王远军,黄海兰,李宁怡,吴文强,李洪广,黄春桥,黎菊,王林
WANG Yuanjun,HUANG Hailan,LI Ningyi,WU Wenqiang,LI Hongguang,HUANG Chunqiao,LI Ju,WANG Lin

• 1:贵州医科大学附属白云医院疼痛科
• 2:贵阳市南明区人民医院麻醉科

摘要(Abstract)：

目的:评价脊神经脉冲射频联合腰椎间盘臭氧消融术治疗腰椎间盘突出症(LDH)的疗效及安全性。方法:选择80例LDH患者均分为脊神经脉冲射频联合腰椎间盘臭氧消融术组(治疗组)及腰椎间盘臭氧消融术组(对照组),两组患者于治疗前、术后第3天、第1月、第3月、第6月时采用数字评价量表评分(NRS)评估疼痛程度、Oswestry功能障碍指数(ODI)评估腰椎功能、治疗6月时的治疗有效率及不良反应发生情况等。结果:治疗后各时间点与治疗前相比,两组LDH患者NRS评分和ODI评分均有降低,差异有统计学意义(P<0.05);治疗后不同时间点两组患者之间NRS评分和ODI评分均表现为治疗组患者低于对照组,差异有统计学意义(P<0.05);治疗组患者治疗后第6月的有效率高于对照组患者,差异有统计学意义(P<0.05);两组LDH患者术后不良反应发生率差异无统计学意义(P>0.05)。结论:脊神经脉冲射频联合腰椎间盘臭氧消融术提高腰椎间盘突出症疗效,且起效快、安全。
Objective: To evaluate the efficacy of pulsed radiofrequency on spinal nerve combined with ozone ablation on the treatment of lumbar disc herniation(LDH). Methods: A total of 80 patients with lumbar disc herniation were randomly divided in treatment group(n=40, receiving pulsed radiofrequency on spinal nerve combined with ozone ablation) and control group(n=40, receiving ozone ablation). Pain intensity was evaluated with Numerical Rating Scale(NRS) before treatment and 3 day, 1 month, 3 month, 6 month after treatment, and the vertebral function was evaluated with Oswestry Dability Index(ODI) before treatment and 3 day, 1 month, 3 month, 6 month after treatment; recording the therapeutic efficiency ratio and adverse reaction occurrence. Results: Compared time points with before treatment, the NRS and ODI scores of LDH patients in each group decreased, differences were statistically significant(P<0.05). The scores of NRS and ODI in the treatment group were lower than those of the control group at different time points after treatment, differences were statistically significant(P<0.05). The curative efficiency of 6 th month in treatment group was higher than that of control group, differences were statistically significant(P<0.05). There was no difference in the incidence rate of adverse reactions between the treatment group and the control group. Conclusion: Pulsed radiofrequency on spinal nerve combined with ozone ablation on the treatment of lumbar disc herniation can improve clinical efficacy and it is a safe.

关键词(KeyWords)： 脊神经;臭氧;腰椎间盘突出症;脉冲射频;数字评价量表;Oswestry功能障碍指数
spinal nerve;ozone;lumbar disc herniation;pulsed radiofrequency;numerical rating scale;Oswestry disability index

Abstract:

Keywords:

基金项目(Foundation): 贵州省科技合作计划项目[黔科合LH字(2015)7396]

作者(Author): 王远军,黄海兰,李宁怡,吴文强,李洪广,黄春桥,黎菊,王林
WANG Yuanjun,HUANG Hailan,LI Ningyi,WU Wenqiang,LI Hongguang,HUANG Chunqiao,LI Ju,WANG Lin

DOI: 10.19367/j.cnki.1000-2707.2019.09.016

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