Ringsdal V S, Nielsen N A, Slot O, Kryger P
H:S Hvidovre Hospital, reumatologisk afdeling.
Ugeskr Laeger. 1997 Sep 15;159(38):5653-7.
Within the past decades, epidural steroid injections have been used in the treatment of severe low back pain and sciatica. In reviewing papers for this article an effort is made to concentrate on those that meet commonly accepted research design criteria, such as being blinded, randomized and prospective. The risks and the advantages of the procedure are discussed. Some of the studies report an efficient reduction in low back pain and sciatica for a longer period. Risks of more serious complications are low using the right technique. However, the results are to some extent conflicting. Future correctly designed studies are necessary to clarify whether the injection should be a supplement to the established treatment of low back pain and sciatica.
在过去几十年中，硬膜外类固醇注射已被用于治疗严重的下腰痛和坐骨神经痛。在为本文审阅论文时，我们努力专注于那些符合普遍接受的研究设计标准的论文，例如采用盲法、随机分组和前瞻性研究。文中讨论了该治疗方法的风险和益处。一些研究报告称，该方法能在较长时间内有效减轻下腰痛和坐骨神经痛。采用正确的技术，出现更严重并发症的风险较低。然而，研究结果在一定程度上存在冲突。未来需要设计正确的研究来阐明该注射疗法是否应作为下腰痛和坐骨神经痛既定治疗方法的补充。
