牵引、推拿联合低温等离子射频消融术治疗腰椎间盘突出症临床研究
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R681.53

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Clinical Effect on Traction and Tuina Combined with Low- Temperature Plasma Radiofrequency Ablation for Lumbar Disc Herniation
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    摘要:

    目的:观察牵引、推拿联合低温等离子射频消融术治疗腰椎间盘突出症的临床疗效。方法:选择 110 例腰椎间盘突出症患者为研究对象,按随机数字表法分为对照组和研究组各55 例。对照组给予低温等离 子射频消融术治疗,研究组在对照组基础上给予牵引、推拿治疗。比较2 组治疗前后白细胞介素-17(IL-17)、 干扰素-γ(INF-γ)、白细胞介素-1β(IL-1β) 水平及Oswestry 功能障碍指数(ODI)、视觉模拟量表(VAS) 评分、健康状况调查表(SF-36) 评分,评价2 组临床疗效及6 个月复发率。结果:研究组总有效率为 96.36%,高于对照组81.82%(P<0.05)。研究组复发率为7.55%,低于对照组28.89% (P<0.05)。治疗后, 2 组IL-17、INF-γ、IL-1β 水平较治疗前降低(P<0.05),且研究组IL-17、INF-γ、IL-1β 水平低于对照 组(P<0.05)。治疗后,2 组ODI、VAS 评分较治疗前降低,研究组ODI、VAS 评分低于对照组(P<0.05); 2 组SF-36 评分较治疗前升高,研究组SF-36 评分高于对照组(P<0.05)。结论:牵引、推拿联合低温等离子 射频消融术治疗腰椎间盘突出症患者,可抑制炎症反应,缓解患者疼痛,降低腰椎功能障碍指数,改善腰椎功 能,提升临床疗效及生活质量,降低复发率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of traction and tuina combined with lowtemperature plasma radiofrequency ablation for lumbar disc herniation. Methods: A total of 110 cases of patients with lumbar disc herniation were selected as the study objects and divided into the control group and the study group according to the random number table method, with 55 cases in each group. The control group was treated with low-temperature plasma radiofrequency ablation,and the study group was additionally treated with traction and tuina based on the treatment of the control group. Levels of interleukin- 17(IL- 17),interferon- γ(INF- γ),interleukin- 1β(IL- 1β) and scores of Oswestry Dysfunction Index(ODI), Visual Analog Scale(VAS), and Health Status Questionnaire(SF- 36) in the two groups before and after treatment were compared. Clinical effects and the recurrence rates within six months were evaluated in the two groups. Results:The total effective rate was 96.36% in the study group,higher than that of 81.82% in the control group(P<0.05). The recurrence rate was 7.55% in the study group,lower than that of 28.89% in the control group(P<0.05). After treatment,levels of IL- 7,INF- γ and IL- 1β in the two groups were decreased when compared with those before treatment(P<0.05),and the three levels in the study group were lower than those in the control group(P<0.05). After treatment,the scores of ODI and VAS in the two groups were decreased when compared with those before treatment,and scores of ODI and VAS in the study group were lower than those in the control group(P<0.05);scores of SF-36 in the two groups were increased when compared with those before treatment(P<0.05), and the score in the study group was higher than that in the control group(P<0.05). Conclusion: Traction and tuina combined with lowtemperature plasma radiofrequency ablation in treating patients with lumbar disc herniation can inhibit inflammatory responses, relieve pain, decrease the indexes of lumbar dysfunction and the recurrence rate,and improve lumbar function,clinical effects,and quality of life.

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徐锋,刘清华,杨天红.牵引、推拿联合低温等离子射频消融术治疗腰椎间盘突出症临床研究[J].新中医,2023,55(1):174-177

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  • 在线发布日期: 2023-01-17
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