[1]吴 敏.甘露醇-地塞米松联合热奄包对腰椎间盘突出的神经根症状改善研究[J].医学信息,2024,37(24):28-32.[doi:10.3969/j.issn.1006-1959.2024.24.008]
　WU Min.Study on the Effect of Mannitol-Dexamethasone Combined with Hot Package on the Improvement of Nerve Root Symptoms of Lumbar Disc Herniation[J].Journal of Medical Information,2024,37(24):28-32.[doi:10.3969/j.issn.1006-1959.2024.24.008]
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甘露醇-地塞米松联合热奄包对腰椎间盘突出的神经根症状改善研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
28-32
栏目:
论著
出版日期:
2024-12-15

文章信息/Info

Title:
Study on the Effect of Mannitol-Dexamethasone Combined with Hot Package on the Improvement of Nerve Root Symptoms of Lumbar Disc Herniation
文章编号:
1006-1959（2024）24-0028-05
作者:
吴 敏
宜丰县中医院骨科，江西 宜丰 336399
Author(s):
WU Min
Department of Orthopaedics,Yifeng Hospital of Traditional Chinese Medicine,Yifeng 336399,Jiangxi,China
关键词:
甘露醇; 地塞米松; 热奄包; 腰椎间盘突出; 神经根症状
Keywords:
Mannitol; Dexamethasone; Hot package; Lumbar disc herniation; Nerve root symptoms
分类号:
R681.5
DOI:
10.3969/j.issn.1006-1959.2024.24.008
摘要:
目的 探讨甘露醇-地塞米松联合热奄包对腰椎间盘突出的神经根症状改善效果。方法 选取宜丰县中医院2022年1月-2024年7月收治的52例腰椎间盘突出症患者作为研究对象，按照随机数字表法将其分为对照组和研究组，每组26例。对照组采取常规西医治疗，研究组应用甘露醇-地塞米松联合热奄包治疗。比较两组治疗有效率、腰椎功能评分（行走距离、提物、站立时间、持续坐的时间、生活自理）、神经根症状积分（腰部疼痛、膝腿无力、感觉麻木、下肢放射痛）、血液流变学指标[血细胞比容（HCT）、全血高切黏度、全血低切黏度]。结果 研究组治疗总有效率高于对照组，腰椎功能优于对照组（P＜0.05）。研究组神经根症状积分及血液流变学指标水平均低于对照组（P＜0.05）。结论 甘露醇-地塞米松联合热奄包对腰椎间盘突出症患者的临床疗效确切，能够提高患者腰椎功能，改善患者神经根症状，降低患者血液流变学指标水平，值得临床应用。
Abstract:
Objective To investigate the effect of mannitol-dexamethasone combined with hot package on the improvement of nerve root symptoms of lumbar disc herniation.Methods A total of 52 patients with lumbar disc herniation admitted to Yifeng Hospital of Traditional Chinese Medicine from January 2022 to July 2024 were selected as the research objects. According to the random number table method, they were divided into control group and study group, with 26 patients in each group. The control group was treated with conventional western medicine, and the study group was treated with mannitol-dexamethasone combined with hot package. The effective rate of treatment, lumbar function score (walking distance, extract, standing time, continuous sitting time, self-care ability), nerve root symptom score (lumbar pain, knee and leg weakness, sensory numbness, lower limb radiation pain), hemorheology index [hematocrit (HCT), whole blood high shear viscosity, whole blood low shear viscosity] were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group, and the lumbar function was better than that in the control group (P<0.05). The scores of nerve root symptoms and hemorheological indexes in the study group were lower than those in the control group (P<0.05).Conclusion Mannitol-dexamethasone combined with hot package has a definite clinical effect on patients with lumbar disc herniation, which can improve the lumbar function of patients, improve the symptoms of nerve roots, and reduce the level of hemorheology indexes of patients. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01