| 弯套针旋转多向注射法注射臭氧治疗腰椎间盘突出症的电生理评价 |
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投稿时间：2010-03-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 瞿群威 |
QU Qun-wei |
十堰市红十字医院骨伤康复科, 湖北 十堰 442000 |
Department of Orthopaedic Rehabilitation, Red Cross Hospital of Shiyan City, Shiyan 442000, Hubei, China |
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| 朱少铭 |
ZHU Shao-ming |
十堰市红十字医院骨伤康复科, 湖北 十堰 442000 |
Department of Orthopaedic Rehabilitation, Red Cross Hospital of Shiyan City, Shiyan 442000, Hubei, China |
ququnwei@tom.com |
| 郑剑波 |
ZHENG Jian-bo |
十堰市红十字医院骨伤康复科, 湖北 十堰 442000 |
Department of Orthopaedic Rehabilitation, Red Cross Hospital of Shiyan City, Shiyan 442000, Hubei, China |
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| 刘秀建 |
LIU Xiu-jian |
十堰市红十字医院骨伤康复科, 湖北 十堰 442000 |
Department of Orthopaedic Rehabilitation, Red Cross Hospital of Shiyan City, Shiyan 442000, Hubei, China |
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| 王明春 |
WANG Ming-chun |
十堰市红十字医院骨伤康复科, 湖北 十堰 442000 |
Department of Orthopaedic Rehabilitation, Red Cross Hospital of Shiyan City, Shiyan 442000, Hubei, China |
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| 薛晓颖 |
XUE Xiao-ying |
十堰市红十字医院骨伤康复科, 湖北 十堰 442000 |
Department of Orthopaedic Rehabilitation, Red Cross Hospital of Shiyan City, Shiyan 442000, Hubei, China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第10期，第765-768页 |
| DOI：10.3969/j.issn.1003-0034.2010.10.015 |
| 基金项目: |
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中文摘要:
目的：比较弯套针旋转多向注射法及常规注射方法注射臭氧治疗腰椎间盘突出症(LDH)的电生理改变。
方法：自2005年5月至2009年6月，选择100例LDH患者，其中男68例，女32例；年龄25～58岁，平均为44岁；病程3个月～8年，平均8.8个月。全部患者按就诊顺序编号，并运用DPS软件完全随机地分成观察组(A组)和对照组(B组),每组50例。A组采用弯套针旋转多向注射法注射臭氧至病变的椎间盘内治疗，B组采用常规注射方法。所有患者于治疗前及治疗后3个月时进行电生理检查，检测患肢主要肌群及相应节段的椎旁竖脊肌的肌电图，计算运动单元电位(MUP)时限和多相比，并检查双下肢胫神经H反射，记录异常例数及H波潜伏期。
结果：两组治疗后出现异常肌电图的肌肉数均有不同程度减少，但A组减少更显着(P<0.05或0.01);两组患者治疗后患侧下肢肌群的MUP时限和多相比均减少，并接近正常水平，经统计学分析均有统计学意义(P<0.01),且两组间比较，A组变化优于B组，具有统计学意义(P<0.05或0.01). 治疗前两组间H反射异常例数比较无统计学差异，治疗后A组明显少于B组(P<0.05).两组治疗后H波潜伏期均明显缩短且趋于正常，但A组比B组更明显，差异有统计学意义(P<0.05).
结论：神经电生理的异常表现可以反映神经根受压损害的程度，是判断神经肌肉功能的客观指标之一。运用弯套针旋转多向注射法比常规注射方法注射臭氧治疗LDH能更好地改善电生理异常。 |
| 【关键词】椎间盘移位 臭氧 注射 肌电描记术 |
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| Electrophysiological evaluation of ozone in treating of lumbar disc herniation with curving sheath-needle multi-direction rotating injection |
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ABSTRACT
Objective: To compare electrophysiological changes in treating lumbar disc herniation(LDH) with ozone by curving sheath-needle multi-direction rotating injection(CSNMRI) and conventional injection method.
Methods: From May 2005 to June 2009,100 patients with LDH were studied,included 68 males and 32 females,ranging in age from 25 to 58 years with an average of 44 years,in course of disease from 3 months to 8 years with an average of 8.8 months. All patients were numbered according to sequence of visit,and were completely randomly divided into group A and group B with DPS software,50 cases in each group. All patients were injected ozone into lesion of intervertebral disc,in group A with CSNMRI and in group B with conventional method. The electrophysiologic study of all patients was performed respectively before treatment and at the 3 month after treatment. The electromyogram(EMG) of the main muscle groups of involved lower limb and the corresponding segments of sacrospinal muscle was tested;the duration and multiphase-wave rate of MUP were calculated. H-reflex of tibial nerve in both lower limbs was observed and the number of abnormal H-reflex and the H-wave latency were recorded.
Results: After treatment,the number of muscles with abnormal EMG was reduced to different degrees in each group,but there was more significant reduction in group A(P<0.05 or 0.01); the duration and multiphase-wave rate of MUP in the two groups were both reduced and close to the normal level(P<0.01),yet the changes in group A was more than that of group B(P<0.05 or 0.01). There was no significant difference in the number of abnormal H-reflex before treatment between two groups,whereas was markedly lower in group A than that of group B after treatment(P<0.05). After treatment,H-wave latency in two groups was shortened and become close to normal,but group B was more statistically significant than group B(P<0.05).
Conclusion: The neural electrophysiological abnormalities can reflect the degree of nerve root compression and damage,and is one of the objective indicators to estimate neuromuscular function. It can better meliorate abnormal electrophysiology to inject ozone to treat LDH with CSNMRI than conventional method. |
| KEY WORDS Intervertebral disk displacement Ozone Injections Electromyography |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 瞿群威,朱少铭,郑剑波,刘秀建,王明春,薛晓颖.弯套针旋转多向注射法注射臭氧治疗腰椎间盘突出症的电生理评价[J].中国骨伤,2010,23(10):765~768 |
| 英文格式: | QU Qun-wei,ZHU Shao-ming,ZHENG Jian-bo,LIU Xiu-jian,WANG Ming-chun,XUE Xiao-ying.Electrophysiological evaluation of ozone in treating of lumbar disc herniation with curving sheath-needle multi-direction rotating injection[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(10):765~768 |
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