硬膜外腔注射药物治疗腰椎间盘突出症中B族维生素所起的作用

THE ROLE OF VITAMIN B IN THE TREATMENT OF LUMBAR DISC HERNIATION WITH EPIDURAL INJECTION

摘要:

硬膜外注射药物是治疗腰椎间盘突出症的常用方法。注射液的组成中维生素Ｂ１和Ｂ１ ２是常用的成份。本工作探讨该成分是否必要。２１６例腰椎间盘突出症患者用硬膜外腔注射法进行治疗，每周一闪共三次。Ａ组６０例，注射液中含维生素Ｂ１、Ｂ１２，Ｂ组１５６例注射液中不含维生纱Ｂ１、Ｂ１２。研究结果表明，在治疗液中加入维生素Ｂ１、Ｂ１２等辅助性药物作硬膜外腔治疗并不能提高临床治愈率。

Abstract:

Epidural injection is a injection frequently used for the treatment of lumbar disc herniation,and Vitamin B_1 and B_(12)are among the most frequently used components of the injection.The aim of the present study was to determine whether the vitamins indeed play a role in the therapeutic effect. A total of 216 patients of lumbar disc herniation were given epidural injection once per week for 3 weeks. They were diveded into 2 groups: Group A,60 cases, received injection containing vitamin B_1 and B_(12); group B, 156 cases, received inj ection free of vitamins.The curative rate for group A and B was found to be 66.7%and 70.5%,respectively, showing no significant between-group difference, The results imply that addition of vitamin B1 and B12 in the epidural injection does not seem to increase the clinical effcacy for the treatment of lumbar disc hernia.