrusion of lumbar intervertebral disc ) . Methods: 90 LDH patients be-tween 40 and 59 years old who were insensitive to regular conservative treatment ( four weeks) , with VAS 5 points,and still sufferedfrom lower limb pain or ( and) numb at the 2nd week after waist 4-5 or waist 5-sa-crum 1 nucleus pulposus removal and intervertebral fusion. They were randomized into three groups, with 30 cases in each group:group A ( VitaminB1+B12Injectiongroup) , group B ( Cobamamide injection group) , and group C ( analgecine injection group) . After being treated for 3-6 weeks by the listed three treatment meth-ods, the clinical curative effect of analgecine injection treating postoperative residual neuralgia of LDH were observed. Result:the clinical curative effect of group C ( analgecine injection group) was significantly better than that of group A and group B. Conclusions:analgecine injection can significantly improve the postoperative residualneuralgia of LDH and it has a significant clinical curative effect.
Keywords:Lumber disc herniation  Post-discectomy syndrome  Residual neuralgia  Anal-gecine injection
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