Efficacy of sciatic nerve block combined with epidural block for treating lumbar intervertebral disc herniation

LIU Xiao-nan; et al

doi:10.13406/j.cnki.cyxb.2010.04.020

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Efficacy of sciatic nerve block combined with epidural block for treating lumbar intervertebral disc herniation

更新时间：2024-01-17

- Efficacy of sciatic nerve block combined with epidural block for treating lumbar intervertebral disc herniation
- Journal of Chongqing Medical University Vol. 35, Issue 4, Pages: 628-630(2010)
- 作者机构：
  
  重庆医科大学附属第一医院麻醉科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.04.020
  CLC： R681.5
- Published：2010，
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[1]刘小男,韩丽丽,杨晓秋,宋云,刘茂林,刘丹彦.神经刺激器定位坐骨神经阻滞治疗根性坐骨神经痛的临床研究[J].重庆医科大学学报,2010,35(04):628-630.

LIU Xiao-nan, et al. Efficacy of sciatic nerve block combined with epidural block for treating lumbar intervertebral disc herniation. [J]. Journal of Chongqing Medical University 35(4):628-630(2010)
[1]刘小男,韩丽丽,杨晓秋,宋云,刘茂林,刘丹彦.神经刺激器定位坐骨神经阻滞治疗根性坐骨神经痛的临床研究[J].重庆医科大学学报,2010,35(04):628-630. DOI： 10.13406/j.cnki.cyxb.2010.04.020.

LIU Xiao-nan, et al. Efficacy of sciatic nerve block combined with epidural block for treating lumbar intervertebral disc herniation. [J]. Journal of Chongqing Medical University 35(4):628-630(2010) DOI： 10.13406/j.cnki.cyxb.2010.04.020.

摘要

目的:观察神经刺激器定位坐骨神经联合硬膜外腔神经阻滞治疗腰椎间盘突出症（Lumbar disc herniation

LDH）所致单侧根性坐骨神经痛的临床疗效。方法:LDH所致单侧根性坐骨神经痛患者59例

分为2组:坐骨神经联合硬膜外腔神经阻滞组（S组

n=30）:神经刺激器引导下行患侧臀部坐骨神经阻滞

并行硬膜外腔神经阻滞。硬膜外腔及坐骨神经处均注射含糖皮质激素的镇痛复合液;硬膜外腔神经阻滞组（E组

n=29）

硬膜外腔注射含糖皮质激素镇痛复合液。2组患者均7d注射1次

4次1疗程。治疗前后进行VAS评分

并观察临床疗效、不良反应。结果:治疗第9d（T1）、1月（T2）

2组患者VAS评分较治疗前均明显降低

有显著性差异（P<0.05）;各时点S组优良率均明显高于E组;下肢麻木消失、坐骨神经出盆口压痛消失及直腿抬高试验转阴率

S组均高于E组。两组患者均无严重不良反应的发生。结论:神经刺激器定位坐骨神经联合硬膜外腔神经阻滞治疗能更快、更好的缓解LDH所致根性坐骨神经痛。

Abstract

Objective:To observe the efficacy of sciatic nerve block combined with epidural block for treatment of sciatic nerve pain caused by lumbar intervertebral disc herniation.Methods:Patients with lumbar disc herniation(n=59)were divided into two group.Sciatic nerve block combined with epidural block group(group S

n=30)underwent the epidural drugs injection

and sciatic nerve block at the same time according to peripheral nerve stimulatorevoked motor response.The epidural block group(group E

n=29)received the same epidural drugs injection.This two groups were given injection every 7 days and 4 injections for a total treatment.The clinical effect

VAS scores

complication and subjective satisfaction were evaluated.Results:After the treatment

VAS scores of both groups decreased significantly(P<0.05)

and the satisfactory rate in group S were much better than those in group E.Conclusion:Sciatic nerve block combined with epidural block for treatment of lumbar intervertebral disc herniation is an effective method.

关键词

神经刺激器坐骨神经阻滞根性坐骨神经痛

Keywords

Nerve stimulatorSciatic nerve blockLumbar interbertebral disc

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