摘要
目的探讨臭氧侧隐窝注射联合内热针对腰椎间盘突出症患者疼痛症状与生活质量的影响。方法回顾性分析2018年9月至2021年8月十堰市太和医院收治的103例腰椎间盘突出症患者的病例资料,根据治疗方法不同将患者分为对照组(n=46)和观察组(n=57)。对照组给予腰椎牵引+电针治疗,观察组给予臭氧侧隐窝注射+内热针治疗。观察两组患者治疗前及经治疗后7 d、1个月、3个月疼痛视觉模拟评分(VAS)、日本骨科协会评分(JOA)、压痛阈值、生活质量量表(SF-36)水平,记录两组患者治疗后临床疗效和并发症发生情况。结果两组患者经治疗后疼痛VAS评分均低于治疗前,且治疗1、3个月低于治疗7 d,且观察组经治疗后1、3个月疼痛VAS评分为(3.86±1.04)、(2.95±0.93)分,低于对照组[(4.72±1.14)、(4.32±1.21)分],差异均有统计学意义(P<0.05)。两组患者经治疗后JOA评分均高于治疗前,且治疗1、3个月高于治疗7 d,3个月高于1个月,且观察组经治疗后1、3个月JOA评分为(17.64±2.37)、(20.77±3.51)分,高于对照组[(14.38±2.18)、(16.64±2.85)分],差异均有统计学意义(P<0.05)。两组患者经治疗后7 d、1个月、3个月的压痛阈值均高于治疗前,且观察组经治疗后1、3个月压痛阈值为(2.89±0.74)、(3.37±0.45)kg/cm^(2),高于对照组[(2.24±0.64)、(2.29±0.62)kg/cm^(2)],差异均有统计学意义(P<0.05)。两组患者经治疗后7 d、1个月、3个月的SF-36评分均高于治疗前,且观察组经治疗后1、3个月SF-36评分为(69.31±8.97)、(72.96±12.25)分,高于对照组[(64.27±10.56)、(65.45±13.12)分],差异均有统计学意义(P<0.05)。观察组临床总有效率为92.98%,高于对照组(78.26%),差异有统计学意义(P<0.05)。观察组并发症发生率为17.54%,对照组并发症发生率为19.57%,两组比较差异无统计学意义(P>0.05)。结论臭氧侧隐窝注射联合内热针治疗腰椎间盘突出症患者具有较好的临床疗效和安全性,�
Objective To investigate the effect of ozone lateral recess injection combined with internal heat acupuncture on pain symptoms and quality of life in patients with lumbar disc herniation.Methods A total of 103 patients with lumbar disc herniation admitted to Taihe Hospital from September 2018 to August 2021 were retrospectively analyzed and divided into a control group(n=46,lumbar traction+electroacupuncture treatment)and an observation group(n=57,ozone lateral recess injection+internal heat acupuncture treatment)according to treatment methods.The pain visual analogue scale(VAS),Japanese Orthopaedic Association score(JOA),tenderness threshold and quality of life scale(SF-36)were observed at 7 days,1 month and 3 months after treatment in both groups.The incidence of complications and clinical effective rate after treatment were recorded in both groups.Results The pain VAS score of the two groups after treatment was lower than that before treatment,and lower than that at 7 days after treatment at 1 and 3 months,and the pain VAS score at 1 month and 3 months after treatment in the observation group were(3.86±1.04),(2.95±0.93)points,which were lower than those in the control group[(4.72±1.14),(4.32±1.21)points],the differences were statistically significant(P<0.05).The JOA scores of the two groups after treatment were higher than those before treatment,and the JOA scores of the two groups at 1 and 3 months after treatment were higher than those at 7 days,and 3 months after treatment was higher than those at 1 month,the JOA scores of the observation group at 1 and 3 months after treatment were(17.64±2.37),(20.77±3.51)points,which were higher than those of the control group[(14.38±2.18),(16.64±2.85)points],the differences were statistically significant(P<0.05).The tenderness threshold of the two groups after treatment was higher than that before treatment,the tenderness threshold of the observation group at 1 and 3 months after treatment were(2.89±0.74)(3.37±0.45)kg/cm^(2),which were higher than that of the c
作者
瞿亿明
王刚
谭彩玲
关闯
QU Yi-ming;WANG Gang;TAN Cai-ling(Department of Orthopaedic,Taihe Hospital,Shiyan Hubei 442000,China.;Department of General Traditional Chinese Medicine,Taihe Hospital,Shiyan Hubei 442000,China.)
出处
《临床和实验医学杂志》
2022年第20期2189-2193,共5页
Journal of Clinical and Experimental Medicine
基金
湖北省自然科学基金面上项目(编号:2019CFC883)。
关键词
腰椎间盘突出症
内热针
臭氧椎间孔注射
Lumbar disc herniation
Internal heat acupuncture
Transforaminal ozone injection
