摘要
目的 从临床角度探讨腰椎间盘突出症的保守疗法适应证。方法 对 2 73例病人 ,根据强化治疗 (绝对卧床休息 ,骶管阻滞 ,静滴甘露醇、地塞米松、丹参注射液 ,口服非甾体抗炎药 )后效果进行分组研究。结果 经 3天强化治疗反应优、良者 ,最终疗效优良率显著高于反应可、差者 ( P<0 .0 0 1) ;强化阶段优良率与最终优良率非常接近 ( P >0 .30 )。结论 不论突出类型、病程及合并症如何 ,经强化治疗反应优良者适宜保守治疗 ;反应可者治疗观察或手术 ;反应差者手术治疗。
Objective To approach the indications of the non-operative treatment of lumbar disc protrusion.Methods 273 patients were studied .According to the effects of the intensive treatment(Lying in bed completely,sacral anesthesia,mannitol,dexamethasone,Danshen injection intraenous injection,non-sterol antibodies per os)the investigation is made in groups.Results The effect of the excellent rate at last is much better than the middle or low rates(P<o.oo1)after three day's intensive treatment.The excellent rate on the period of intensive treatment is much near the one in the ultimate(P>0.30).Conclusion No matter how the degree of the disc protrusion is or the complication is the patients who have the excellent effect adapt to non-operation;the middle effect ones suit observation or operation;the low effect ones fit operation.
出处
《颈腰痛杂志》
2003年第3期148-150,共3页
The Journal of Cervicodynia and Lumbodynia
