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題 名 | 以硬膜外類固醇注射治療下背部疼痛 |
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作 者 | 廖松語; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:3 1988.05[民77.05] |
頁 次 | 頁287-292 |
分類號 | 416.29 |
關鍵詞 | 下背部疼痛; 硬膜外類固醇注射; |
語 文 | 中文(Chinese) |
中文摘要 | 從1985年12月至1986年11月有30例因各種原因引起之下背部疼痛的病人接受硬膜外類固醇注射,全部以一週為評估之時間,結果顯示痛覺減輕80%以上者4例,痛覺減輕在50- 70%之間者14例痛覺減輕在30-40%之間者3例,痛覺減輕20%以下者9例,綜言之,痛覺減輕50%以上且維持一過以上者佔60%,痛覺減輕50%以下或雖然50%以上但維持不到一週者佔40%,同時,就使用類固醇之劑量、容積及局部麻醉劑之有無加以分組,發現使用較大的容積,卽使增加類固醇的劑量亦不能增加其效果,只用類固醇不加局部麻醉劑亦同樣有效,只有背痛而無放射性痛的為人亦有效,所以,注射的位置精確的話,小劑量小容積的類固醇卽可。硬膜外類固醇注射可以縮短病人休息的時間,減少失去工作引起的損失,它是一簡單、安全的方法,在採行其他侵襲性治療之前,都可以嘗試這樣的治療。 |
英文摘要 | Epidural steroid injection was performed from December 1985 to November 1986 in 30 patients suffering from various causes of low back pain and the results were evaluated for all the patients one week after injection. Eighteen of the 30 cases (60%) reported more than 50% relief of pain, while the remaining 12 cases (40%) obtained less than 50% improvement. We found that the procedure utilizing a larger total volume failed to show additional advantage over its low-volume counterpart and a similar clinical effect could equally be achieved by steroid injection without local anesthetics. Some patients without radiating pain also responded to epidural steroid therapy. In conclusion, epidural steroid injection can reduce the period of bed rest, physical therapy and absence from work. Because of its simplicity and virtual absence of complications, it is worthwhile to try epidural steroid therapy before attempting to utilize other more invasive modes of treatment. |
本系統中英文摘要資訊取自各篇刊載內容。