射频热凝术联合美洛昔康与功能锻炼治疗强直性脊柱炎的疗效分析  

Effect of radiofrequency thermocoagulation combined with meloxicam and functional exercise on patients with ankyiosing spondylitis

作　　者：于慧[1] 王德强[1] 高勇[1] 徐昕[1] 谭树颖[1] 

机构地区：[1]滨州医学院附属医院疼痛康复科, 山东省滨州市256603

出　　处：《实用疼痛学杂志》2011年第6期415-417,共3页Pain Clinic Journal

摘　　要：目的 评价射频热凝术联合口服美洛昔康片,辅助功能锻炼治疗强直性脊柱炎的临床疗效.方法 强直性脊柱炎患者84例,随机分为两组,每组42例,治疗组根据患者疼痛部位行射频热凝术,美洛昔康片7.5 mg每日1次,功能锻炼每次30 min,每日2次.对照组口服美洛昔康片7.5 mg每日1次.于治疗前及治疗后10 d分别进行疼痛评分以评价疗效.结果 治疗组优良率为95.2%（40/42例）,对照组为66.7%（28/42例）.治疗组总有效率高于对照组（P〈O.05）.所有患者均未见严重并发症,不良反应主要为胃肠道症状.结论 射频热凝术联合口服美洛昔康片,辅助针对性功能锻炼治疗强直性脊柱炎疗效优于单独使用美洛昔康片治疗.Objective To investigate the clinical efficacy of radiofrequency thermocoagulation combined with meloxicam tablets and functional exercise treatment on patients with ankylosing spondylitis. Methods Eighty-four patients were randomly divided into the treatment group and the control group （n：42）. The patients in the treatment group were used radiofrequency thermocoagulation according to the site of the pain and oral meloxicam tablets 7.5 mg once a day, and functional exercise for 30 min,twice a day. The patients in control group only used meloxicam tablets 7.5 mg once a day. The pain score of the patients was observed before and 10 days after the treatment. Results The effective rate was 95.2%（40/42 cases） in the treatment group,and 66.7%（28/42 cases） in the control group. Compared with the control group, the efficacy was significantly good in the treatment group （P〈0.05）. No serious complications were observed, the mainly adverse reaction was gastrointestinal symptom. Conclusion The clinical efficacy of radiofrequeney thermocoagulation combined with meloxicam tablets and functional exercise treatment is better than that of oral meloxicam medicine only in the treatment of ankylosing spondylitis.

关 键 词：脊柱炎 强直性 电凝术 功能锻炼 导管消融术 射频 

分 类 号：R274.39[医药卫生—中医骨伤科学]