脉冲射频应用于腰椎间盘源性疼痛的临床分析
|
摘要
目的研究脉冲射频(PRF)应用于腰椎间盘源性疼痛(DLBP)的临床效果。方法 86例腰椎间盘源性疼痛患者,随机分为实验组和对照组,每组43例。对照组患者应用选择性神经根阻滞治疗,实验组患者在对照组治疗的基础上加用脉冲射频治疗,对比两组患者的疼痛程度及临床效果。结果两组治疗前疼痛程度比较差异无统计学意义(P>0.05);治疗1个月后,实验组视觉模拟评分法(VAS)评分为(2.3±0.5)分,对照组VAS评分为(3.7±0.7)分,实验组治疗后的VAS评分低于对照组,差异具有统计学意义(P<0.05);实验组患者的显效率(86.0%)明显高于对照组(58.1%),差异有统计学意义(P<0.05)。结论将脉冲射频应用于腰椎间盘源性疼痛中,能够明显缓解患者的疼痛程度,提高质量效果。
Objective To research clinical effect by pulsed radio frequency(PRF) applied in discogenic low back pain(DLBP). Methods A total of 86 patients with discogenic low back pain were randomly divided into experimental group and control group, with 43 cases in each group. The control group received selective nerve root block for treatment, and the experimental group received additional pulsed radio frequency for treatment. Pain degree and clinical effect were compared between the two groups. Results There was no statistically significant difference of pain degree before treatment between the two groups(P>0.05). In 1 month after treatment, the experimental group had visual analogue scale(VAS) score as(2.3±0.5) points, which was(3.7±0.7) points in the control group. The experimental group had lower VAS score after treatment than the control group, and the difference had statistical significance(P<0.05). The experimental group had obviously higher excellence rate(86.0%) than the control group(58.1%), and the difference had statistical significance(P<0.05). Conclusion Application of pulsed radio frequency in discogenic low back pain can remarkably relieve pain degree and improve quality and effect in patients.
Objective To research clinical effect by pulsed radio frequency(PRF) applied in discogenic low back pain(DLBP). Methods A total of 86 patients with discogenic low back pain were randomly divided into experimental group and control group, with 43 cases in each group. The control group received selective nerve root block for treatment, and the experimental group received additional pulsed radio frequency for treatment. Pain degree and clinical effect were compared between the two groups. Results There was no statistically significant difference of pain degree before treatment between the two groups(P>0.05). In 1 month after treatment, the experimental group had visual analogue scale(VAS) score as(2.3±0.5) points, which was(3.7±0.7) points in the control group. The experimental group had lower VAS score after treatment than the control group, and the difference had statistical significance(P<0.05). The experimental group had obviously higher excellence rate(86.0%) than the control group(58.1%), and the difference had statistical significance(P<0.05). Conclusion Application of pulsed radio frequency in discogenic low back pain can remarkably relieve pain degree and improve quality and effect in patients.
引文
[1]张秀双,武百山,杨立强,等.神经微创介入技术治疗腰椎间盘源性疼痛远期疗效分析.颈腰痛杂志,2012,33(1):6-8.
[2]杜随勇,李放,张志成,等.等离子髓核成形术治疗腰椎间盘源性疼痛远期疗效的分析.中华临床医师杂志(电子版),2012,6(11):88-91.
[3]楼芳芳,黄洪斌,葛金花,等.脉冲射频治疗椎间盘源性下腰痛的护理体会.中国临床保健杂志,2014,17(5):551-552.
[4]单建林,杜培,王飞,等.腰椎间盘源性疼痛的症状及其神经解剖学相关性研究.中华骨科杂志,2016,36(4):224-229.
[5]范顺意,李亦梅.脊神经射频脉冲调节术治疗腰椎源性疼痛疗效的系统评价.中国疼痛医学杂志,2015,21(5):361-365.
[6]马永强,李水清,柳晨,等.选择性神经根阻滞联合脉冲射频治疗腰椎间盘突出症临床效果评价.中国疼痛医学杂志,2013,19(2):87-90.
[7]黄乐天,和晓峰.脉冲射频治疗腰椎间盘源性疼痛.实用医学杂志,2013,29(4):571-573.
[8]洪海潮,曾国兴,钟伟立,等.脉冲射频治疗腰椎间盘突出症根性疼痛的临床研究.中国实用医药,2013,8(13):127-128.
[9]黄乐天,熊志宏,和晓峰,等.神经根脉冲射频联合臭氧和糖皮质激素治疗腰椎间盘突出症.中国疼痛医学杂志,2012,18(6):384.
[10]宫小文,刘娜,宋永光,等.双极双针手动调压脉冲射频治疗腰椎间盘突出症.中国疼痛医学杂志,2012,18(9):524-526.
[11]何云武,龙慧,邹聪,等.腰椎背根神经节脉冲射频术治疗腰椎间盘突出症的疗效观察.中南医学科学杂志,2013,41(1):28-30.
[12]刘家帮,刘正,张光武,等.CT引导下神经根脉冲射频联合局部注射复方倍他米松治疗腰椎间盘突出症.中国微创外科杂志,2014(8):716-718.
[13]雷龙,倪云建,付建明,等.背根神经节脉冲射频治疗难治性腰椎间盘突出症患者的效果.中华麻醉学杂志,2011,31(4):508-509.
[14]侯祎,杨沛林.椎间盘外靶点脉冲射频治疗与联合使用盘内热凝射频治疗腰椎间盘突出症的临床疗效比较.中国伤残医学,2014(1):42-43.
[15]张开伟,陈久毅,徐远坤,等.射频靶点热凝消融术联合脉冲射频治疗复杂性腰椎间盘突出症的疗效观察.中国医药指南,2013(15):254-256.
[16]黄佑庆.双针脉冲射频在椎间盘微创手术中的应用.中国老年学,2011,31(7):1230-1231.
[2]杜随勇,李放,张志成,等.等离子髓核成形术治疗腰椎间盘源性疼痛远期疗效的分析.中华临床医师杂志(电子版),2012,6(11):88-91.
[3]楼芳芳,黄洪斌,葛金花,等.脉冲射频治疗椎间盘源性下腰痛的护理体会.中国临床保健杂志,2014,17(5):551-552.
[4]单建林,杜培,王飞,等.腰椎间盘源性疼痛的症状及其神经解剖学相关性研究.中华骨科杂志,2016,36(4):224-229.
[5]范顺意,李亦梅.脊神经射频脉冲调节术治疗腰椎源性疼痛疗效的系统评价.中国疼痛医学杂志,2015,21(5):361-365.
[6]马永强,李水清,柳晨,等.选择性神经根阻滞联合脉冲射频治疗腰椎间盘突出症临床效果评价.中国疼痛医学杂志,2013,19(2):87-90.
[7]黄乐天,和晓峰.脉冲射频治疗腰椎间盘源性疼痛.实用医学杂志,2013,29(4):571-573.
[8]洪海潮,曾国兴,钟伟立,等.脉冲射频治疗腰椎间盘突出症根性疼痛的临床研究.中国实用医药,2013,8(13):127-128.
[9]黄乐天,熊志宏,和晓峰,等.神经根脉冲射频联合臭氧和糖皮质激素治疗腰椎间盘突出症.中国疼痛医学杂志,2012,18(6):384.
[10]宫小文,刘娜,宋永光,等.双极双针手动调压脉冲射频治疗腰椎间盘突出症.中国疼痛医学杂志,2012,18(9):524-526.
[11]何云武,龙慧,邹聪,等.腰椎背根神经节脉冲射频术治疗腰椎间盘突出症的疗效观察.中南医学科学杂志,2013,41(1):28-30.
[12]刘家帮,刘正,张光武,等.CT引导下神经根脉冲射频联合局部注射复方倍他米松治疗腰椎间盘突出症.中国微创外科杂志,2014(8):716-718.
[13]雷龙,倪云建,付建明,等.背根神经节脉冲射频治疗难治性腰椎间盘突出症患者的效果.中华麻醉学杂志,2011,31(4):508-509.
[14]侯祎,杨沛林.椎间盘外靶点脉冲射频治疗与联合使用盘内热凝射频治疗腰椎间盘突出症的临床疗效比较.中国伤残医学,2014(1):42-43.
[15]张开伟,陈久毅,徐远坤,等.射频靶点热凝消融术联合脉冲射频治疗复杂性腰椎间盘突出症的疗效观察.中国医药指南,2013(15):254-256.
[16]黄佑庆.双针脉冲射频在椎间盘微创手术中的应用.中国老年学,2011,31(7):1230-1231.