张建宏，范建中，杨哲，彭楠.硬膜外注射配合手法复位治疗急性腰椎间盘突出症的临床及电生理研究[J].中华物理医学与康复杂志,2002,(1):.-
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| 硬膜外注射配合手法复位治疗急性腰椎间盘突出症的临床及电生理研究 |
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| DOI： |
| 中文关键词: 椎间盘移位 注射，硬膜外 手法复位 体感诱发电位 |
| 英文关键词: Intervertebral disk displacement Injections, epidural Manual reduction Somatosensory evoked potential |
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| 中文摘要: |
| 目的探讨硬膜外注射配合手法复位对急性腰椎间盘突出症的疗效并观察体感诱发电位在病情评估中的作用。方法将46例急性腰椎间盘突出患者随机分为硬膜外注射组23例和常规治疗组23例，疗程3～4周，治疗前及治疗后1 d、1周及疗程结束后应用目测类比评分法(VAS)对疼痛进行评估，对症状、体征进行临床评定，治疗后进行疗效评定并复查双下肢体感诱发电位。结果硬膜外注射即时止痛效果明显，可缩短疗程，配合手法复位治疗，疗效显著，优良率占82.6%。两组患者患侧下肢体感诱发电位潜伏期延长，神经传导速度减慢，治疗后均有改善。 结论硬膜外注射配合手法复位对急性腰椎间盘突出症有较好的临床疗效，体感诱发电位可作为腰椎间盘突出症病情及疗效评定的指标。 |
| 英文摘要: |
| Objective To explore the therapeutic effect of peridural injection and manual reduction on acute lumbar disc herniation and to observe the role of somatosensory evoked potential (SEPs) in the assessment of the illness.MethodsForty six cases of acute lumbar disc herniation were equally divided into the peridural injection group and the traditional treatment group. The clinical symptoms and signs as well as the scores of VAS were assessed before and on the seccond day, one week and 3～4 weeks after the treatment. The SEPs of the involved lower limb were also evaluated.ResultsPain relieving effect in patients treated by peridural injection was prominent. In combination with manual reduction, peridural injection provided satisfactory therapeutic results. The total optimal therapeutic rate was up to 82.6%. Evaluation of SEPs before and after treatment demonstrated that both the increased latency of SEPs and decreased nerve conduction velocity were improved in patients with acute lumbar disc herniationConclusionPeridural injection combining with manual reduction is an effective therapeutic option for treatment of patients with lumbar disc herniation,and the SEPs may be used as a measure for assessing the progress in these patients |
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