中频治疗仪联合牵引疗法对腰椎间盘突出伴坐骨神经痛患者疼痛和关节功能恢复的影响

Effect of Intermediate Frequency Therapy Device Combined with Traction Therapy on Pain and Joint Function Recovery in Patients with Lumbar Disc Herniation with Sciatica

目的探讨中频治疗仪和牵引疗法联合应用对腰椎间盘突出伴坐骨神经痛的治疗效果。方法选取2022年2月—2024年1月广饶县人民医院收治的96例腰椎间盘突出伴坐骨神经痛患者为研究对象,按照随机信封法将其分为对照组(n=39)与观察组(n=57)。对照组采用常规物理牵引治疗,观察组在对照组的基础上采用中频治疗仪治疗。比较两组患者的临床疗效、腰椎功能、临床症状改善情况和炎症因子水平。结果观察组治疗总有效率为96.49%,高于对照组的82.05%,差异有统计学意义(P<0.05)。治疗前,两组日本骨科协会评估量表(JOA)、Oswestry功能障碍指数(ODI)、疼痛视觉模拟(VAS)评分和腰屈曲范围比较,组间差异无统计学意义(P>0.05);治疗后,两组JOA评分均高于治疗前,腰屈曲范围均大于治疗前,VAS和ODI评分均低于治疗前,且观察组JOA评分高于对照组,腰屈曲范围大于对照组,VAS和ODI评分均低于对照组,差异有统计学意义(P<0.05)。治疗前,两组前列腺素E_(2)(PGE_(2))、肿瘤坏死因子-ɑ(TNF-ɑ)和白细胞介素-6(IL-6)水平比较,组间差异无统计学意义(P>0.05);治疗后,两组TNF-ɑ、PGE_(2)、IL-6水平均低于治疗前,且观察组均低于对照组,差异有统计学意义(P<0.05)。结论在腰椎间盘突出伴坐骨神经痛的临床治疗中,中频治疗仪和物理牵引联合治疗能够有效促进患者疼痛缓解,提升腰椎功能和活动度,减轻无菌性炎症刺激,改善临床症状,治疗实用性较高。

Objective To investigate the effect of combined application of intermediate frequency therapy device and traction therapy on lumbar disc herniation with sciatica.Methods Ninety-six patients with lumbar disc herniation with sciatica admitted to Guangrao County People's Hospital from February 2022 to January 2024 were selected as the research objects,and were divided into a control group(n=39)and an observation group(n=57)according to random envelope method.The control group was treated with conventional physical traction therapy,and the observation group was treated with intermediate frequency therapy device on the basis of the control group.The clinical efficacy,lumbar function,improvement of clinical symptoms and levels of inflammatory factors were compared between the two groups.Results The total effective rate of the observation group was 96.49%,which was higher than 82.05%of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the Japanese Orthopaedic Association Assessment Scale(JOA),Oswestry Disability Index(ODI),the pain Visual Analogue Scale(VAS)and lumbar curvature between the two groups(P>0.05);after treatment,JOA scores in both groups were higher than before treatment,lumbar flexor range was greater than before treatment,VAS and ODI scores were lower than before treatment,and JOA scores in the observation group were higher than that in the control group,lumbar flexor range was greater than that in the control group,VAS and ODI scores were lower than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in the levels of prostaglandin E_(2)(PGE_(2)),tumor necrosis factor-alpha(TNF-alpha)and interleukin-6(IL-6)between the two groups(P>0.05);after treatment,the levels of TNF-alpha,PGE_(2) and IL-6 in both groups were lower than before treatment,and the observation group were lower than those in the control group,with statistical significance(P<0.05).Conclusion In the clinical treatment of lumbar disc herniation with sciatica,the combination of intermediate frequency therapy device and physical traction can effectively promote the pain relief of patients,improve the function and mobility of lumbar spine,reduce aseptic inflammatory stimulation,improve clinical symptoms,and have high therapeutic practicability.