摘要
目的研究双极射频联合臭氧治疗腰椎间盘突出症(LDH)的临床疗效及下肢温差变化。方法回顾性研究住院LDH患者105例,所有患者均接受双极射频联合臭氧治疗。术中测量治疗前后主电极间盘阻抗,分析治疗前后双下肢红外热成像绝对温差变化,采用视觉模糊疼痛评分(VAS)、日本骨科学会评分(JOA)及改良Macnab标准评定治疗后疗效。结果治疗后VAS评分较治疗前显著降低(P<0.05),治疗后JOA评分较治疗前显著提高(P<0.05),治疗后椎间盘阻抗值较治疗前明显降低(P<0.05),治疗后小腿及足底温差较治疗前明显降低,其差异均有统计学意义(均P<0.05)。结论双极射频联合臭氧治疗能缓解LDH患者的疼痛、改善功能,具有较好的临床疗效。红外热成像技术能敏感反应LDH患者下肢体表温度的变化,在LDH的诊断与疗效评价中具有一定的价值。
Objective To study the clinical efficacy and lower limb temperature difference of bipolar radiofrequency combined with ozone in the treatment of lumbar disc herniation(LDH).Methods A retrospective study was conducted on 105 inpatients with LDH.All patients were treated with bipolar radiofrequency combined with ozone.The interdisc impedance of the main electrode was measured before and after treatment,and the absolute temperature difference of infrared thermal imaging of both lower extremities before and after treatment was analyzed.Vasual analogue scale(VAS)score,JOA score and modified Macnab standard were used to evaluate the curative effect after treatment.Results The VAS score after treatment was significantly lower than that before treatment(P<0.05),and the JOA score after treatment was significantly higher than that before treatment(P<0.05).The intervertebral disc impedance after treatment was significantly lower than that before treatment(P<0.05).The temperature difference between leg and plantar after treatment was significantly lower than that before treatment(all P<0.05).Conclusions Bipolar radiofrequency combined with ozone therapy can relieve pain and improve function in patients with LDH.Infrared thermal imaging can sensitively reflect the changes of body surface temperature of lower extremities in patients with LDH,and has a certain value in the diagnosis and curative effect evaluation of LDH.
作者
张超
王平
刘爱峰
张君涛
郎咸伟
李远栋
苏瑾
李嘉钰
Zhang Chao;Wang Ping;Liu Aifeng;Zhang Juntao;Lang Xianwei;Li Yuandong;Su Jin;Li Jiayu(Orthopedics and Traumatology,the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300380,China;Tianjin Hospital,Manipulation of Bone-Setting Room,Tianjin Hospital,Tianjin 300193,China)
出处
《国际生物医学工程杂志》
CAS
2020年第1期41-45,共5页
International Journal of Biomedical Engineering
基金
国家自然科学基金(81873316)
天津市卫生健康委员会中医、中西医结合科研专项课题(2019066)。
关键词
双极射频
臭氧
腰椎间盘突出症
红外热成像
Bipolar radiofrequency
Ozone
Lumbar disc herniation
Infrared thermal imaging
