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[1]阮朝陽(yáng),曾強(qiáng)華,朱群威.口服消栓口服液和甲鈷胺膠囊治療腰椎間盤突出癥 經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀[J].中醫(yī)正骨,2015,27(12):71-72.
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口服消栓口服液和甲鈷胺膠囊治療腰椎間盤突出癥 經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年12期
頁(yè)碼:
71-72
欄目:
臨床報(bào)道
出版日期:
2015-12-30

文章信息/Info

作者:
阮朝陽(yáng)曾強(qiáng)華朱群威
浙江省海寧市人民醫(yī)院,浙江 海寧 314400
關(guān)鍵詞:
椎間盤移位 手術(shù)后并發(fā)癥 周圍神經(jīng)損傷 椎間孔鏡 甲鈷胺膠囊 消栓口服液 補(bǔ)陽(yáng)還五湯
摘要:
目的:觀察口服消栓口服液和甲鈷胺膠囊治療腰椎間盤突出癥經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀的臨床療效。方法:2012年3月至2014年10月,采用口服消栓口服液和甲鈷胺膠囊治療腰椎間盤突出癥經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀患者25例,男15例、女10例。年齡21~65歲,中位數(shù)46歲。L4~5椎間盤突出13例,L5S1椎間盤突出12例,均為旁中央型突出。排除高髂嵴、嚴(yán)重椎管及側(cè)隱窩狹窄、腰椎滑脫、腰椎不穩(wěn)、復(fù)發(fā)性腰椎間盤突出癥等其他可引發(fā)下肢神經(jīng)癥狀的疾患。病程2個(gè)月至6年,中位數(shù)1年。結(jié)果:治療結(jié)束后2周、6周、12周腰椎疼痛視覺模擬量表評(píng)分分別由治療前(6.815±1.125)分降至(2.213±0.938)分、(1.736±0.659)分、(1.292±0.451)分,日本骨科協(xié)會(huì)腰痛疾患療效評(píng)分分別由治療前(10.895±1.342)分升至(22.797±1.469)分、(23.052±1.502)分、(23.632±1.236)分。脛神經(jīng)F波傳導(dǎo)速度由治療前(1.736±0.816)m·s-1升至治療結(jié)束后6周(7.635±1.085)m·s-1,腓神經(jīng)F波傳導(dǎo)速度由治療前(9.873±1.512)m·s-1升至治療后(20.263±1.452)m·s-1。結(jié)論:采用口服消栓口服液和甲鈷胺膠囊治療腰椎間盤突出癥經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀,能夠修復(fù)下肢神經(jīng)功能,改善疼痛癥狀,有利于腰椎功能的恢復(fù),值得臨床推廣應(yīng)用。

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備注/Memo

備注/Memo:
2015-06-28收稿 2015-11-15修回
更新日期/Last Update: 2015-12-30