| 江 帆,龙耀斌,许建文,陈 莹,李 敏,罗锡保.腰椎旁神经阻滞联合超短波对腰椎间盘突出症患者疼痛及腰背肌生物力学性能的影响[J].,2017,17(27):5298-5301 |
| 腰椎旁神经阻滞联合超短波对腰椎间盘突出症患者疼痛及腰背肌生物力学性能的影响 |
| Effect of Lumbar Spinal Nerve Block Combined with Ultrashort Wave on Pain and Biomechanics of Lumbar Back Muscle of Patients with Lumbar Disc Herniation |
| 投稿时间：2017-04-22 修订日期：2017-05-18 |
| DOI：10.13241/j.cnki.pmb.2017.27.024 |
| 中文关键词: 腰椎间盘突出症 腰椎旁神经阻滞 超短波 疼痛 腰背肌生物力学性能 |
| 英文关键词: Lumbar disc herniation Lumbar paravertebral nerve block Ultrashort wave Pain Lumbodorsal muscle biomechanical properties |
| 基金项目:广西壮族自治区卫计委自筹项目(桂卫自筹Z2016304) |
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| 中文摘要: |
| 摘要 目的：探讨腰椎旁神经阻滞联合超短波对腰椎间盘突出症疼痛及腰背肌生物力学性能的影响。方法：选择我院2014年2月~2016年8月收治的98例腰椎间盘突出症患者，按抽签法分组对照组与研究组。对照组采用腰椎旁神经阻滞治疗，研究组基于对照组加用超短波治疗。观察两组的临床疗效、治疗前后视觉模拟评分(VAS)、60°/s角速、120°/s角速平均功率(AP)、峰力矩(PT)、腰背屈/伸比值(F/E)、血清P物质(SP)、β-内啡肽(β-EP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平的变化及不良反应的发生情况。结果：研究组总有效率为95.91%，显著高于对照组，差异有统计学意义(P<0.05)。治疗后，两组F/E值、血清SP、IL-6、TNF-α水平均较治疗前显著降低，且研究组以上指标均明显低于对照组，两组AP、PT、血清β-EP水平均较治疗前明显上升，且研究组以上指标显著高于对照组，差异均有统计学意义(P<0.05)。两组不良反应的发生率比较差异无统计学意义(P>0.05)。结论：腰椎旁神经阻滞联合超短波治疗腰椎间盘突出症的效果明显优于单用腰椎旁神经阻滞治疗，其可有效缓解疼痛及改善腰背肌生物力学性能，并减轻炎症反应。 |
| 英文摘要: |
| ABSTRACT Objective: To research the effect of lumbar spinal nerve block combined with ultrashort wave on the pain and biome- chanics of lumbar back muscle of patients biomechanics with lumbar disc. Methods: 98 patients with lumbar disc herniation in our hospi- tal from February 2014 to August 2016, according to the lottery method divided into control group and research group. The control group was treated with Lumbar spinal nerve block. The research group was based on the control group treated with ultrashort wave, clinical cu- rative effect, changes of the visual analogue scale (VAS), 60 °/s angular velocity, 120°/s average apical power (AP), peak torque (PT),lumbar dorsiflexion / dorsal flexion (F/E), serum levels of substance P (SP), β-endorphin (β-EP), interleukin-6 (IL-6), tumor necrosis fac- tor-α(TNF-α) before and after treatment, and adverse reactions were compared between two groups. Results: The total effective rate of research group was95.91%, which was significant higher than that of the control group, the difference was statistically significant (P<0.05). After treatment, The VAS, F/E, serum levels of SP, IL-6 and TNF-α of two groups were significantly lower than those before treat- ment, the above indicators of research group were significantly lower than those of the control group. The AP, PT and serum levels of β-EP between two groups were significantly higher than those before treatment, the above indicators of research group were significantly higher than those of the control group (P<0.05). No statistical difference was found in the incidence of adverse effects between the two groups(P>0.05). Conclusion: Umbar spinal nerve block combined with ultrashort wave was more effective than lumbar paravertebral nerve block treatment alone in the treatment of lumbar disc herniation, it could effectively relieve the pain and improve the low back muscle biological mechanics performance and reduce the inflammatory response. |
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