臭氧注射联合射频消融术治疗腰椎间盘突出症患者的效果

Effects of ozone injection combined with radiofrequency ablation in treatment of patients with lumbar disc herniation

目的:观察臭氧注射联合射频消融术治疗腰椎间盘突出症患者的效果。方法:选取122例腰椎间盘突出症患者作为研究对象,按随机数字表法将其分为观察组与对照组各61例。对照组采用射频消融术治疗,观察组在对照组基础上联合臭氧注射治疗,比较两组治疗前后下腰痛日本骨科协会评估治疗(JOA)评分、Oswestry功能障碍指数(ODI)水平、治疗效果和不良反应发生率。结果:观察组下腰痛JOA评分高于对照组,ODI水平低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为90.16%(55/61),高于对照组的75.41%(46/61),差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计意义(P>0.05)。结论:臭氧注射联合射频消融术治疗腰椎间盘突出症患者可提高下腰痛JOA评分和治疗总有效率,降低ODI水平,其效果优于单纯射频消融术治疗。

Objective:To observe effects of ozone injection combined with radiofrequency ablation in treatment of patients with lumbar disc herniation.Methods:122 patients with lumbar disc herniation were selected as the research objects,and were divided into observation group and control group according to the random number table method,61 cases in each.The control group was treated with radiofrequency ablation,while the observation group was treated with ozone injection on the basis of that of the control group.The Japanese Orthopaedic Association lower back pain assessment(JOA)score,the Oswestry dysfunction index(ODI)level,the treatment effect and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The JOA score of low back pain in the observation group was higher than that of the control group;the ODI level was lower than that of the control group;and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 90.16%(55/61),which was higher than 75.41%(46/61)in the control group,and the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Ozone injection combined with radiofrequency ablation in the treatment of the patients with lumbar disc herniation can improve the JOA score of low back pain and the total effective rate of treatment,and reduce the ODI level.Moreover,it is superior to single radiofrequency ablation.