| 杜国君,李小六,殷潇凡,邢晓燕,刘 红,曹 婧,张 越.腺苷钴胺联合康复疗法治疗急性腰椎间盘突出症的临床观察[J].中国康复医学杂志,2013,28(3):242~245 |
| 腺苷钴胺联合康复疗法治疗急性腰椎间盘突出症的临床观察 点此下载全文 |
| 杜国君 李小六 殷潇凡 邢晓燕 刘 红 曹 婧 张 越 |
| 上海市瑞金集团闵行区中心医院康复科，上海市，201199 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 1866 |
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| 摘要
目的：观察腺苷钴胺联合康复疗法治疗急性腰椎间盘突出症引起的肢体麻木和疼痛的疗效。
方法：将130例腰椎间盘突出症患者随机分为联合康复组和单纯康复组，各65例。单纯康复组采用腰椎牵引和中频电疗，联合康复组在前述治疗基础上给予腺苷钴胺肌肉注射治疗，治疗2个疗程后对两组患者肢体疼痛、麻木情况进行评定和疗效评价。
结果：联合康复组VAS评分低于单纯康复组，差异具有显著性（P＜0.05）。130例患者中86例有麻木症状，治疗后比较两组间麻木感改善总有效率（联合康复组和单纯康复组分别为88.64%、59.52%），差异具有显著性（P＜0.05）。联合康复组有效率96.92％，单纯康复组有效率76.92％，差异具有显著性(P＜0.05)。治疗过程中无1例患者出现腺苷钴胺药物不良反应。
结论：腺苷钴胺配合康复疗法对于减轻急性腰椎间盘突出症麻痛症状效果确切。 |
| 关键词：腰椎间盘突出症 腺苷钴胺 牵引 中频电疗 |
| Clinical observation of cobamamide combined with rehabilitation therapy on acute lumbar disc herniation Download Fulltext |
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| Department of Rehabilitation Medicine，Center Hospital of Minhang District，Shanghai Ruijin Hospital Group，Shanghai，201199 |
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| Abstract: |
| Abstract
Objective: To observe the clinical effects of cobamamide combined with rehabilitation therapy in acute lumbar disc herniation for limb numbness and pain.
Method: A total of 130 cases of lumbar intervertebral disc herniation were randomly divided into observation group and control group, 65 cases in each. The control group received lumbar traction and medium frequency electrotherapy, the observation group was treated by lumbar traction, medium frequency electrotherapy and cobamamide intramuscular injection treatment. After 2 courses of treatment, the effects on patients limb pain and numbness were evaluated.
Result: VAS scores in observation group were lower than that in control group, the difference was significant (P＜0.05). Before treatment, 86 patients had symptoms of limbs numbness; after treatment the effects of relieving numbness in observation group and control group were 88.64% and 59.52%respectively, there was significant difference (P＜0.05). The effective rate in observation group was 96.92%, in control group 76.92%, the difference was significant (P＜0.05). No one appeared adverse drug reaction of cobamamide during the treatment.
Conclusion: Cobamamide combined with rehabilitation therapy is effective for relieving numbness and pain in lumbar intervertebral disc herniation patients. |
| Keywords:lumbar disc herniation cobamamide traction medium frequency electrotherapy |
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