骶管注射配合牵引治疗腰椎间盘突出症的临床观察.pdf

·548· 颈腰痛杂志2008年第 29卷第 6期 TheJournalofCervicodyniaandLumbodynia2008，Vo1．29No．6 · 临床 研 究 · 骶管注射配合牵引治疗腰椎问盘突出症的临床 观察 徐利民，周贤刚 (四川省隆昌县人民医院，642150) 摘要：目的 评价骶管注射配合牵引理疗治疗腰椎问盘突出症的疗效和安全性。方法 将 136 例腰椎间盘突出症患者随机分为治疗组、对照组，每组各68例。治疗组给予骶管注射 、腰椎牵引及理 疗，对照组仅给予腰椎牵引和理疗。结果 对总体疗效而言，意向性分析 (intention—to—treat，lrrr)结果 显示两组总有效率分别为89．70％、77．94％，方案数据分析 (per—protocolpopulation，PP)结果显示两 组总有效率分别为93．76％、85．00％，疗效差异均有统计学意义，PO．05，治疗组具有临床上的优效 性，P0．05。ITT分析与PP分析结果一致。结论 骶管注射配合牵引理疗治疗腰椎问盘突出症操作 简单、疗效肯定、安全性高，值得在临床上推广应用。 关键词：骶管注射；牵引；物理治疗；腰椎问盘突出症 中图分类号：R614．42；R681．53 文献标识码：B 文章编号：1005—7234(2008)06—0548—04 Clinicalobservationofsacralinjectioncombinedwithtractionphysiotherapyfortreatmentof lumbardischerniation XU Li—min ZH0U Xian—gang (ThePeople’SHospitalofSichuanLongchang，SichuanLongchang642150，China) Abstract：ObjectiveT0assesstheefficacyandsafetyofsacralinjectioncombined with traction physiotherapy fortreatmentth lumbardisc herniation．Methods 136 pa— tientsoflumbardischeniation wererandomlydivided into treatmentgroup and control group．68patientsineachrgoup．n1etreatmentrgoupweretreatedwithsacralinjection combined with tractionphysiotherapy，and controlrgoupwith singletraction and physio— therapy．30 days later，their therapeutic effectswere observed．Results A11the results were analyzedon thebasisofintention-to-treat (IITr)and per-protocolpopulation (PP)，thetotaleffective rate were 89．70％ or93．76％ in thetreatmentgroup and 77．94％ or85．00％ in the eontrolgroup．There wih【 a significantdifference between thetwo groups．PO．05．I d PP analysisrevealed similarresults．No adverse effect wasfound in theobservation．Conclusion Efficacy and safety ofsacraliniection coin— bined with traction physiotherapy in the treatmentoflumbar discherniation are simple and convincible safe．Itisworth topoputarizein clinic． Keywords：sacrali ecti0n；tracti0n；physiotherapy；lumbardischerniation