【摘要】 目的比较不同静脉输液疗法治疗腰椎间盘突出症的效果,找出最佳方案。方法非手术治疗腰椎间盘突出症90例,随机分成3组,腰椎间盘突出症患者30例应用七叶皂苷钠加甘露醇治疗,地塞米松加甘露醇治疗30例,与只应用甘露醇治疗的30例腰椎间盘突出症患者比较,观察3组的治疗效果。疼痛程度用视觉模拟评分法评估。结果前2组患者视觉模拟评分法评分,在治疗后4、7d与第3组比较差异有统计学意义(P<0.05),直腿抬高试验治疗后4、7d差异有统计学意义(P<0.05)。结论静脉输液疗法可以有效缓解腰椎间盘突出症症状,其中甘露醇加七叶皂甙钠为最佳方案。更多还原

【Abstract】 Objective To compare the effects of different intravenous infusion therapies for lumbar intervertebral disc protrusion ( LIDP) and to find the best solution.Methods Ninty LIDP patients who received non - operative treatment were randomly divided into three groups.Thirty patients with LIDP accepted the treatment of aescine sodium and the mannitol,30 accepted the treatment of the dexamethasone and the mannitol,and 30 only accepted the mannitol treatment.The treatment results of three groups were observed and the ache degree was evaluated by VAS.Results The former two groups showed significant differences from the third group in VAS evaluation and the degree number of straight leg raising test on the fourth day and the seventh day after treatment ( P < 0.0 5 ).Conclusion The intravenous infusion therapy may effectively alleviate the symptom of LIDP and the combined mannitol and aescine sodium treatment is the best solution.更多还原