摘要
目的探讨对腰椎间盘突出症患者选择靶点脉冲射频+针灸方法治疗后获得的临床效果。方法选择该院2017年1月—2019年2月收治的103例腰椎间盘突出症患者作为实验对象;数字奇偶法分组后探究每组治疗方法;比照组(51例):选择靶点脉冲射频方法展开治疗;实验组(52例):选择靶点脉冲射频+针灸方法展开治疗;比较两组患者治疗总优良率、镇痛维持时间、镇痛起效时间、疼痛评分以及炎症因子指标。结果实验组腰椎间盘突出症患者治疗总优良率(96.15%)高于比照组(82.35%)明显(χ^2=5.141 0,P<0.05);实验组镇痛维持时间为(29.53±3.29)d,镇痛起效时间为(0.81±0.09)h,治疗前疼痛评分为(5.06±1.21)分,治疗后为(1.25±0.12)分,比照组镇痛维持时间为(17.55±3.33)d,镇痛起效时间为(1.39±0.06)h,治疗前疼痛评分为(5.11±1.25)分,治疗后为(2.59±0.35)分,实验组腰椎间盘突出症患者镇痛维持时间长于比照组明显,镇痛起效时间短于比照组明显(t=18.366 0、38.405 4,P<0.05);治疗前,实验组腰椎间盘突出症患者疼痛评分同比照组差异无统计学意义(t=0.206 2,P>0.05);治疗后,实验组腰椎间盘突出症患者疼痛评分低于比照组明显(t=26.090 9,P<0.05);实验组肿瘤坏死因子α水平为(1.13±0.24)μg/mL,白细胞介素1β水平为(0.22±0.07)μg/mL,比照组肿瘤坏死因子α水平为(1.52±0.21)μg/mL,白细胞介素1β水平为(0.39±0.06)μg/mL,实验组腰椎间盘突出症患者肿瘤坏死因子α水平以及白细胞介素1β水平均低于比照组明显(t=8.770 0、13.221 9,P<0.05)。结论腰椎间盘突出症患者于临床接受靶点脉冲射频+针灸治疗后,对于治疗总优良率的提升,镇痛维持时间延长,镇痛起效时间缩短,疼痛症状的改善,肿瘤坏死因子α水平以及白细胞介素1β水平的降低,效果明显。
Objective To investigate the clinical effects of selective target pulsed radiofrequency acupuncture in patients with lumbar disc herniation. Methods 103 patients with lumbar disc herniation admitted to our hospital from January 2017 to February 2019 were selected as subjects. The digital parity method was used to investigate each group of treatment methods. The comparison group (51 cases): selected target pulse radio frequency methods. The experimental group (52 cases): the target pulse pulse radiofrequency + acupuncture method was selected for treatment. The total excellent and good rate, analgesic maintenance time, analgesic onset time, pain score and inflammatory factor index were compared between the two groups. Results The total excellent and good rate of treatment in patients with lumbar disc herniation in the experimental group (96.15%) was significantly higher than that in the control group (82.35%)(χ^2=5.141 0,P<0.05). The analgesic maintenance time in the experimental group was (29.53±3.29)d. The analgesic onset time was (0.81±0.09) h, the pre-treatment pain score was (5.06±1.21) points, and the treatment was (1.25±0.12) points. The analgesic maintenance time of the comparison group was (17.55±3.33)d. The onset time was (1.39±0.06) h, the pain score before treatment was (5.11±1.25)points, and the score after treatment was(2.59±0.35)points. The analgesic maintenance time of patients with lumbar disc herniation in the experimental group was longer than that of the control group. The analgesic onset time was shorter than that in the control group(t=18.366 0, 38.405 4,P<0.05). Before treatment, the pain scores of the lumbar disc herniation in the experimental group were not statistically significantly different(t=0.206 2,P>0.05). After treatment, the pain scores of patients with lumbar disc herniation in the experimental group were significantly lower than those in the control group(t=26.090 9,P<0.05);the level of tumor necrosis factor α in the experimental group was (1.13±0.24)μg/mL, and the level of interleukin-1β was (0.22±0.07)μg/mL, the tumor necrosis factor α level in the comparison group was (1. 52±0.21)μg/mL, interleukin-1β level was (0.39±0.06)μg/mL. The level of tumor necrosis factor-α and interleukin-1β in patients with lumbar disc herniation in the experimental group were significantly lower than those in the control group(t=8.770 0, 13.221 9,P<0.05). Conclusion Patients with lumbar disc herniation have improved the overall excellent rate of treatment, prolonged analgesic duration, shortened analgesic onset time, improved pain symptoms, and tumor necrosis factor alpha levels after receiving clinical target pulse RF + acupuncture treatment and the reduction of interleukin-1β level, the effect is obvious.
作者
杨丽艳
YANG Li-yan(Linxiang District Chinese Medicine Hospital,Lincang,Yunnan Province,677000 China)
出处
《世界复合医学》
2019年第8期155-157,171,共4页
World Journal of Complex Medicine
关键词
靶点脉冲射频
针灸
腰椎间盘突出症
临床效果
Target pulse radiofrequency
Acupuncture
Lumbar disc herniation
Clinical effect
