脊神经后内侧支阻滞术治疗对腰痛患者疼痛缓解ODI指数评分及JOA评分的影响

Effect of Posterior Medial Branch of Spinal Nerve Block on Pain Relief ODI Index Score and JOA Score in Patients with Low Back Pain

目的:探讨脊神经后内侧支阻滞术治疗腰痛患者对疼痛缓解、ODI指数评分及JOA评分的影响。方法:选取研究对象为96例腰痛患者,研究时间为2016年2月至2020年2月,通过随机数字表采用简单随机分组方法分为对照组(予以常规治疗)与观察组(予以脊神经后内侧支阻滞术治疗),各48例,且对两组患者的VAS评分、ODI指数评分、腰背肌后伸活动度(ROM)、等长肌力(IMS)、JOA评分、生活质量进行观察及评估。结果:治疗1周、4周、8周后,观察组的VAS评分、ODI指数评分低于对照组,而ROM、IMS、主观症状、临床体征、日常生活受限度、生理健康、心理健康、社会关系、独立性、环境因素评分高于对照组(P<0.05)。结论:脊神经后内侧支阻滞术治疗对腰痛患者,既能改善腰椎功能,又能减轻疼痛,应用价值高。

Objective:To investigate the effect of posterior medial branch of spinal nerve block on pain relief,ODI index score and JOA score in patients with low back pain.Methods:The selected study objects are 96 patients with low back pain from February 2016 to February 2020.A simple random grouping method is adopted through the random number table.The patients were divided into control group(given conventional treatment)and observation group(given posteromedial spinal nerve block surgery),each with 48 cases,and the VAS score and ODI index score,low back muscle extension activity(ROM),isometric muscle strength(IMS),JOA score,quality of life were observed and evaluated.Results:After 1 week,4 weeks,and 8 weeks of treatment,the VAS score and ODI index score of the observation group were lower than those of the control group,while the scores of ROM,IMS,subjective symptoms,clinical signs,limitations of daily life,physical health,mental health,and social relationship,independence and environmental factors were higher than those of the control group(P<0.05).Conclusion:The posterior medial branch of spinal nerve block can not only improve lumbar spine function,but also relieve pain in patients with low back pain,and has high application value.