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Received:February 15, 2020 Published Online:December 20, 2020
Received:February 15, 2020 Published Online:December 20, 2020
中文摘要: 目的 观察在超声引导下胸腰筋膜联合小关节优化阻滞在非特异性下腰痛(NLBP)患者中的临床效果。方法 选择2018年5月至2019年6月诊断的NLBP患者63例,随机分为超声引导下小关节阻滞组(A组)、超声引导下胸腰筋膜阻滞组(B组)、超声引导下小关节+胸腰筋膜阻滞组(C组),每组21例。观察治疗前、治疗后1周、1个月、3个月视觉模拟评分(VAS)、日本骨科协会(JOA)评分,并记录神经损伤、穿刺点感染、中毒反应、药物过敏、恶心呕吐等不良反应。结果 治疗后1周、1个月、3个月,三组VAS评分较治疗前降低,JOA评分较治疗前升高(P<0.01)。治疗后1周,VAS评分以A组→B组→C组之序递减(P<0.05)。治疗后1、3个月,C组VAS评分低于A组和B组(P<0.01)。治疗后1周,B组、C组JOA评分高于A组(P<0.05,P<0.01)。治疗后1个月,JOA评分以A组→B组→C组之序递增(P<0.05)。治疗后3个月,C组JOA评分高于A组和B组(P<0.01)。三组患者均未发生神经损伤、穿刺点感染、中毒反应、药物过敏、恶心呕吐并发症。结论 NLBP患者超声引导下胸腰筋膜联合小关节优化阻滞疗效满意且无明显不良反应。
Abstract:Objective To investigate the clinical effect of ultrasound-guided thoracolumbar fascia combined with facet joint optimal block in patients with non-specific low back pain (NLBP). Methods A total of 63 patients with NLBP diagnosed from May 2018 to June 2019 were randomly divided into ultrasound-guided facet joint block group (group A), ultrasound-guided thoracolumbar fascia block group (group B), and ultrasound-guided facet joint+thoracolumbar fascia block group (group C), with 21 cases in each group.Visual analogue scale (VAS) and Japanese Orthopaedic Association (JOA) scores were observed before treatment, 1 week, 1 month and 3 months after treatment, and adverse reactions such as nerve injury, puncture site infection, toxic reaction, drug allergy, nausea and vomiting were recorded. Results After 1 week, 1 month and 3 months of treatment, VAS score of the three groups was lower than that before treatment, and JOA score was higher than that before treatment (P<0.01).One week after treatment, VAS score decreased in the order of group A→ group B→ group C (P<0.05).At 1 and 3 months after treatment, VAS score of group C was lower than that of group A and group B (P<0.01).One week after treatment, JOA score of group B and group C was higher than that of group A (P<0.05, P<0.01).One month after treatment, JOA score increased in the order of group A→ group B→ group C (P<0.05, P<0.01).3 months after treatment, JOA score of group C was higher than that of group A and group B (P<0.01).No nerve injury, puncture site infection, toxic reaction, drug allergy, nausea and vomiting complications occurred in the three groups. Conclusion Ultrasound guided thoracolumbar fascia combined with facet joint optimization block was effective in NLBP patients without obvious adverse reactions.
文章编号: 中图分类号:R681.5 文献标志码:B
基金项目:南通市卫生健康委员会面上项目课题(MB2019045);南通市市级科技计划(指导性)项目(MSZ19142);如皋市科技计划资助项目(201943)
Author Name | Affiliation |
YANG Xiao-lin, SHEN Ai-yun, WU Hong-wei, REN Ying-mei, SUN Yu-feng | Department of Anesthesiology, the People′s Hospital of Rugao, Nantong, Jiangsu 226500, China |
Author Name | Affiliation |
YANG Xiao-lin, SHEN Ai-yun, WU Hong-wei, REN Ying-mei, SUN Yu-feng | Department of Anesthesiology, the People′s Hospital of Rugao, Nantong, Jiangsu 226500, China |
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