硬膜外阻滞加直腿抬高运动治疗腰椎间盘突出症的疗效分析

目的：观察硬膜外阻滞加直腿抬高运动（SLRT）对腰椎间盘突出症的治疗和预防复发的作用。方法：将143例患者随机分为常规治疗组（A）42例、骶裂孔硬膜外阻滞组（B）55例和骶裂孔硬膜外阻滞加SLRT运动治疗组(C)46例。A组：采用电脑中频和超短波治疗。B组：VitB1100mg、VitB12500μg、地塞米松10mg、2％盐酸利多卡因100mg，以0.9％的生理盐水稀释成30ml，作骶裂孔硬膜外阻滞。C组：骶裂孔硬膜外阻滞，并行伸膝练习和SLRT运动。结果：C组治疗优良率89.13％，3周时，≥50％的疼痛缓解率93.48％，随访1年的复发率4.76％，明显好于A组和B组。结论：骶裂孔硬膜外注射加SLRT运动疗法简单、有效，能持久改善腰椎间盘突出患者的神经根性疼痛，预防腰腿痛复发。

Effect of epidural block and straight-leg raising exercise in the treatment of lumbar disc herniation

Objective To observe the effect of epidura l block and straight- leg raising (SLR)exercise in treatment of lumbar disc her niation (LDH). Methods We recruited 143 patients with lumbar disc herniation (LDH) and randomly divided them into three groups: conve ntional physical therapy group, 42 cases; epidural block group, 55 cases; and ep idural block plus SLR exercise group, 46 cases. The patients in each group were treated according to designated protocols, and the therapeutic effects were comp ared among the groups. Results We found that the pati ents in the epidural block plus SLR exercise group gained significantly better r esults, with regard to the pain relief and relapse rate, than the other two grou ps when assessed one year later. Conclusion It is sug gested that epidural block plus SLR exercise is an effective intervention for tr eatment of LDH and has long- lasting effects.