CAJ | 학술논문

【目的】探讨使用不同容量臭氧治疗椎间盘源性下腰痛患者的疗效。【方法】选取2013年8月至2014年8月本院住院的下腰痛患者作为研究对象，按纳入及排除标准，共103例进入本研究，并按照椎间盘造影显示造影剂流入的范围结果将患者分为三组：A组（造影剂流入外层纤维环）计33例，B组（造影剂流出至纤维环外层）计34例，C组（造影剂流出至硬膜外隙）计36例，每组患者随机注入5～20 m L臭氧，比较各组患者注入不同容量臭氧后的疗效。【结果】各分组中注入10 m L、15 m L、20 m L间行组内疗效比较，其有效率相比较差异无显著性（P ＞0．05），但注入10～20mL组其有效率远高于注入5mL者，且差异有显著性（P＜0．05）。【结论】对于各种损伤程度的椎间盘而言，选择注入10～20 m L的臭氧量均是有效的注射剂量，且对于椎间盘造影2级者，注入10 m L臭氧可取得最佳的显效率且较不易损伤纤维环诱发腰部或下肢疼痛，对于椎间盘造影3级者注射15 m L臭氧同样可达到最佳显效率。
【목적】탐토사용불동용량취양치료추간반원성하요통환자적료효。【방법】선취2013년8월지2014년8월본원주원적하요통환자작위연구대상，안납입급배제표준，공103례진입본연구，병안조추간반조영현시조영제류입적범위결과장환자분위삼조：A조（조영제류입외층섬유배）계33례，B조（조영제류출지섬유배외층）계34례，C조（조영제류출지경막외극）계36례，매조환자수궤주입5～20 m L취양，비교각조환자주입불동용량취양후적료효。【결과】각분조중주입10 m L、15 m L、20 m L간행조내료효비교，기유효솔상비교차이무현저성（P ＞0．05），단주입10～20mL조기유효솔원고우주입5mL자，차차이유현저성（P＜0．05）。【결론】대우각충손상정도적추간반이언，선택주입10～20 m L적취양량균시유효적주사제량，차대우추간반조영2급자，주입10 m L취양가취득최가적현효솔차교불역손상섬유배유발요부혹하지동통，대우추간반조영3급자주사15 m L취양동양가체도최가현효솔。
[Objective] To explore the efficacies by using different capacities of ozone in patients with dis‐cogenic low back pain (DLBP) .[Methods] From August 2013 to August 2014 at our hospital ,a total of 103 eligible DLBP patients were recruited and divided into three groups according to the results of discography . That is ,group A (flow of contrast medium into outer annulus fibrosus) ,group B (flow of contrast medium flows out of outer annulus fibrosus) ,group C (flow of contrast medium into epidural space) .And 5~20 ml o‐zone was randomly injected into each patient .The efficacies of each group were compared .[Results] When 5 ml was compared with 10 ,15 ,20 ml in each group ,there were statistically significant differences in efficacy ( P >0 .05) .When 10 ,15 ,20 ml were compared ,no statistically significant differences existed in efficacy ( P <0 .05) .And the efficacies of 10~20 ml ozone were much higher than those of 5 ml .[Conclusion] For various degrees of disc damage ,an injection dose of 10~20 ml ozone is effective .For group B ,an injection of 10 ml ozone may achieve the best efficacy and reduce damage to annulus so as to avoid inducing waist or leg pain .For group C ,an injection of 15 ml ozone is similarly effective .