摘要
目的探讨臭氧联合射频治疗腰椎术后疼痛综合征(FBSS)下肢痛的临床疗效。方法选取2018年4月至2019年2月西安交通大学第一附属医院收治的48例以下肢痛为主的FBSS患者,以随机数字表法分为臭氧组和联合组,每组各24例。臭氧组行单一臭氧注射治疗,联合组行臭氧联合射频治疗。于患者治疗后7d,治疗后1、3个月评估临床疗效,并记录视觉模拟评分(VAS)、Oswestry功能障碍指数评分(ODI)及日本骨科学会评分(JOA),观察治疗期间有无并发症。结果联合组治疗后3个月的优良率(87.50%)明显高于臭氧组(62.50%)(P<0.05)。治疗时间和治疗方法对患者VAS、ODI评分存在交互作用(P<0.05),治疗时间对患者VAS、ODI评分的影响差异有统计学意义(P<0.05),两组患者VAS、ODI评分呈现出不同程度的波动变化(P<0.05),联合组治疗后1、3个月的VAS、ODI评分明显低于臭氧组(P<0.05)。治疗后,两组患者JOA均明显上升,且联合组治疗后3个月的JOA评分明显高于臭氧组(P<0.05),各组无明显不良反应发生。结论臭氧联合射频治疗FBSS下肢痛的临床疗效优于单纯臭氧治疗。
Objective To explore the clinical effect of ozone combined with radiofrequency on the lower limb pain of patients with failed back surgery syndrome(FBSS).Methods A total of 48 FBSS patients mainly with lower limb pain who were admitted to The First Affiliated Hospital of Xi’an Jiaotong University from April of 2018 to February of 2019 were enrolled and divided into the ozone group and combined treatment group by the random number table method with 24 cases in each group.The ozone group was only treated with ozone injection,while the combined treatment group was treated with ozone injection combined with radiofrequency.The clinical effect was evaluated at 7 days,1 month and 3 months after treatment respectively.The scores of visual analogue scale(VAS),Oswestry dysfunction index(ODI)and Japanese Orthopaedic Association(JOA)were recorded and the incidence of complications during treatment was observed.Results At 3 months after treatment,the excellent rate of the combined treatment group(87.50%)was significantly higher than that of the ozone group(62.50%)(P<0.05).There were interaction effects of treatment time and treatment methods on the scores of VAS and ODI(P<0.05).There was significant difference in the effect of treatment time on the scores of VAS and ODI(P<0.05).There were fluctuation changes of different degrees in the scores of VAS and ODI in both groups(P<0.05).At 1 month and 3 months after treatment,The scores of VAS and ODI in the combined treatment group were significantly lower than those in the ozone group(P<0.05).The JOA scores were significantly increased after treatment in both groups,and those of the combined treatment group were significantly higher than those of the control group at 3 months after treatment(P<0.05).There were no obvious adverse reactions in both groups.Conclusion The clinical effect of ozone combined with radiofrequency is superior to that of ozone in treating the lower limb pain of FBSS patients.
作者
闫芍药
黎巧玲
原伟莉
王锁良
Yan Shaoyao;Li Qiaoling;Yuan Weili;Wang Suoliang(Department of Pain Treatment,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)
出处
《成都医学院学报》
CAS
2020年第1期54-57,61,共5页
Journal of Chengdu Medical College
基金
陕西省自然科学基础研究计划(No:2017JM8032)
关键词
臭氧治疗
射频治疗
腰椎术后疼痛综合征
疗效
Ozone therapy
Radiofrequency therapy
Failed back surgery syndrome
Curative effect
作者简介
通信作者:王锁良,E-mail:19317678@qq.com。
