CAJ | 학술논문

目的：观察硬膜外麻醉下手法复位治疗急性腰椎间盘突出症的临床疗效。方法：运用日本骨科学会下腰痛评分法（M-JOA），将60例急性腰椎间盘突出症患者随机分为治疗组和对照组两组，治疗组在硬膜外麻醉下手法复位，对照组单纯手法复位，观察两组的临床治疗效果，评价手法复位术后3d、1月的疗效。结果：术后一月治疗组改善率为68.48%明显高于对照组46.4%；按分级疗效，治疗组有效率83.33%，对照组有效率50.30%，改善率和有效率治疗组均高于对照组，差异有统计学意义（P＜0.05）。结论：硬膜外麻醉下手法复位是治疗急性腰椎间盘突出症一种有效的保守治疗方法，有较好的临床效果。
목적：관찰경막외마취하수법복위치료급성요추간반돌출증적림상료효。방법：운용일본골과학회하요통평분법（M-JOA），장60례급성요추간반돌출증환자수궤분위치료조화대조조량조，치료조재경막외마취하수법복위，대조조단순수법복위，관찰량조적림상치료효과，평개수법복위술후3d、1월적료효。결과：술후일월치료조개선솔위68.48%명현고우대조조46.4%；안분급료효，치료조유효솔83.33%，대조조유효솔50.30%，개선솔화유효솔치료조균고우대조조，차이유통계학의의（P＜0.05）。결론：경막외마취하수법복위시치료급성요추간반돌출증일충유효적보수치료방법，유교호적림상효과。
Objective:To observe the clinical effect of manual reduction under epidural anesthesia on acute lumbar intervertebral disc protrusion. Methods: According the low back pain score of modified Japanese orthopedic Association (M-JOA), 60 patients with acute lumbar intervertebral disc protrusion were random divided into treatment group and control group. The treatment group was was given manual reduction under epidural anesthesia. The control group was just given manual reduction. Observed the clinical curative effect of the two groups and evaluated the curative effect 3 days and 1 month after the manual reduction. Result: 1 month after the treatment, the improvement rate of treatment group was 68.48%which was significantly higher than that (46.4%) of control group. According to curative effect classification, the effective rate of treatment group was 83.33%, the control group 50.30%. Both improvement rate and curative rate of the treatment group were higher than those of the control group. The difference was statistically significant (P<0.05). Conclusion:Manual reduction under epidural anesthesia is an effective conventional treatment for acute lumbar intervertebral disc protrusion. It has better clinical curative effect.