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穴位注射与骶管注射治疗腰椎间盘突出症的随机对照试验方案

Acupoint injection versus sacral canal injection in lumbar disc herniation: A protocol of randomized controlled trial.

作者信息

Li Wei, Wang Huaying, Wang Lijun, Tang Peng, Huang Yaokai

机构信息

The People's Hospital of Dazu District, Dazu, Chongqing, China.

出版信息

Medicine (Baltimore). 2020 Nov 13;99(46):e23000. doi: 10.1097/MD.0000000000023000.

DOI:10.1097/MD.0000000000023000
PMID:33181664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7668483/
Abstract

BACKGROUND

Both acupoint injection and sacral canal injection are widely adopted in the treatment of lumbar disc herniation (LDH), but there are still doubts about the effectiveness and safety of the 2 methods. Therefore, the objective of the randomized controlled trial is to evaluate the effectiveness and safety of acupoint injection and sacral canal injection in the treatment of LDH.

METHOD

This is a prospective randomized controlled trial to study the effectiveness and safety of acupoint injection and sacral canal injection in the treatment of LDH. With the approval by the clinical research ethics committee of our hospital, patients were randomly included into 1 of 2 treatment protocols:Patients, doctors, nurses, and research assistants responsible for collecting data were blinded to group allocation. Main outcome observation indicator: visual analogue scale; secondary outcome observation indicator: Oswestry disability index scores; paresthesia score; adverse reactions. Data were analyzed using the statistical software package SPSS version 25.0 (Chicago, IL).

DISCUSSION

The effectiveness and safety of acupoint injection and sacral canal injection in the treatment of LDH were evaluated in this study, and the results of this trial would establish clinical evidence for the adoption of acupoint injection or sacral canal injection to treat LDH.

TRIAL REGISTRATION NUMBER

DOI 10.17605 / OSF.IO / VTFUD.

摘要

背景

穴位注射和骶管注射在腰椎间盘突出症（LDH）治疗中均被广泛应用，但两种方法的有效性和安全性仍存在疑问。因此，本随机对照试验的目的是评估穴位注射和骶管注射治疗LDH的有效性和安全性。

方法

这是一项前瞻性随机对照试验，旨在研究穴位注射和骶管注射治疗LDH的有效性和安全性。经我院临床研究伦理委员会批准，患者被随机纳入两种治疗方案中的一种：负责收集数据的患者、医生、护士和研究助理对分组情况不知情。主要结局观察指标：视觉模拟量表；次要结局观察指标：Oswestry功能障碍指数评分；感觉异常评分；不良反应。使用统计软件包SPSS 25.0版（伊利诺伊州芝加哥）进行数据分析。

讨论

本研究评估了穴位注射和骶管注射治疗LDH的有效性和安全性，该试验结果将为采用穴位注射或骶管注射治疗LDH提供临床依据。

试验注册号

DOI 10.17605 / OSF.IO / VTFUD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa0/7668483/0d1e18f41b1b/medi-99-e23000-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa0/7668483/0d1e18f41b1b/medi-99-e23000-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa0/7668483/0d1e18f41b1b/medi-99-e23000-g001.jpg

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Efficacy of Trigger Point Injections in Patients with Lumbar Disc Hernia without Indication for Surgery.触发点注射对无手术指征的腰椎间盘突出症患者的疗效
Asian Spine J. 2018 Apr;12(2):232-237. doi: 10.4184/asj.2018.12.2.232. Epub 2018 Apr 16.
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Evaluation of the effects of occlusal splint, trigger point injection and arthrocentesis in the treatment of internal derangement patients with myofascial pain disorders.评价咬合夹板、触发点注射和关节穿刺术治疗伴有肌筋膜疼痛紊乱的关节内紊乱患者的效果。
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Comparison of the efficacy of caudal, interlaminar, and transforaminal epidural injections in managing lumbar disc herniation: is one method superior to the other?骶管、椎板间和椎间孔硬膜外注射治疗腰椎间盘突出症的疗效比较：一种方法是否优于另一种？
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