动态干扰电治疗腰椎内镜术后残余疼痛的效果评价  

Dynamic interferential electrotherapy for residual pain secondary to lumbar endoscopic surgery

作　　者：王凯[1] 马擎宇 贾东林[1] 李水清[1] 刘晓光[1] 朱薇[1] WANG Kai;MA Qing-yu;JIA Dong-lin;LI Shui-qing;LIU Xiao-guang;ZHU Wei(Department of Pain Management,Third Hospital,Peking University,Beijing 100191,China)

机构地区：[1]北京大学第三医院疼痛科,北京100191

出　　处：《中国矫形外科杂志》2020年第24期2250-2253,共4页Orthopedic Journal of China

基　　金：北京大学第三医院院级基金支持项目(编号:Y77451-02)。

摘　　要：[目的]探讨动态干扰电在治疗腰椎内镜术后残余疼痛中的效果。[方法]将2018年1月~2018年12月在北京大学第三医院疼痛科因腰椎间盘突出症/腰椎管狭窄症而接受腰椎内镜手术治疗,且术后仍有残余疼痛65例患者,根据医患沟通结果分为两组,其中33例患者采用干扰电治疗,32例患者采用常规保守治疗。比较两组患者治疗前、治疗后当日、治疗后2周和治疗后3个月的疼痛视觉模拟评分(VAS评分)。[结果]随时间推移,两组的腰痛、臀痛和腿痛VAS评分均显著减少(P<0.05),治疗前两组间腰痛、臀痛和腿痛VAS评分的差异均无统计学意义(P>0.05);首次治疗后当日和治疗后2周,干扰电组的腰痛和下肢痛VAS评分均显著低于常规组(P<0.05),而两组臀部疼痛VAS评分差异无统计学意义(P>0.05);术后3个月时,两组腰部、臀部及下肢VAS评分差异均无统计学意义。(P>0.05)。[结论]动态干扰电作为一种物理无创治疗方式,可显著缓解腰椎内镜术后引起的腰部及下肢残余疼痛,效果明确稳定。[Objective] To evaluate the effectiveness of the dynamic interferential electrotherapy for treatment of residual pain secondary to lumbar endoscopic surgery. [Methods] From January 2018 to December 2018, a total of 65 patients who suffered from residual pain after lumbar endoscopy for lumbar disc herniation or lumbar canal stenosis were divided into two groups according to the consequence of doctor-patient communication. Of them, 33 patients underwent the dynamics interferential electrotherapy(the DIET group), while the remaining 32 patients received traditional conservative therapy(the TCT group).The visual analogue scales(VAS) for low back pain, gluteal pain and leg pain were compared between the two groups before treatment, at the same day, 2 weeks and 3 months after treatment. [Results] The VAS scores for low back pain, gluteal pain and leg pain significantly decreased over time in both groups(P<0.05). There were no statistical differences in VAS or low back pain, gluteal pain and leg pain between the two groups before treatment(P>0.05). At the same day and 2 weeks after treatment,the DIET group proved significantly superior in the VAS scores for low back pain and leg pain(P<0.05), although no statistical difference in the VAS score for gluteal pain between them(P>0.05). At 3 months after treatment, the VAS scores for low back pain, gluteal pain and leg pain became not statistically significant between the two groups(P>0.05). [Conclusion] The dynamic interferential electrotherapy, a noninvasive physical treatment, does provide an effective and steady way to relieve residual low back pain and leg pain after lumbar endoscopy.

关 键 词：动态干扰电 腰椎内镜 术后 残余疼痛 

分 类 号：R687[医药卫生—骨科学]