引用本文
  •    [点击复制]
  •    [点击复制]
【打印本页】 下载全文 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 49次   下载 70 本文二维码信息
码上扫一扫!
脊神经后内侧支连续射频联合坐位旋推手法治疗小关节源性下腰痛的临床疗效
李远栋,王平,刘爱峰,张君涛,张超,卜寒梅,苗妙,邵磊
0
天津中医药大学第一附属医院/ 国家中医针灸临床医学研究中心天津 300381
摘要:
目的:观察脊神经后内侧支连续射频联合坐位旋推手法治疗小关节源性下腰痛的临床疗效。方法:选择 2015年 12月—2018年 12月就诊于天津中医药大学第一附属医院骨伤科的腰椎小关节源性 LBP患者共 180例。其中连续射频联合坐位旋推手法组 90例(射频 +手法组),单纯连续射频组 90例(射频组),观察并比较治疗前后疼痛视觉模拟( VAS)评分、Oswestry功能障碍指数( ODI)评分、日本骨科协会( JOA)评分、 SF-36生活质量评分及腰部软组织张力变化,并评价临床疗效。结果:射频 +手法组总有效率( 97.78%)优于射频组总有效率( 92.22%),差异有统计学意义( P<0.05);两组 VAS、ODI、JOA、SF-36评分及腰部软组织张力组内与治疗前比较,治疗后较治疗前明显改善,差异有统计学意义(P<0.05),两组治疗后组间比较,射频 +手法组优于单纯射频组,差异有统计学意义( P<0.05)。结论:脊神经后内侧支连续射频联合坐位旋推手法在改善患者下腰痛、软组织张力、腰椎功能及生活质量方面疗效显著,值得推广。
关键词:  下腰痛  连续射频  坐位旋推手法  脊神经后内侧支
DOI:10.3969/j.issn.1007-6948.2022.02.018
投稿时间:2021-04-18
基金项目:
Clinical Efficacy of Continuous Radiofrequency Combined with Sitting Rotation-pushing Manipulation of Spinal Nerve Posterior Branch in Treatment of Small Articular Low Back Pain
LI Yuan-dong,WANG Ping,LIU Ai-feng
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Abstract:
Objective To observe the clinical effect of continuous radiofrequency of posterior medial branch of spinal nerve combined with sitting rotation manipulation in the treatment of facet arthrogenic low back pain.  Methods A total of 180 cases were included in the study using retrospective cohort study, including 90 cases in the continuous RF combined with sitting rotation maneuver group (RF+maneuver group) and 90 cases in the simple continuous RF group (RF group). Visual analog pain (VAS) score, Oswestry disability index (ODI) score, Japanese Orthopaedic Association (JOA) score, SF-36 quality of life score and lumbar soft tissue tension were observed before and after treatment. Intra-group and intergroup statistical analysis were performed and the clinical ef.cacy was evaluated. Results The total effective rate of the RF+manipulation group (97.78%) was better than that of the RF group (92.22%) and the difference was statistically significant (P<0.05). The VAS, ODI,
Key words:  Low back pain  continuous radiofrequency  sitting rotation-pushing manipulation  posterior medial ramus of spinal nerve

用微信扫一扫

用微信扫一扫