【摘要】 目的:探讨脊神经后支阻滞在椎体成形术中对远节腰背痛的临床疗效。方法:选取2018年1月-2019年1月本院收治的骨质疏松性椎体压缩性骨折(OVCF)患者80例,按照随机数字表法分为研究组与对照组,各40例。对照组给予经皮球囊扩张后凸成形术(PKP),研究组在对照组的基础上给予脊神经后支阻滞治疗。比较两组手术前后疼痛视觉模拟评分法(VAS)评分、下腰痛日本骨科协会评估治疗(JOA)评分及临床疗效。结果:术前1 d,两组VAS评分比较,差异无统计学意义(P>0.05);术后1、7、30 d两组VAS评分逐渐下降(P<0.05),术后1 d两组VAS评分比较,差异无统计学意义(P>0.05),术后7、30 d研究组VAS评分均明显低于对照组(P<0.05);术前1 d,两组JOA评分比较,差异无统计学意义(P>0.05);术后1、7、30 d两组JOA评分逐渐上升(P<0.05),术后1 d两组JOA评分比较,差异无统计学意义(P>0.05),术后7、30 d研究组JOA评分均明显高于对照组(P<0.05);研究组治疗优良率为82.5%明显高于对照组的52.5%(P<0.05)。结论:脊神经后支阻滞应用于椎体成形术中临床疗效显著,能有效缓解术后远节下腰痛症状,值得临床推广应用。更多还原

【Abstract】 Objective:To investigate the clinical effect of posterior branch of spinal nerve on distal low back pain during vertebroplasty.Method:A total of 80 patients with osteoporotic vertebral compression fracture(OVCF)admitted to our hospital from January 2018 to January 2019 were randomly divided into study group and control group according to the random number table method,40 cases in each group.The control group was treated with percutaneous balloon kyphoplasty(PKP),and the study group was treated with posterior branch of the spinal nerve block on the basis of the control group.The visual analogue scale(VAS)score,Japanese orthopaedic association evaluation treatment(JOA)score before and after operation and clinical efficacy were compared between the two groups.Result:Preoperative 1 d,there was no statistically significant difference in VAS scores between the two groups(P>0.05).The VAS scores of the two groups decreased gradually at 1,7 and 30 d after operation(P<0.05).There was no statistically significant difference in VAS scores between two groups at 1 d after operation(P>0.05).The VAS scores of the study group were significantly lower than those of the control group at 7,30 d after operation(P<0.05).There was no statistically significant difference in JOA scores between the two groups preoperative 1 d(P>0.05).The JOA scores of the two groups were significantly increased gradually at 1,7 and 30 d after operation(P<0.05).There was no statistically significant difference in JOA scores between the two groups at 1 d after operation(P>0.05).The JOA scores in the study group were significantly higher than those in the control group at 7,30 d after operation(P<0.05).The excellent and good rate of treatment in the study group was 82.5% significantly higher than 52.5% of the control group(P<0.05).Conclusion:The application of posterior branch of the spinal nerve block in vertebroplasty has a significant clinical effect and can effectively alleviate the symptoms of postoperative distal low back pain,it is worthy of clinical application.更多还原