射频热凝靶点消融术联合颈椎操康复功能锻炼治疗颈椎病的临床效果

Clinical effect of radiofrequency thermocoagulation target ablation combined with cervical vertebra exercise rehabilitation functional exercise in the treatment of cervical spondylosis

目的观察射频热凝靶点消融术联合颈椎操康复功能锻炼治疗颈椎病的临床效果及对患者疼痛、细胞因子水平的影响。方法选择2019年2月至2020年6月在我院接受治疗的80例颈椎病患者为研究对象,根据随机数字表法将其分为对照组和观察组,各40例。对照组给予射频热凝靶点消融术治疗,观察组在对照组基础上给予颈椎操康复功能锻炼治疗。比较两组的临床症状积分、细胞因子水平、疼痛程度、睡眠质量、复发情况。结果治疗后,两组的眩晕、颈肩痛、头痛评分及总分均升高,且观察组高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的P物质(SP)、白细胞介素-6(IL-6)水平均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的视觉模拟评分法(VAS)评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的匹兹堡睡眠质量指数(PSQI)各项目评分及总分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组半年后的复发率为5.00%,低于对照组的22.50%,差异具有统计学意义(P<0.05)。结论射频热凝靶点消融术联合颈椎操康复功能锻炼治疗颈椎病的效果显著,可改善患者的症状和疼痛情况,具有良好的应用价值。

Objective To observe the clinical effect of radiofrequency thermocoagulation target ablation combined with cervical vertebra exercise rehabilitation functional exercise in the treatment of cervical spondylosis and its influences on pain and cytokine levels of patients.Methods A total of 80 patients with cervical spondylosis who were treated in our hospital from February 2019 to June 2020 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 40 cases in each group.The control group was treated with radiofrequency thermocoagulation target ablation,and the observation group was treated with cervical vertebra exercise rehabilitation functional exercise on the basis of the control group.The clinical symptom scores,cytokine levels,severity of pain,sleep quality and recurrence were compared between the two groups.Results After treatment,the scores of vertigo,neck and shoulder pain,headache and total score in the two groups increased,and those in the observation group were higher than the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of substance P(SP)and interleukin-6(IL-6)in the two groups decreased,and those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).After treatment,the Visual Analogue Scale(VAS)score of the two groups decreased,and that in the observation group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,the Pittsburgh Sleep Quality Index(PSQI)each item scores and total score of the two groups decreased,and those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).The recurrence rate in the observation group was 5.00%half a year later,which was lower than 22.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion Radiofrequency thermocoagulation target ablation combined with cervical vertebra exercise rehabilitation functional exercise is effective in the treatment of cervical spondylosis,which can improve the symptoms and pain of patients,and has good application value.