A CONTROLLED-STUDY OF CAUDAL EPIDURAL INJECTIONS OF TRIAMCINOLONE PLUS PROCAINE FOR THE MANAGEMENT OF INTRACTABLE SCIATICA

被引：193

作者：

BUSH, K ^{[1
]}

HILLIER, S ^{[1
]}

机构：

[1] ROYAL FREE HOSP,DEPT RHEUMATOL,LONDON,ENGLAND

来源：

SPINE | 1991年 / 16卷 / 05期

关键词：

SCIATICA; CAUDAL EPIDURAL INJECTIONS; STEROID; PAIN; QUALITY OF LIFE; STRAIGHT LEG RAISE;

D O I：

10.1097/00007632-199105000-00015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The management of sciatica due to lumbar nerve root compromise remains controversial, probably because few well-controlled studies of conservative management have been performed. This preliminary study assesses the efficacy of epidural injections of 80 mg triamcinolone acetonide plus 0.5% procaine hydrochloride in saline, administered via the caudal route, in a double-blind, placebo controlled trial with 1 year follow-up. Twenty-three patients were entered into the study: 12 received treatment and 11 placebo. The active group showed significant pain relief (P = 0.02) and a significant increase in mobility (P = 0.01) at 4 weeks, which resulted in improved quality of life (P = 0.02). At 1 year, subjective and objective measures improved in both groups. The improvement was greater in the actively treated group, but only the objective assessment (straight leg raise) was statistically significant.

引用

页码：572 / 575

页数：4

共 27 条

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