射频靶点消融联合臭氧注射对腰椎间盘突出症患者疼痛及功能康复的效果  

Effects of radiofrequency target ablation combined with ozone injection on pain and functional rehabilitation of patients with lumbar disc herniation

作　　者：杨颖[1] 张玉林 方启帆 Yang Ying;Zhang Yulin;Fang Qifan(Department of Pain Treatment,Nanchong Central Hospital Affiliated to North Sichuan Medical University,Nanchong 637000,Sichuan Province,China)

机构地区：[1]川北医学院附属南充市中心医院疼痛科,四川南充637000

出　　处：《中华老年多器官疾病杂志》2024年第6期447-450,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：四川省中医药管理局科学技术研究专项课题(2021MS352)。

摘　　要：目的 探讨射频靶点消融联合臭氧注射对腰椎间盘突出症患者疼痛及功能康复的效果。方法 回顾性分析南充市中心医院2021年3月至2023年3月收治103例腰椎间盘突出症患者的临床资料,按照治疗方式不同将患者分为两组,对照组接受射频靶点消融治疗(51例),研究组接受射频靶点消融联合臭氧注射治疗(52例)。6个月后评估两组患者的治疗效果、治疗前后疼痛评分及腰椎功能评分。采用SPSS 20.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ^(2)检验进行组间比较。结果 治疗后研究组患者视觉模拟评分低于对照组[(3.27±0.84)分和(5.31±1.32)分],Oswestry功能障碍指数低于对照组[(15.26±2.64)%和(19.32±3.57)%],日本骨科学会腰痛评分高于对照组[(23.81±3.52)分和(20.37±2.81)分],总有效率高于对照组(92.31%和78.43%),差异均有统计学意义(P<0.05)。结论 腰椎间盘突出症患者接受射频靶点消融联合臭氧注射治疗可显著减轻疼痛,促进患者功能恢复。Objective To investigate the effects of radiofrequency target ablation combined with ozone injection on pain and functional rehabilitation of patients with lumbar disc herniation.Methods A retrospective analysis was made of the clinical data of 103 patients with lumbar disc herniation admitted to Nanchong Central Hospital from March 2021 to March 2023.According to treatment methods,the patients were divided into the control group receiving radiofrequency target ablation(n=51)and the study group receiving radiofrequency target ablation combined with ozone injection(n=52).After 6 months,the therapeutic effect,pain score before and after treatment and lumbar function score of the two groups were evaluated.SPSS statistics 20.0 was used for data analysis.According to the data type,t test or χ^(2) test was used for data comparison between two groups.Results After treatment,the visual analogue score of study group was lower than that of control group[(3.27±0.84)vs(5.31±1.32)points],and the Oswestry disability index of study group was lower than that of control group[(15.26±2.64)%vs(19.32±3.57)%].The low back pain score of Japanese Orthopaedic Society in study group was higher than that of control group[23.81±3.52)vs(20.37±2.81)points],and the total effective rate in the study group was higher than that of control group(92.31%vs 78.43%).The differences were statistically significant(P<0.05).Conclusion Radiofrequency target ablation combined with ozone injection can significantly reduce pain and promote functional recovery in the patients with lumbar disc herniation.

关 键 词：腰椎间盘突出症 射频靶点消融 臭氧 疼痛 腰椎功能 

分 类 号：R687.3[医药卫生—骨科学]