CT引导下臭氧消融术联合中药局部熏蒸治疗盘源性腰痛128例疗效观察

Effective observation on treating discogenic back pain by CT-guided ozone ablation plus local fumigation with TCM medicine

目的:探讨分析CT引导下臭氧消融术联合中药局部熏蒸治疗盘源性腰痛的效果。方法:选取2015年1月-2016年12月期间来我院就诊并确诊为盘源性腰痛的患者256例,选取其中128例设为实验组,剩余128例为对照组。实验组患者采用CT引导下臭氧消融术联合中药局部熏蒸治疗,对照组则单纯采用中药局部熏蒸,对比两组患者治疗效果。结果:治疗前,两组患者腰痛症状评分差异不明显,差异无统计学意义(P>0.05);治疗1周及2个月后,两组患者腰痛症状评分均下降(P<0.05),但实验组较对照组降幅明显,差异有统计学意义(P<0.05);治疗2个月后对两组患者治疗效果进行评价,实验组总有效率为96.88%,对照组为75.00%,差异有统计学意义(P<0.05);不良反应方面,实验组及对照组各出现轻微头晕症状患者1例,经对症处理后患者症状明显改善,所有患者均未出现神经根损伤、感染等并发症。结论:治疗盘源性腰痛时应用CT引导下臭氧消融术联合中药局部熏蒸可取得良好效果,且不良反应发生较少,值得推荐应用于临床。

Objective:To investigate the effect of local fumigation with TCM medicine plus CT-guided ozone ablation on discogenic back pain.Methods:256 cases diagnosed as discogenic back pain and treated in our hospital were selected from January 2015 to December 2016,and were divided to the experimental group and control group,128 cases in each.The experimental group was treated by CT-guided ozone ablation plus the local fumigation with TCM medicine,and the control group was treated by local fumigation with TCM medicine only.Results:Before treatment,the difference of symptom scores of lumbago in two groups were not obvious(P>0.05).After 1 weeks and 2 months,the symptom scores of lumbago in both groups were decreased(P<0.05),and in the experimental group was significantly lower than that in the control group,with a statistically significant difference(P<0.05).After 2 months,the effectiveness in the two groups was evaluated.The total effective rate in the experimental group was 96.88%,and in the control group was 75.00%,the difference was statistically significant(P<0.05).In the aspect of adverse reactions,1 patient suffered from mild dizziness in the experimental group and control group respectively,were improved after symptomatic treatment.And all patients did not appear nerve root injury,infection and other complications.Conclusion:CT-guided ozone ablation plus the local fumigation with TCM medicine on discogenic back pain is effective,with few adverse reactions,and worth recommending in clinic.