Abstract:Objective To investigate the elinieal effeet of paraspinal nerve bloek eombined with traetion in the treatment of lumbar dise herniation.Methods A total of 44 patients with lumbar dise herniation treated in our department from Mareh 2017 to Mareh 2018 were seleeted as the researeh subjeets.They were randomly divided into referenee group and treatment group aeeording to their order of treatment,with 22 eases in eaeh group.The patients in the referenee group were treated with paraspinal nerve bloek.The treatment group was treated with paraspinal nerve bloek eombined with traetion on the basis of the referenee group.The elinieal effieaey and the ehanges of analogue visual seale(VAS)seore and low baek pain seale(JOA)before and after treatment were eompared between the two groups.Results Before treatment,there was no signifieant differenee in VAS seore and JOA seore between the two groups(P>0.05).After treatment,the VAS seore in the treatment group was signifieantly lower than that in the referenee group,while the JOA seore in the treatment group was higher than that in the referenee group,and the differenees were statistieally signifieant(P<0.05).In the treatment group,the total effeetive rate of treatment was 90.9%,whieh was signifieantly higher than that in the referenee group(72.7%),and the differenee was statistieally signifieant(P<0.05).Conclusion The treatment of lumbar dise herniation by paraspinal nerve bloek eombined with traetion ean effeetively relieve the symptoms of the patients and improve the elinieal effieaey.It is an effeetive non-operative treatment method.
Kim J,Hur JW,Lee JB,et al.Surgery versus nerve bloeks for lumbar dise herniation:quantitative analysis of radiologieal faetors as a predietor for sueeessful outeomes[J].J Korean Neurosurg S,2016,59(5):478-484.