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- W2364754821 abstract "Objective To evaluate the curative effects of patient controlled epidural analgesia(PCEA) for symptomatic lumbar disc herniation and the influence of epidural glucocorticoid injection on the blood-glucose.Methods Lumbar disc herniation cases(n=123) were divided randomly into two groups.The patient controlled epidural analgesia group(PCEA group,n=55),accepted the epidural drugs injection every 7 days and 4 injections for a total treatment,accompaniment the first epidural drugs injection was followed by PCEA for 7 days;The epidural drugs injection group(DEDI group,n=68),accepted the same epidural drugs injection every 7 days and 4 injections for a total treatment.To evaluate the curative effects with VAS scores and Macnab standard,monitoring blood-glucose before,on the eighth day and on the end of the treatment individually.Results VAS scores in both groups decreased significantly compared with pretherapy on the ninth day and on the end of the treatment:3.26±0.41 and 1.15±0.67 in the PCEA group and 4.98±0.66 and 1.68±0.87 in the DEDI group(P0.01).On the ninth day,the curative satisfactory rate was 76.4% in the PCEA group,which was much better than the DEDI group 55.9%(P0.01).On the end of the treatment,the curative satisfactory rate in the PCEA group was 89.1% higher than the DEDI group 82.4%(P0.05).The blood-glucose light increased in the both groups during the treatment which were still in the normal:on the ninth day and on the end of the treatment:(5.28±0.44)mmol/L and(5.52±0.33)mmol/L in the PCEA group and(5.43±0.46)mmol/L and(5.57±0.36)mmol/L in the DEDI group(P0.05).No significant side effect was found during the treatment.Conclusion PCEA and DEDI are both effective methods of lessen the symptoms and signs of lumbar disc herniation,but PCEA lessening the symptoms and signs more quickly early in the therapy compared with the DEDI.Blood-glucose light increased after the epidural drugs injection,which was still in the normal." @default.
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- W2364754821 date "2009-01-01" @default.
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- W2364754821 title "Curative effects of patient controlled epidural analgesia for symptomatic lumbar disc herniation" @default.
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