摘要
目的:观察脊神经后支神经阻滞术对骨质疏松性椎体压缩性骨折(OVCF)患者急性期疼痛、功能活动等的干预效应。方法:回顾性分析2018年3月~2019年1月我科接受脊神经后支神经阻滞术(观察组)和药物治疗(对照组)的43例OVCFs急性疼痛患者的临床资料,观察治疗前及治疗后第1天、7天、14天的疼痛程度(VAS)、功能活动(ODI)、住院时间和不良反应发生情况。结果:观察组在第1、7、14天的VAS、ODI评分均显著低于对照组(P<0.05);观察组住院时间有显著性缩短(P<0.05);观察组有1例略感头晕,经休息后症状消失,对照组有1例发生胃部不适感伴便秘、1例局部皮肤瘙痒,经对症处理后缓解。结论:脊神经后支神经阻滞术对OVCF急性期疼痛的疗效、安全性优于镇痛药治疗,可缩短住院时间。
Objective:To observe the intervention effect of posterior spinal nerve block on acute pain and functional activities in patients with osteoporotic vertebral compression fracture(OVCF).Methods:Retrospective analysis was performed on the clinical data of 43 patients with acute OVCFs pain who received spinal nerve posterior branch block(observation group)or drug treatment(control group)in our department from March 2018 to January 2019.The degree of pain(VAS),functional activity(ODI),hospitalization time and adverse events were observed before treatment and 1 st,7 th and 14 th day after treatment.Results:The VAS and ODI of the observation group were significantly lower than those of control group at the 1 st,7 th and 14 th day(P<0.05).The hospitalization time in observation group was significantly shorter(P<0.05);one patient in observation group had slight dizziness,and the symptoms disappeared after rest.In control group,1 patient developed gastric discomfort with constipation and 1 patient with local itchy skin,which was relieved after symptomatic treatment.Conclusion:The posterior ramus of spinal nerve block is more effective and safer than analgesic in the treatment of OVCF acute pain,which can shorten the hospitalization time.
作者
孙丹
胡可慧
任正强
王琼
向伟
李信明
SUN Dan;Hu Ke-hui;REN Zheng-qiang;WANG Qiong;XIANG Wei;LI Xin-ming(Suining Municipal Central Hospital,Suining,Sichuan 629000)
出处
《按摩与康复医学》
2020年第13期48-50,47,共4页
Chinese Manipulation and Rehabilitation Medicine
