Lumbar disc herniation with radiculopathy
Conditions
Interventions
Local anesthetics + diprosone:Nerve root block
Local anesthetic + dexmedetomidine:Nerve root block
Sponsors
Chengdu Fifth People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. The pain physician records the VAS score and modq score of pain after inquiring the history and physical examination. MRI results should be consistent with clinical symptoms, and diagnostic nerve root block should be performed. Patients receive 1 ml of 2% lidocaine under the guidance of ultrasound. If there is a positive reaction in selective nerve root block, they are included in the study group. 2. Patients over 18 years old; 3. All patients with LDH recorded in MRI showed unilateral radiculopathy, which was consistent with clinical symptoms; 4. Patients with VAS score = 5; 5. The patients whose symptoms lasted less than 3 months did not receive enough conservative treatment (3 weeks); 6. Obtain informed written consent.
Exclusion criteria
Exclusion criteria: 1. Patients with cauda equina syndrome; 2. Patients with motor nerve dysfunction of large muscle; 3. Patients with chronic radiculopathy > 3 months; 4. Patients with multilevel disc prolapse (> grade 2), contralateral radiculopathy and bilateral radiculopathy; 5. Patients with recurrent disc prolapse, major axial pain and high lumbar disc prolapse (above L3-4); 6. Patients with spondylolisthesis and trauma; 7. Patients with radiculopathy caused by infection; 8. Patients who refused to accept the study; 9. Patients with local skin infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VASscore;ODIscore; | — |
Secondary
| Measure | Time frame |
|---|---|
| Occurrence of bradycardia after treatment;Incidence of hypotension after treatment; | — |
Countries
China
Contacts
Public ContactRao Xinyi
Chengdu Fifth People's Hospital
Outcome results
None listed