骶管阻滞和骶管阻滞联合椎旁阻滞治疗腰椎间盘突出症的临床观察.pdfVIP

骶管阻滞和骶管阻滞联合椎旁阻滞治疗腰椎问盘 突出症的临床观察 阳世光杨军良 吕有文袁爱武 摘要：目的比较和评价骶管阻滞和骶管阻滞+椎旁阻滞治疗腰椎间盘突出症的临床疗效。方法腰椎间盘突出症患 者68例随机分成A、B二组，每组各34例：分别行骶管阻滞和骶管阻滞+椎旁阻滞治疗，两组均以曲安奈得、利多卡因、维 生素B12、维生素B1与生理盐水混合液行神经阻滞治疗，每周1次，4次为1疗程。观察两组视觉模拟评分(VAS)和直腿抬 高实验(SLRD)的变化，比较两组治疗的总有效率，同时观察两组出现下肢肌力和血压变化。结果经过1个疗程治疗后 分别1 骶管阻滞和和骶管阻滞+椎旁阻滞均为治疗腰椎间盘突出症的有效方法，但后者比前者疗效更优、更安全。 关键词：骶管阻滞；椎旁阻滞；腰椎间盘突出症；腰腿痛 Clinicalobservationofsacralblockandsacralblockwith nerveblockforthetreatmentof paravertebral lumbarintervertebraldischerniation YANG Yu-wenate1． Shi-弘ang，YANGyun-li,W，LU PainMedicineClinic Central ofLonggangHospitol，Shenzhen．$18116，China To andevaluatetheeffectsofsacralblockand block sacral with nerve Abstract：Objectivecompare paravertebral blockforthetreatmentoflumbarintervertebraldischerniation．Methods68adult withlumbarintervertebral patients discherniationwere dividedintotwo of34 ineach．The weretreatedwithsacral randomly equalgroups patients patients block(SDB)illAandsacralblockwith nerveblock(SDB+PNB)inB．The wagcorn- group paravertebral group analgesic of and triameinoloneacetonide、lidocaine、vitaminB12、vitaminB1 normal intosacralcanalor posed saline。andinjected inboth Wagwas a nerve．Theadministation onceweekandonecourseofIzeatmenthadfouradmin— paravertebral groups ismtiom．TheofVisual scale(VAS)and test(SLRT)wagobservedandthetotalfinerate change analog