不同频率脊髓刺激治疗腰部手术失败综合征的效果观察  

Effect of routine and high frequency spinal stimulation on the pain of failed lumbar surgery syndrome

作　　者：张栋 王华栋[2] 吕游 南少奎 朱跃 李菲[1] ZHANG Dong;WANG Hua-dong;LYU You;NAN Shao-kui;ZHU Yue;LI Fei(Department of Orthopedics,the Sixth Medical Center,PLA General Hospital,Beijing 100000,China;Department of Spinal Surgery,Jishuitan Hospital,Beijing 100000,China)

机构地区：[1]解放军总医院第六医学中心骨科,北京100048 [2]北京积水潭医院脊柱外科,北京100035

出　　处：《颈腰痛杂志》2022年第4期523-526,共4页The Journal of Cervicodynia and Lumbodynia

基　　金：宁夏回族自治区自然科学基金(编号:NZ16212)。

摘　　要：目的探讨低频(low-frequency,LF)与高频(high-frequency,HF)脊髓刺激(spinal cord stimulation,SCS)对腰部手术失败综合征(failed lumbar surgery syndrome,FLSS)疼痛的影响。方法根据计算机产生的随机数字表,将58例FLSS患者分为LF组和HF组各29例。对照组给予LF-SCS治疗,观察组给予HF-SCS治疗。观察两组患者入组时(T0)、3个月(T1)、6个月(T2)和12个月(T3)时的VAS评分、疼痛检测评分(pain detect questionnaire,PDQ)、Oswestry功能障碍指数(Oswestry disability index,ODI)、健康调查12条简表(short form 12 questionnaire,SF-12)、睡眠量表(medical outcomes study sleep scale,MOSS)和医院焦虑和抑郁量表(hospital anxiety and depression,HAD)。结果T1、T2、T3时,两组患者腰痛VAS、腿痛VAS、PDQ、ODI、HAD-D、HAD-A评分均显著低于T0时(P<0.05),且HF组上述指标均低于同期LF组(P<0.05)。T1、T2、T3时,两组患者SF-12、MOSS评分均高于T0时(P<0.05),且HF组上述指标均高于同期LF组(P<0.05)。结论与LF-SCS相比,HF-SCS治疗FLSS可进一步改善患者疼痛程度,减轻功能障碍,改善生活质量。Objective To explore the effects of low-frequency(LF)and high-frequency(HF)spinal cord stimulation(SCS)on the pain of failed lumbar surgery syndrome(FLSS).Methods A total of 58 patients with FLSS were selected for clinical study,and they were divided into LF group and HF group according to the random number table generated by computer.LF group was treated with LF-SCS,HF group was treated with HF-SCS.At T0,T1,T2 and T3,the visual analog scale(VAS),pain detection questionnaire(PDQ),Oswestry disability index(ODI),short form 12 questionnaire(SF-12),medical outcomes study sleep scale(MOSS)and hospital anxiety and depression(HAD)were observed.Results At T1,T2 and T3,scores of VAS,PDQ,ODI,HAD-A and HAD-D in the two groups were significantly lower than those at T0(P<0.05),and those in HF group were lower than those in LF group(P<0.05).At T1,T2 and T3,the SF-12 and MOSS scores of the two groups were higher than those of T0(P<0.05),and those of HF group were higher than those of LF group(P<0.05).Conclusion HF-SCS in the treatment of FLSS can improve pain,reduce dysfunction,improve quality of life.

关 键 词：腰部手术失败综合征 脊髓刺激 高频刺激 低频刺激 

分 类 号：R619[医药卫生—外科学]