摘要
目的 探讨红外热成像在评估射频联合臭氧治疗腰椎间盘突出症疗效的临床应用价值.方法 将160例腰椎间盘突出症患者按随机数字表法分为观察组(80例)与对照组(80例).观察组予以连续射频联合盘外臭氧注射治疗,对照组予以脉冲射频联合盘外臭氧注射治疗.术前及术后1、3个月时间点比较疼痛视觉模拟(VAS)评分、Oswestry功能障碍指数(ODI)评分、日本骨科协会(JOA)评分.术前及术后3个月比较红外热成像热图温度均值及温度差值.术后3个月采用改良Macnab标准评价临床总体疗效.结果 组内比较,VAS、ODI及JOA评分术后1、3个月与术前比较,差异均有统计学意义(均P<0.05);红外热成像热图温度均值术后3个月较术前降低,差异具有统计学意义(P<0.05).组间比较,术后l、3个月的VAS、ODI及JOA评分比较,差异均有统计学意义(均P<0.05);术后3个月的热图温度均值比较,组间差异无统计学意义(P>0.05),但温度差值(△T=T术后3个月-T术前)比较,差异有统计学意义(P<0.05);术后3个月两组临床总体疗效比较,观察组优于对照组,差异具有统计学意义(P<0.05).结论 射频联合臭氧注射治疗腰椎间盘突出症疗效满意,但连续射频优于脉冲射频,红外热成像热图能有效评估其临床疗效.
Objective To evaluate the efficacy of radiofrcquency combined with ozone in the treatment of lumbar disc herniation using infrared thermography,and discuss the application value.Methods A total of 160 patients with lumbar disc herniation were randomly divided into observation group (80 cases) and control group (80 cases).The observation group was treated with continuous radiofrequency combined with ozone injection,and the control group was treated with pulse radiofrequency combined with ozone injection.Pain visual analogue (VAS) score,Oswestry dysfunction index (ODI) score,and Japanese Orthopaedic Association (JOA) score of the patients were compared before and 1 and 3 months after the treatment.The mean temperature and temperature difference of the lower body were compared by infrared thermography before and 3 months after the treatments.The overall clinical efficacy was evaluated 3 months after the treatments using the modified Macnab criteria.Results The comparison within groups showed that the VAS,ODI and JOA scores were significant changed after 1 and 3 months of the treatment (all P<0.05).The average temperature of lower body from the infrared thermography was decreased after 3 months of the treatment (P<0.05).The comparison among groups showed that the VAS,ODI and JOA scores after 1 and 3 months of the treatment had differences between the observation group and the control group,and all the differences were statistically significant (all P<0.05).Moreover,the difference in the mean temperature of the low body after 3 months of the treatment was not statistically significant (P>0.05),and in the temperature difference value was statistically significant between the two groups (P<0.05).The overall clinical efficacy of the observation group was better than that of the control group after 3 months of the treatment (P<0.05).Conclusions Radiofrequency combined with ozone injection is satisfactory for the treatment of lumbar disc herniation,and the continuous radiofrequency is superior to pulse radiofrequency.The clinical efficacy of radio-frequency combined with ozone injection can be effectively evaluated by Infrared thermography.
作者
李远栋
苏瑾
李嘉钰
刘爱峰
张君涛
王平
Li Yuandong;Su Jin;Li Jiayu;Liu Aifeng;Zhang Juntao;Wang Ping(Department of Orthopedics,The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300383,China)
出处
《国际生物医学工程杂志》
CAS
2018年第6期534-538,共5页
International Journal of Biomedical Engineering
基金
天津市科委青年项目(15JCQNJC12700)
王平劳模创新工作室-天津市教委资助项目(津教工[2016]3号)
中医传承工作室-天津卫计委资助项目(津卫中[2017]193号)
《脊柱失稳中医手法治疗方案及推广应用研究》“十二五”行业重大专项(201107004).
关键词
红外热成像
腰椎间盘突出症
射频术
臭氧注射
临床研究
Infrared thermography
Lumbar disc herniatio
Radio frequency technique
Ozone injection
Clinical research
作者简介
通信作者:王平,Email:33724755@qq.com
