中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2014年
4期
265-267
,共3页
苏祥正%徐辉%肖嵩华%陆宁%张雪松%崔赓%刘郑生
囌祥正%徐輝%肖嵩華%陸寧%張雪鬆%崔賡%劉鄭生
소상정%서휘%초숭화%륙저%장설송%최갱%류정생
椎间盘移位%腰椎%治疗结果%腰痛%感觉减退%神经妥乐平
椎間盤移位%腰椎%治療結果%腰痛%感覺減退%神經妥樂平
추간반이위%요추%치료결과%요통%감각감퇴%신경타악평
Intervertebral disc displacement%Lumbar vertebrae%Treatment outcome%Low back pain%Hypesthesia%Neurotropin
目的:观察神经妥乐平治疗腰椎间盘突出症疼痛及麻木症状的疗效。方法门诊纳入影像学及临床表现可确诊为腰椎间盘突出症及视觉模拟评分法(visualanaloguescale,VAS)在5分以上的患者56例,分为甲钴胺组及神经妥乐平+甲钴胺组。不使用其它药物及按摩针灸等治疗,并要求患者卧床休息。观察两组患者的疼痛及麻木缓解情况。结果服药后第1周及第2周两组间疼痛VAS评分差异有统计学意义,神经妥乐平+甲钴胺组和甲钴胺组对疼痛缓解的显效率于第2周时分别为:62.5%,8.3%,有效率分别为75.0%,41.6%。两组对麻木症状的缓解差异无统计学意义。结论神经妥乐平联合甲钴胺对腰椎间盘突出症疼痛的缓解优于单独应用甲钴胺,而对于麻木的缓解两组间差异无统计学意义。
目的:觀察神經妥樂平治療腰椎間盤突齣癥疼痛及痳木癥狀的療效。方法門診納入影像學及臨床錶現可確診為腰椎間盤突齣癥及視覺模擬評分法(visualanaloguescale,VAS)在5分以上的患者56例,分為甲鈷胺組及神經妥樂平+甲鈷胺組。不使用其它藥物及按摩針灸等治療,併要求患者臥床休息。觀察兩組患者的疼痛及痳木緩解情況。結果服藥後第1週及第2週兩組間疼痛VAS評分差異有統計學意義,神經妥樂平+甲鈷胺組和甲鈷胺組對疼痛緩解的顯效率于第2週時分彆為:62.5%,8.3%,有效率分彆為75.0%,41.6%。兩組對痳木癥狀的緩解差異無統計學意義。結論神經妥樂平聯閤甲鈷胺對腰椎間盤突齣癥疼痛的緩解優于單獨應用甲鈷胺,而對于痳木的緩解兩組間差異無統計學意義。
목적:관찰신경타악평치료요추간반돌출증동통급마목증상적료효。방법문진납입영상학급림상표현가학진위요추간반돌출증급시각모의평분법(visualanaloguescale,VAS)재5분이상적환자56례,분위갑고알조급신경타악평+갑고알조。불사용기타약물급안마침구등치료,병요구환자와상휴식。관찰량조환자적동통급마목완해정황。결과복약후제1주급제2주량조간동통VAS평분차이유통계학의의,신경타악평+갑고알조화갑고알조대동통완해적현효솔우제2주시분별위:62.5%,8.3%,유효솔분별위75.0%,41.6%。량조대마목증상적완해차이무통계학의의。결론신경타악평연합갑고알대요추간반돌출증동통적완해우우단독응용갑고알,이대우마목적완해량조간차이무통계학의의。
Objective To verify the effects of neurotropin on the relief of pain and numbness in the patients with lumbar disc herniation. Methods A total of 56 patients who were diagnosed as lumbar disc herniation based on the imaging data and clinical manifestations in the clinic and whose VAS scores were more than 5 points were divided into 2 groups. The patients in one group were treated with methylcobalamin, and the patients in the other group was treated with neurotropin+methylcobalamin. No other therapies such as medicine, massage or acupuncture were performed. All the patients were suggested to stay in bed. The relief of pain and numbness was observed in both groups. Results The differences of the VAS pain scores between the 2 groups were statistically signiifcant at the 1st and 2nd week after the medicines were taken. The excellent rates of pain relief in the neurtropin+methylcobalamin group and the neurtropin group were 62.5%and 8.3%respectively at the 2nd week, and the effective rates were 75.0%and 41.6%respectively. The differences of the numbness relief between the 2 groups were not statistically signiifcant. Conclutions The joint application of neurtropin and methylcobalamin is superior to the single application of methylcobalamin for the relief of the pain in the patients with lumbar disc herniation. There are no statistically signiifcant differences between the 2 groups for the relief of numbness.