Observation on the efficacy of selective spinal nerve root block in the treatment of lumbar disc herniation
选择性脊神经根阻滞治疗腰椎间盘突出症的疗效观察

摘要

目的 分析腰椎间盘突出症（Lumbar disc herniation，LDH）采取选择性脊柱神经根阻滞（Selective spinal nerve root block ，SNRB）治疗的效果。方法 选取2023年9月至2024年11月收治的LDH患者80例，随机分为观察组（SSNRB）和对照组[椎旁神经阻滞]（ Paravertebral nerve block，PVB）]各40例，对比治疗前后的炎性因子水平、腰部活动度、脊柱稳定性指标、生活质量以及不良反应发生情况。结果 观察组炎性因子（白细胞介素-6等）、不良反应（腹痛等）发生率均低于对照组，腰部活动度（后伸等）、生活质量（健康状况等）评分高于对照组（P<0.05）；两组脊柱稳定性指标（腰椎矢状面垂直轴等）水平对比（P>0.05）。结论 LDH患者开展SNRB治疗效果良好，安全性较高。

Abstract

Objective To analyze the effectiveness of selective spinal nerve root block (Selective spinal nerve root block, SNRB) in treating lumbar disc herniation (Lumbar disc herniation, LDH).
Methods A total of 80 patients with LDH admitted from September 2023 to November 2024 were randomly divided into an observation group (SSNRB) and a control group [paravertebral nerve block] (Paravertebral nerve block, PVB), each consisting of 40 cases. The levels of inflammatory factors, lumbar range of motion, spinal stability indicators, quality of life, and adverse reactions before and after treatment were compared.
Results The incidence of inflammatory factors (such as interleukin-6) and adverse reactions (such as abdominal pain) in the observation group was lower than that in the control group, while the scores for lumbar range of motion (such as extension) and quality of life (such as health status) were higher in the observation group (P<0.05); the levels of spinal stability indicators (such as the vertical axis of the sagittal plane of the lumbar spine) were similar between the two groups (P>0.05).
Conclusion   SNRB treatment for LDH patients is effective and has a high safety profile.