文献类型：期刊文献

中文题名：改良骶管注射三联用药治疗老年人下腰段腰椎间盘突出症临床研究

英文题名：Clinical study of modified sacral canal triple-drug injection in the treatment of eldly patients with lower lumbarprotrusion of the discogenic pain

作者：宋志靖[1];吴建民[1];李宁[1];赵彬元[1];颉旺军[1];刘强[1];周强[1]

第一作者：宋志靖

机构：[1]甘肃中医药大学附属医院推拿康复科,兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2015

卷号：8

期号：10

起止页码：916

中文期刊名：中国临床新医学

外文期刊名：CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基金：甘肃省卫生行业科研计划项目(编号:GSWST2012-15)

语种：中文

中文关键词：骶管注射;老年人;下腰段;腰椎间盘突出症;疼痛

外文关键词：Sacral canal injection;;Eldly patients;;Lumbarsegment;;Lumbar disc herniation;;Pain

摘要：目的探讨改良骶管三联注射药物治疗老年人下腰段腰椎间盘突出症的临床效果。方法选取该科2011-11～2014-06住院和门诊的下腰段腰椎间盘突出症患者84例，分为治疗组和对照组各42例。治疗组先采用利多卡因5ml、地塞米松5mg、维生素B120．5mg、42～45。C生理盐水20ml进行骶管内注射（第一针）；然后再采用利多卡因5ml、地塞米松5mg、42～45。C生理盐水10ml骶管内注射（第2针）。1次／3d，3次为1个疗程。对照组采用推拿治疗，1次／d，10次为1个疗程。结果两组不同时间的VAS评分之间差异有统计学意义（F时点=9．76，P时点=0．00），治疗后10d的VAS评分值最低；治疗组和对照组的VAS评分之间差异有统计学意义（F组间=5．63，P组间=0．01）；治疗组的VAS评分低于对照组，不同分组不同时间之间存在交互作用（F组间×时点=5．44，P组间×时点=0．01）。治疗组治愈26例，显效14例，无效2例。对照组治愈15例，显效20例，无效7例。治疗组临床疗效优于对照组（Z=-2．574，P=0．010）。结论改良骶管注射三联用药治疗老年人下腰段腰椎间盘突出症安全可靠，疗效显著，可在门诊治疗中推广应用。
Objective To investigate the clinical effect of modified sacral injection of triple drugs in the treatment of senilelumbar disc herniation. Methods Eighty patients with lower lumbarprotrusion of the discogenic pain were collected in the inpatients and outpatients in our hospital from November 2011 to June 2014 and divided into the treatment group( n = 42) and the control group( n = 42). The treatment group was given lidocaine 5 ml and dexamethasone 5 mg,vitamin B120. 5 mg,42 ~ 45 ℃ 20 ml of physiological saline for sacral canal injection,followed by sacral canal injection with lidocaine 5 ml,dexamethasone 5 mg,42 ~ 45 ℃ 10 ml of physiological saline,1time every three days,three times as a period of treatment. The control group was given massage therapy,1 time per day,10 times as a period of treatment. Results There were significant differences in VAS scores between the two groups at different time points( F time-point= 9. 76,P time-point= 0. 00),and the lowest scores occurred on the tenth day after the treatment in both of the two groups. The VAS score of the treatment group was significantly lower than that of the control group( F between-group= 5. 63,P between-group= 0. 01). There were interactions between the different groups and the different time points( F group category × point= 5. 44,P group category × point= 0. 01). 26 cases were cured,14 cases improved and 2 cases invalid in the treatment group,and 15 cases were cured,20 cases improved and 7 cases invalid in the control group. The clinical curative effect of the treatment group is better than that of the control group( Z =- 2. 574,P = 0. 010). Conclusion Sacral canal injection of triple-drug therapy for elderly patients with lumbar disc herniation is safe and effective. It is suitabale for outpatient treatment.