脉冲射频联合项韧带小针刀松解治疗颈椎病的效果观察

Observation on the Therapeutic Effect of Pulsed Radiofrequency combined with Acupotomy Ligament Release in the Treatment of Cervical Spondylosis

目的观察脉冲射频联合项韧带小针刀松解对颈椎病的治疗效果。方法选取我院在2011年9月—2013年9月期间收治的颈椎病患者100例为研究对象,随机分成对照组和治疗组,对照组采用韧带小针刀松解治疗,治疗组在此基础上联合脉冲射频的治疗,并分析治疗效果。结果两组患者的VAS评分均有所下降,治疗组患者的下降速度明显优于对照组,两组的差异对比较显著,具有统计学意义(P<0.05);两组患者的痊愈率和总有效率明显不同,治疗组患者的痊愈率为32(64.0%),总有效率为98.0%,对照组患者的痊愈率为10(20.0%),总有效率为84.0%,治疗组的痊愈率和总有效率明显高于对照组,差异对比较显著,具有统计学意义(P<0.05).结论采用脉冲射频联合项韧带小针刀松解法治疗颈椎病具有较高的临床价值,它可以降低患者的VAS评分,改善颈肩功能,提升患者的痊愈率和治疗总有效率,值得临床推广使用。

Objective To observe the therapeutic effect of pulsed radiofrequency combined with acupotomy ligament release in the treatment of cervical spondylosis. Methods 100 cases of cervical spondylosis patients admitted in our hospital from September 2011 to September 2013 were selected as the research objects, and they were randomly divided into control group and treatment group. The control group adopted acupotomy ligament release therapy. On the basis of the control group, the treatment group used pulsed ra-diofrequency therapy. The therapeutic effect was analyzed. Results VAS scores of the two groups were decreased, the descent rate of the treatment group was better than that of the control group, and the difference had statistical significance（ P〈0.05）. The cure rate and the total effective rate of the treatment group was 64.0 %（32 cases） and 98.0%, respectively, the cure rate and the total effective rate of the control group was 20%（ 10 cases） and 84.0%, respectively, the cure rate and the total effective rate of the treatment group was obviously higher than that of the control group, respectively, and the difference was statistically significant（ P0.05）. Conclusion The pulsed radiofrequency combined with acupotomy ligament release in the treatment of cervical spondylosis has highly clinical value, it can reduce the VAS score of patients, improve the function of neck and shoulder, increase the cure rate and the total effective rate, and is worthy of clinical promotion.