硬膜外浸润治疗急性和亚急性腰骶椎根病引起的疼痛和残疾的疗效。

IF 0.7 4区 医学 Q4 NEUROSCIENCES Neurocirugia Pub Date : 2024-03-01 DOI:10.1016/j.neucir.2023.07.004
Jose Manuel Rabanal LLevot , Amaia Muñoz Alonso , Alberto Taborga Echevarría , Jose Angel Martínez Agueros , Sergio Maldonado Vega
{"title":"硬膜外浸润治疗急性和亚急性腰骶椎根病引起的疼痛和残疾的疗效。","authors":"Jose Manuel Rabanal LLevot ,&nbsp;Amaia Muñoz Alonso ,&nbsp;Alberto Taborga Echevarría ,&nbsp;Jose Angel Martínez Agueros ,&nbsp;Sergio Maldonado Vega","doi":"10.1016/j.neucir.2023.07.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Backgrund and objective</h3><p>Epidural infiltrations are used for treatment of low back pain and sciatica. linked to lumbar radiculopathy (lumbosacral radicular syndrome). This study evaluates the efficacy of epidural infiltration by different routes to reduce pain intensity, disability and return to work.</p></div><div><h3>Methods</h3><p>Is a prospective observational study in one hundred consecutive patients sent to pain unit for severe lumbo-sacral radiculopaty. We analyze the efficacy on pain relief (Visual Analogue Scale) and funcional status at two weeks, one month, and three months after epidural injection of local anesthetics and esteroids with differents approachs (interlaminar, caudal and transforaminal).</p></div><div><h3>Results</h3><p>Ninety nine patients (46.5% men, 53.5 women) were finally enrrolled in the study. Mean age was 57.47<!--> <!-->±<!--> <!-->11.1 years. The caudal approach was used in 58.6% patients, 23.2% transforaminal approach, and 18.2% interlaminar approach. A significant pain relief was found in all times studied (EAV 7.48<!--> <!-->±<!--> <!-->1.5 basal; 6.2<!--> <!-->±<!--> <!-->0,9 at 15 days; 6.3<!--> <!-->±<!--> <!-->1.2 at one month; 6.15<!--> <!-->±<!--> <!-->1.3 at 3 months, <em>P</em>&lt;.05). Transforaminal approach was superior to caudal or interlaminal. Seventy percent in time off work patients returned to work after epidural inyections.</p></div><div><h3>Conclusions</h3><p>Epidural local anesthetics with esteroids injections for lumbo-sacral radiculopathy were effective for low back pain, improved functional status and promoted return to work. Transforaminal approach is superior to others.</p></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"35 2","pages":"Pages 64-70"},"PeriodicalIF":0.7000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Eficacia de las infiltraciones epidurales en el abordaje del dolor y la discapacidad por radiculopatía lumbosacra aguda y subaguda\",\"authors\":\"Jose Manuel Rabanal LLevot ,&nbsp;Amaia Muñoz Alonso ,&nbsp;Alberto Taborga Echevarría ,&nbsp;Jose Angel Martínez Agueros ,&nbsp;Sergio Maldonado Vega\",\"doi\":\"10.1016/j.neucir.2023.07.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Backgrund and objective</h3><p>Epidural infiltrations are used for treatment of low back pain and sciatica. linked to lumbar radiculopathy (lumbosacral radicular syndrome). This study evaluates the efficacy of epidural infiltration by different routes to reduce pain intensity, disability and return to work.</p></div><div><h3>Methods</h3><p>Is a prospective observational study in one hundred consecutive patients sent to pain unit for severe lumbo-sacral radiculopaty. We analyze the efficacy on pain relief (Visual Analogue Scale) and funcional status at two weeks, one month, and three months after epidural injection of local anesthetics and esteroids with differents approachs (interlaminar, caudal and transforaminal).</p></div><div><h3>Results</h3><p>Ninety nine patients (46.5% men, 53.5 women) were finally enrrolled in the study. Mean age was 57.47<!--> <!-->±<!--> <!-->11.1 years. The caudal approach was used in 58.6% patients, 23.2% transforaminal approach, and 18.2% interlaminar approach. A significant pain relief was found in all times studied (EAV 7.48<!--> <!-->±<!--> <!-->1.5 basal; 6.2<!--> <!-->±<!--> <!-->0,9 at 15 days; 6.3<!--> <!-->±<!--> <!-->1.2 at one month; 6.15<!--> <!-->±<!--> <!-->1.3 at 3 months, <em>P</em>&lt;.05). Transforaminal approach was superior to caudal or interlaminal. Seventy percent in time off work patients returned to work after epidural inyections.</p></div><div><h3>Conclusions</h3><p>Epidural local anesthetics with esteroids injections for lumbo-sacral radiculopathy were effective for low back pain, improved functional status and promoted return to work. Transforaminal approach is superior to others.</p></div>\",\"PeriodicalId\":51145,\"journal\":{\"name\":\"Neurocirugia\",\"volume\":\"35 2\",\"pages\":\"Pages 64-70\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurocirugia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1130147323003743\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurocirugia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1130147323003743","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0

摘要

背景和目的硬膜外浸润用于治疗与腰椎病(腰骶神经根综合征)相关的腰痛和坐骨神经痛。本研究评估了通过不同途径进行硬膜外浸润对减轻疼痛强度、减少残疾和重返工作岗位的疗效。方法这是一项前瞻性观察研究,研究对象是因严重腰骶部神经根病而被送往疼痛科的 100 名连续患者。我们分析了硬膜外注射局麻药和类固醇不同方法(椎间孔、尾骨和经椎间孔)后两周、一个月和三个月的疼痛缓解效果(视觉模拟量表)和功能状态。平均年龄为(57.47 ± 11.1)岁。58.6%的患者采用尾椎入路,23.2%采用经椎间孔入路,18.2%采用椎间孔入路。在所有研究时间内,疼痛均有明显缓解(基础 EAV 7.48 ± 1.5;15 天时 6.2 ± 0.9;1 个月时 6.3 ± 1.2;3 个月时 6.15 ± 1.3,P< .05)。经椎间孔入路优于尾椎或椎间孔入路。结论硬膜外局麻药联合类固醇注射治疗腰骶部神经根病对腰痛有效,可改善功能状态并促进重返工作岗位。经椎间孔方法优于其他方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Eficacia de las infiltraciones epidurales en el abordaje del dolor y la discapacidad por radiculopatía lumbosacra aguda y subaguda

Backgrund and objective

Epidural infiltrations are used for treatment of low back pain and sciatica. linked to lumbar radiculopathy (lumbosacral radicular syndrome). This study evaluates the efficacy of epidural infiltration by different routes to reduce pain intensity, disability and return to work.

Methods

Is a prospective observational study in one hundred consecutive patients sent to pain unit for severe lumbo-sacral radiculopaty. We analyze the efficacy on pain relief (Visual Analogue Scale) and funcional status at two weeks, one month, and three months after epidural injection of local anesthetics and esteroids with differents approachs (interlaminar, caudal and transforaminal).

Results

Ninety nine patients (46.5% men, 53.5 women) were finally enrrolled in the study. Mean age was 57.47 ± 11.1 years. The caudal approach was used in 58.6% patients, 23.2% transforaminal approach, and 18.2% interlaminar approach. A significant pain relief was found in all times studied (EAV 7.48 ± 1.5 basal; 6.2 ± 0,9 at 15 days; 6.3 ± 1.2 at one month; 6.15 ± 1.3 at 3 months, P<.05). Transforaminal approach was superior to caudal or interlaminal. Seventy percent in time off work patients returned to work after epidural inyections.

Conclusions

Epidural local anesthetics with esteroids injections for lumbo-sacral radiculopathy were effective for low back pain, improved functional status and promoted return to work. Transforaminal approach is superior to others.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
相关文献
二甲双胍通过HDAC6和FoxO3a转录调控肌肉生长抑制素诱导肌肉萎缩
IF 8.9 1区 医学Journal of Cachexia, Sarcopenia and MusclePub Date : 2021-11-02 DOI: 10.1002/jcsm.12833
Min Ju Kang, Ji Wook Moon, Jung Ok Lee, Ji Hae Kim, Eun Jeong Jung, Su Jin Kim, Joo Yeon Oh, Sang Woo Wu, Pu Reum Lee, Sun Hwa Park, Hyeon Soo Kim
具有疾病敏感单倍型的非亲属供体脐带血移植后的1型糖尿病
IF 3.2 3区 医学Journal of Diabetes InvestigationPub Date : 2022-11-02 DOI: 10.1111/jdi.13939
Kensuke Matsumoto, Taisuke Matsuyama, Ritsu Sumiyoshi, Matsuo Takuji, Tadashi Yamamoto, Ryosuke Shirasaki, Haruko Tashiro
封面:蛋白质组学分析确定IRSp53和fastin是PRV输出和直接细胞-细胞传播的关键
IF 3.4 4区 生物学ProteomicsPub Date : 2019-12-02 DOI: 10.1002/pmic.201970201
Fei-Long Yu, Huan Miao, Jinjin Xia, Fan Jia, Huadong Wang, Fuqiang Xu, Lin Guo
来源期刊
Neurocirugia
Neurocirugia 医学-神经科学
CiteScore
1.30
自引率
0.00%
发文量
67
审稿时长
60 days
期刊介绍: Neurocirugía is the official Journal of the Spanish Society of Neurosurgery (SENEC). It is published every 2 months (6 issues per year). Neurocirugía will consider for publication, original clinical and experimental scientific works associated with neurosurgery and other related neurological sciences. All manuscripts are submitted for review by experts in the field (peer review) and are carried out anonymously (double blind). The Journal accepts works written in Spanish or English.
期刊最新文献
Integrating endovascular techniques into established open neurosurgery practice: a temporal analysis of treatment evolution in a dual-trained neurosurgical unit Aneurismas intracraneales no rotos tratados con microcirugía: análisis de resultados clínicos y radiológicos Effective method of pedicle screw fixation in patients with neurologically intact thoracolumbar burst fractures: a systematic review of studies published over the last 20 years Epidemiological aspects of syringomyelia in a 19-year old cohort of spinal cord injury patients Chiari malformation presenting with subarachnoid hemorrhage: a case report
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1