血栓通联合腰椎小关节射频热凝术在腰椎退变诱发的腰背痛患者中的价值

The application and research of Xueshuantong combined with radiofrequency thermocoagulation on the treatment of low back pain caused by lumbar degeneration

目的探讨血栓通联合腰椎小关节射频热凝术在腰椎退变诱发的腰背痛患者中的价值。方法随机选择嘉善县中医医院自2014年1月1日~2015年12月30日收治的腰椎退变性腰背痛患者60例,随机分为观察组和对照组,每组各30例。两组患者均给予射频热凝术治疗,在此基础上,对照组给予血栓通治疗。两组患者分别于治疗前、治疗开始后1、3、7、14、30、90 d采用国际疼痛学会推荐使用的视觉模拟量表（VAS）及简式Mc Gill疼痛问卷（SF-MPQ）对患者进行疼痛评估。结果两组患者术前VAS、SF-MPQ和CRP等均无统计学差异。与对照组比较,观察组患者术后1、3、7和14 d时VAS显著降低;术后1、3、7、14 d和30 d时SF-MPQ显著降低;术后14、30和90 d时CRP显著降低（P〈0.05）。两组患者均未发生严重并发症。结论血栓通联合腰椎小关节射频热凝疗法是一种安全、有效、费用低廉的治疗腰椎退变诱发的腰背痛的有效方法。

Objective To investigate the value of Xueshuangtong combined with radiofrequency thermocoagulation in the treatment of lumbar degenerative lumbar pain.MethodsFrom January 1, 2014 to December 30, 2015, 60 patients with lumbar degenerative low back pain admitted in Jiashan Traditional Chinese Medicine Hospital.All of them were randomly divided into observation group and control group, and each with 30 cases.All patients received radiofrequency thermocoagulation, while the observation group received Xueshuantong for further treatment.All of the patients were assessed by the international Pain Association recommended the use of visual analogue scale （VAS） and McGill pain questionnaire （SF-MPQ） and CRP when treatment before starting and after 1, 3, 7, 14, 30 and 90d of the treatment.ResultsThere were no significant differences between the two groups in VAS, SF-MPQ and CRP before treatment （P〈0.05）.However, when compared with the control group, patients in the observation group got significantly lower levels of VAS at 1, 3, 7 and 14d after the operation;significantly lower levels of SF-MPQ at 1, 3, 7, 14 and 30d after the operation;and significantly lower levels of CRP at 14, 30 and 90d after the operation （P〈0.05）.And we found no serious complications occurred in the two groups.ConclusionThe Xueshuantong combined with radiofrequency thermocoagulation treatment of lumbar facet joint is a safe, effective and inexpensive for the low back pain which caused by lumbar degeneration.