CAJ | 학술논문

目的评价医用三氧联合银质针治疗腰椎间盘突出症的疗效.方法选择腰椎间盘突出症(L3 ～S1)患者150例,采用C型臂引导下医用三氧盘内、外注射联合银质针松解术治疗腰椎间盘突出症.医用三氧盘内、外注射治疗后,次日用银质针松解术治疗,两种治疗每周各做1次,3次为1个疗程.分别于治疗前及治疗后l周采用视觉模拟评分法(VAS)进行疼痛评估,并按改良MacNab法评估疗效,比较病程在3个月以内与3个月以上患者的疗效.结果治疗1个疗程后1周,所有患者VAS值显著低于治疗前(P＜0.05).病程3个月以内患者优良率为98.3％(113/115例),显著优于病程3个月以上组优良率77.1％(27/35例)(P＜0.05).结论三氧联合银质针治疗早期的、病程较短的腰椎间盘突出症疗效显著.
목적 평개의용삼양연합은질침치료요추간반돌출증적료효.방법 선택요추간반돌출증(L3 ～S1)환자150례,채용C형비인도하의용삼양반내、외주사연합은질침송해술치료요추간반돌출증.의용삼양반내、외주사치료후,차일용은질침송해술치료,량충치료매주각주1차,3차위1개료정.분별우치료전급치료후l주채용시각모의평분법(VAS)진행동통평고,병안개량MacNab법평고료효,비교병정재3개월이내여3개월이상환자적료효.결과 치료1개료정후1주,소유환자VAS치현저저우치료전(P＜0.05).병정3개월이내환자우량솔위98.3％(113/115례),현저우우병정3개월이상조우량솔77.1％(27/35례)(P＜0.05).결론 삼양연합은질침치료조기적、병정교단적요추간반돌출증료효현저.
Objective To evaluate the efficacy of medical ozone injection combined with silver needle therapy in the treatment of patients with lumbar intervertebral disc herniation.Methods One hundred and fifty patients with lumbar intervertebral disc herniation (L3～S1) were received medical ozone intra-and out-discal injection guided by C-arm, combined with silver needle release.Medical ozone injection was followed by silver needle release in the next day, once in a week, 3 times in a course.Visual analogue scale (VAS) was used to evaluate the pain degree before and at one week after treatment.The treatment results were evaluated by modified MacNab method and the effect of disease course between 3 months and more than 3 months was compared.Results One week after the treatment, VAS of all patients was significantly lower than that before treatment (P＜ 0.05).The excellent and good rate in patients with disease course of less than three months 98.3％ (113/115) was significantly better than that in the patients with course of more than 3 months 77.1％ (27/35 cases) (P＜ 0.05).Conclusion Medical ozone injection combined with silver needle therapy is a curative effect way in the treatment of patients with lumbar intervertebral disc herniation of early stage and short disease course.