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    经历, 罗选翔, 潘彬, 李子昂, 冯虎. 甲钴胺联合神经妥乐平治疗腰椎间盘突出症术后残余神经症状疗效观察[J]. 徐州医科大学学报, 2021, 41(4): 257-260. DOI: 10.3969/j.issn.2096-3882.2021.04.005
    引用本文: 经历, 罗选翔, 潘彬, 李子昂, 冯虎. 甲钴胺联合神经妥乐平治疗腰椎间盘突出症术后残余神经症状疗效观察[J]. 徐州医科大学学报, 2021, 41(4): 257-260. DOI: 10.3969/j.issn.2096-3882.2021.04.005
    Efficacy of mecobalamin combined with neurotropin in the treatment of residual neurological symptoms after lumbar disc herniation surgery[J]. Journal of Xuzhou Medical University, 2021, 41(4): 257-260. DOI: 10.3969/j.issn.2096-3882.2021.04.005
    Citation: Efficacy of mecobalamin combined with neurotropin in the treatment of residual neurological symptoms after lumbar disc herniation surgery[J]. Journal of Xuzhou Medical University, 2021, 41(4): 257-260. DOI: 10.3969/j.issn.2096-3882.2021.04.005

    甲钴胺联合神经妥乐平治疗腰椎间盘突出症术后残余神经症状疗效观察

    Efficacy of mecobalamin combined with neurotropin in the treatment of residual neurological symptoms after lumbar disc herniation surgery

    • 摘要: 目的研究甲钴胺联合神经妥乐平对腰椎间盘突出症术后残余神经症状的治疗效果。方法纳入徐州医科大学附属医院于2016年9月—2019年5月收治的腰椎间盘突出症且术后残留神经症状者74例为研究对象,所有患者均由同一组医生行后方入路椎间融合术,随机分为甲钴胺组(A组)37例,甲钴胺联合神经妥乐平组(B组)37例。A组加用甲钴胺治疗,B组加用甲钴胺和神经妥乐平联合治疗。采用简化日本骨科学会评分(简化JOA评分)、视觉模拟评分(VAS评分)及肌电图检查分析比较2组治疗效果。结果在治疗后14 d、1个月、3个月2组的简化JOA评分均比治疗前升高,差异有统计学意义(P<0.05);2组的VAS评分均比治疗前降低,差异有统计学意义(P<0.05);肌电图结果分析显示在治疗后1个月,2组的股神经传导速度均高于治疗前,差异有统计学意义(P<0.05)。而且,在各时间点,简化JOA评分B组>A组,VAS评分B组<A组,肌电图股神经F波传导速度B组>A组,差异有统计学意义(P<0.05)。结论甲钴胺联合神经妥乐平可以有效缓解腰椎间盘突出症术后残余神经症状。

       

      Abstract: ObjectiveTo investigate the therapeutic effectiveness of mecobalamin combined with neurotropin in the treatment of residual neurological symptoms after lumbar disc herniation surgery.MethodsA total of 74 lumbar intervertebral disc protrusion patients who were admitted into the Affiliated Hospital of Xuzhou Medical University from September 2016 to May 2019 due to postoperative residual neurological symptoms were enrolled. All the patients underwent posterior lumbar interbady fusion by the same physicians. They were randomly divided into two groups (n=37): a mecobalamin group (group A) and a mecobalamin combined with neurotropin group (group B). The Japanese Orthopedic Association (JOA) score, VAS score and EMG were used to compare the effectiveness of the two groups.ResultsAfter 14 days, 1 month, 3 months of treatment, both groups presented increases in JOA score and decreases in VAS score than those before treatment (P< 0.05). According to EMG results,one month after treatment, the conduction velocity of the femoral nerve in both groups was higher than that before treatment (P<0.05).Moreover, group B presented increases in JOA score and the conduction velocity of the femoral nerve as well as decreases in VAS score, compared with group A. ConclusionsMecobalamin combined with neurotropin can effectively relieve residual neurological symptoms after lumbar disc herniation surgery.

       

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