摘要
目的:观察温银针联合精准定位射频消融治疗非特异性下腰痛的临床疗效。方法:选取126例非特异性下腰痛患者作为研究对象,按随机数字表法分为对照组和联合组各63例。对照组给予精准定位射频消融治疗,联合组给予温银针联合精准定位射频消融治疗。采用日本骨科协会评估治疗分数(JOA)评估腰椎功能,Roland-Morris功能障碍调查表(RMDQ)评估功能障碍,视觉模拟评分法(VAS)评估下腰痛情况,比较2组治疗前后指地间距(FFD)、躯干前屈主动活动度(AROM)。评价2组临床疗效及6个月内复发情况。结果:联合组总有效率为95.24%,高于对照组84.13%(P<0.05)。治疗后,2组JOA评分均较治疗前升高,RMDQ、VAS评分均较治疗前降低(P<0.05);联合组JOA评分高于对照组,RMDQ、VAS评分低于对照组(P<0.05)。治疗后,2组FFD均较治疗前降低,AROM均较治疗前升高(P<0.05);且联合组FFD低于对照组,AROM高于对照组(P<0.05)。联合组6个月复发率为1.67%,低于对照组15.09%(P<0.05)。结论:温银针联合精准定位射频消融治疗非特异性下腰痛可改善腰部活动和功能障碍,缓解疼痛情况,提高临床疗效,且减少复发。
Objective:To observe the clinical effect of warm silver needle combined with radiofrequency ablation with precise positioning for nonspecific low back pain.Methods:A total of 126 cases of patients with nonspecific low back pain were selected as the study subjects and divided into the control group and the combination group according to the random number table method,with 63 cases in each group.The control group was treated with warm silver needle combined with radiofrequency ablation with precise positioning,and the combination group was treated with warm silver needle combined with radiofrequency ablation with precise positioning.Japanese Orthopaedic Association(JOA)scores was used to evaluate lumbar function,Roland Morris Disability Questionnaire(RMDQ)was applied to evaluate functional disorder,and Visual Analogue Scale(VAS)was employed to assess low back pain.Before and after treatment,finger-floor distance(FFD)and active range of motion(AROM)for trunk forward bending were compared between the two groups.The clinical effects in the two groups and recurrence within six months were evaluated in the two groups.Results:The total effective rate was 95.24%in the combination group,higher than that of 84.13%in the control group(P<0.05).After treatment,the JOA scores in the two groups were increased when compared with those before treatment,and the RMDQ and VAS scores were decreased when compared with those before treatment(P<0.05);the JOA score in the combination group was higher than that in the control group,and the RMDQ and VAS scores were lower than those in the control group(P<0.05).After treatment,FFD in the two groups were decreased when compared with those before treatment,and AROM was increased when compared with those before treatment(P<0.05);FFD in the combination group was lower than that in the control group,and the AROM was higher than that in the control group(P<0.05).The six-month recurrence rate was 1.67%in the combination group,lower than that of 15.09%in the control group(P<0.05).Conclusion:The combination of warm silver needle and radiofrequency ablation with precise positioning for nonspecific lower back pain can improve lumbar mobility and dysfunction,alleviate pain,improve clinical effects,and reduce recurrence.
作者
邢艳菊
冯伟平
陈园园
XING Yanju;FENG Weiping;CHEN Yuanyuan(Department of Pain,Xuchang Central Hospital Rehabilitation Hospital,Xuchang He'nan 461000,China)
出处
《新中医》
CAS
2023年第17期190-194,共5页
New Chinese Medicine
关键词
非特异性下腰痛
温银针
精准定位
射频消融
疼痛
腰椎活动度
腰椎功能
Nonspecific low back pain
Warm silver needle
Precise positioning
Radiofrequency ablation
Pain
Lumbar activity
Lumbar function
