摘要
目的:探讨射频热凝损毁术(PRFT)治疗老年骨质疏松椎体压缩骨折(VCF)经皮椎体成形术(PVP)后疼痛的效果.方法:选取2020年12月-2021年12月于我院就诊的63例老年VCF经PVP后疼痛患者为研究对象,随机分为观察组(n=31)与对照组(n=32).对照组采用常规消炎镇痛药物治疗,观察组在对照组的基础上采用PRFT治疗.比较2组的不良事件发生情况,记录2组治疗前及治疗1、3、6个月后的疼痛视觉模拟(VAS)评分,观察2组治疗前及治疗6个月后的Oswestry功能障碍指数(ODI)、日本骨科协会评估治疗分数(JOA)、日常生活活动能力量表(ADL)评分及生活质量量表(SF-36)评分.结果:观察组治疗1、3、6个月后的VAS评分均低于对照组,组间差异有统计学意义(P<0.05).治疗6个月后,观察组的ODI评分低于对照组,JOA评分高于对照组,组间差异有统计学意义(P<0.05).治疗6个月后,观察组的ADL评分及SF-36评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的不良反应总发生率为16.13%,与对照组的28.13%比较,差异无统计学意义(P>0.05).结论:腰脊神经后支PRFT可缓解老年VCF经PVP术后的疼痛情况,提高腰椎功能和生活自理能力,安全性较高.
Objective:To investigate the efficacy of percutaneous radiofrequency thermocoagulation(PRFT)in the treatment of pain after percutaneous vertebroplasty(PVP)of osteoporotic vertebral compression fracture(VCF)in elderly patients.Methods:A total of 63 elderly patients with pain after PVP in VCF who treated in our hospital from December 2020 to December 2021 were selected as the study subjects,and they were randomly divided into an observation group(n=31)and a control group(n=32).The control group was treated with conventional anti-inflammatory and analgesic drugs,while the observation group was treated with PRFT on the basis of the control group.The incidence of adverse events between two groups was compared,the pain Visual Analogue Scale(VAS)scores before and after 1,3,and 6 months of treatment were recorded,and the Oswestry Dysfunction Index(ODI),Japanese Orthopedic Association assessment treatment score(JOA),Activities of Daily Living(ADL),and Quality of Life Scale(SF-36)scores before and 6 months of treatment in the two group groups were observed.Results:The VAS scores of the observation group after 1,3,and 6 months of treatment were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).After 6 months of treatment,the ODI score of the observation group was lower than that of the control group,and the JOA score of the observation group was higher than that of the control group,with statistically significant differences between the groups(P<0.05).After 6 months of treatment,the ADL score and SF-36 score of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was 16.13%,and there was no statistically significant difference compared to the control group of 28.13%(P>0.05).Conclusion:PRFT of the posterior branch of the lumbar spinal nerve can alleviate the pain of elderly VCF after PVP surgery,improve lu
作者
曹元荣
朱开荣
CAO Yuanrong;ZHU Kairong(Department of spinal arthropathy,Xinfeng demao orthopedic hospital,Ganzhou,Jiangxi 341600)
出处
《中国伤残医学》
2024年第6期36-40,共5页
Chinese Journal of Trauma and Disability Medicine
基金
赣州市卫生健康委科研计划(2023-2-110)。
关键词
老年椎体压缩骨折
椎体成形术
腰脊神经后支射频热凝损毁术
疼痛
Elderly vertebral compression fractures
Vertebroplasty
Percutaneous radiofrequency thermocoagulation of the posterior branch of the lumbar spinal nerve
Pain
