Medical ozone alleviates acute lung injury by enhancing phagocytosis targeting NETs via AMPK/SR-A1 axis

Acute lung injury(ALI)linked to sepsis has a high mortality rate,with limited treatment options available.In recent studies,medical ozone has shown the potential to alleviate inflammation and infection.Here,we aimed to evaluate therapeutic potential of medical ozone in a mouse model of the sepsis-induced ALI by measuring behavioral assessments,lung function,and blood flow.Protein levels were quantified by Western blotting.In vitro,we performed experiments on bone marrow-derived macrophages(BMDMs)to investigate the effect of adenosine monophosphate(AMP)-activated protein kinase(AMPK)inhibitors and agonists on their phagocytic activity.The results showed that medical ozone significantly improved the survival rate,ameliorated lung injury,and enhanced lung function and limb microcirculation in mice with ALI.Notably,medical ozone inhibited the formation of neutrophil extracellular traps(NETs),a crucial factor in the ALI development.Additionally,medical ozone counteracted the elevated levels of tissue factor,matrix metalloproteinase-9,and interleukin-1β.In the ALI mice,the effects of ozone were abolished,and BMDMs showed an impaired capacity to engulf NETs following the Sr-a1 knockout.Under normal physiological conditions,the administration of an AMPK antagonist showed similar effects on the Sr-a1 knockout,significantly inhibiting the phagocytosis of NETs by BMDMs.In contrast,AMPK agonists enhanced this phagocytic process.In conclusion,medical ozone may alleviate the sepsis-induced lung injury through the AMPK/SR-A1 pathway,thereby enhancing the phagocytosis of NETs by macrophages.

Application of ozone therapy in interventional medicine

Ozone therapy has been gradually accepted by doctors in various fields because it has been safe, convenient, and inexpensive since the twentieth century. It has been used in the treatment of various diseases with satisfactory results, especially in the application of interventional surgery. For lumbar disc herniation, knee osteoarthritis,tissue ischemia-reperfusion after revascularization, stroke, and cancer, ozone therapy can improve the efficacy of interventional surgery and reduce postoperative acute and chronic complications. Prospects of ozone therapy in interventional therapy and the underlying mechanisms of efficacy need further exploration.

The apoptotic effect of ozone therapy on mitochondrial activity of highly metastatic breast cancer cell line MDA-MB-231 using in vitro approaches

Ozone(O) gas is the triatomic state of oxygen and it is used as a disinfection agent due to its strong oxidizing effect, since its discovery in the mid-nineteenth century. Ozone therapy is also an alternative therapeutic approach for some diseases like circulatory disorders, AIDS, asthma, cardiovascular diseases, and certain types of cancer by increasing the oxygen levels in the blood by external addition of ozone to the body. In this study, the therapeutic potential of ozone therapy was examined by inhibiting the growth of breast cancer cells in a dose-dependent procedure. Ozone concentrations varying from 5 to 20 μg/ml were applied to the MDA-MB-231, human breast adenocarcinoma and HUVEC, human umbilical vein endothelium, cell lines, and MDA cells demonstrated an increased rate of death while its migration potential decreases. RT-PCR analysis showed mRNA expression levels of pro-apoptotic genes demonstrated higher folds in MDA cells after 10 μg/ml treatment. In the same context,Annexin V/PI and cell cycle analysis also concluded that ozone therapy causes apoptotic cell death on breast tumor cells. The use of ozone therapy for cancer treatment requires further and extensive research. However, this research has shown that ozone therapy is a promising source for cancer treatment in a way by inhibiting the proliferation of breast tumor cells.

Ozone Therapy in Patients with Burn Disease

Objectives. Using of systemic ozone therapy connecting with antioxidants in early period of burn disease for detoxication and metabolic disorders correction is investigated. Materials and Methods. We used active preventive metabolic detoxication in early period of burn disease (5th - 15th days after shock stage). It includes, besides complex infusion and transfusion therapy and classic pharmacological treatment, employment of antioxidants with succinic acid (reamberin, mexidol), systemic ozone therapy (intravenous injections of ozonated sodium chloride solution with ozone concentration 120 - 240 μg/mL;saturating ozone concentration in gas flow—5000 μg/L, sparging speed—2 l/min), major autohemotherapy (twice a week;ozone dose—250 - 300 μg/mL) and monitor cleansing of bowels with rectal ozone insufflations (ozone dose—1000 μg/mL). Estimation of personal oxidant dose and treatment effectiveness is carried out by biochemiluminescence control of pro- and antioxidant system state. Complex patient study also includes endotoxicosis markers (blood level of glucose, creatinine, bilirubin, urea and intermediate molecular weight peptides), proteolytic enzymes activity (tripsin, antitripsin, elastase), cardiovascular and microcirculation function examination (tetrapolar rheography, spirography, laser Doppler flowmetry) at burn disease dynamics. We formed two patients groups: first control group (20 burned patients) received a traditional therapy;second group (20 burned patients) got a described detoxication complex additional to treatment of first group. All patients had large burns (more than 20% body square). Indications for parenteral ozone therapy are signs of hypoxia (hypoxemia, elevated lactate level, depressed lactate dehydrogenase activity) and toxemia (increased blood level of glucose, creatinine, urea, intermediate molecular weight peptides, fibrine degradation products, lypoperoxidation intensification);cardiovascular dysfunction;respiratory function disorders. Results. Method of ozone dose individualization in intravenous ozone therapy and pharmacological treatment as oxidation stress correction is shown. This method is based on biochemiluminescence detection of patient blood antioxidant system reaction in ozonization in vitro. It is important that first stage of method is pro- and antioxidant potential estimation. Conclusions. It was shown that this algorithm use determines fully correction of oxygen homeostasis disorders and endotoxicosis. It optimizes results of complex treatment of burned patients.

Fundamentals of the Use of Ozone Therapy in the Treatment of Aesthetic Disorders: A Review

Considering the great interest of many professionals in the foundation that guides the effective use of ozone therapy in the treatment of aesthetic disorders, this study aims to define the physiological and practical aspects of using the oxygen-ozone mixture to solve aesthetic problems. Exploratory research was carried out, presented in a narrative review, to highlight the action of ozone therapy in the treatment of aesthetic affections. The review explored scientific articles, books, theses, and dissertations published and available in the following databases: MEDLINE (Medical Literature Analysis and Retrieval System Online), PubMed (National Library of Medicine), SCIELO (Scientific Electronic Library Online), and LILACS (Latin Literature American and the Caribbean in Health Sciences). In addition, elements that characterize the authors’ clinical experience on ozone therapy in various aesthetic treatment protocols were added. We found several reports in the literature that justify the use of ozone and its different therapeutic modalities in various aesthetic affections, mainly in the treatment of localized fat, cellulite, rejuvenation, skin tissue repair, acne, dyschromia, and others. Through its various therapeutic modalities, we conclude that ozone therapy has added a lot to aesthetic procedures, mainly for its effective supporting action or as the main agent of critical physiological changes to enhance clinical results when treating aesthetic conditions.

The orthodox therapy of cardiovascular diseases integrated by ozone-therapy is able to normalize the redox system

Cardiovascular diseases such as chronic limb ischemia, cardiomyopathies and stroke represent the first cause of death. Moreover, type-II diabetes, chronic obstructive pulmonary disease and age-related macular degeneration are also progressive pathologies complicated by a chronic inflammation that might be able to maintain progressive chronic oxidative stress. Orthodox medicine has provided excellent drugs which slow down the progression of these diseases but minimally reverse the oxidative stress conditions. Administration of antioxidants is unable to balance the oxidant excess. Today, all the biochemical and molecular mechanisms of ozone therapy have been clarified and it has been demonstrated that ozone therapy can reactivate the fundamental Nrf2 system and be able to restore the innate antioxidant defense mechanisms composed of several highly protective enzymes. This paper proposes to integrate the orthodox treatment with ozone therapy for improving clinical results.

Effects of major ozonated autohemotherapy in the treatment of dry age related macular degeneration: a randomized controlled clinical study

AIM: To evaluate the effect of systemic ozonated major autohaemotherapy (O3-AHT) in patients affected by dry age related macular degeneration (AMD). METHODS: This study was a randomized, controlled clinical study. One hundred and forty patients with the diagnosis of AMD in both eyes, with the study eye presenting dry AMD and soft drusen, were randomly assigned in a 1:1 ratio to either receive 27 major ozonated autohemotherapy treatments during 12-month period, or a standardized multi-vitamin therapy. Primary outcome was the change in best corrected visual acuity (mean logMar change) between the baseline and 6 and 12 months, end point of the study. In addition, to investigate the safety of prolonged ozonated autohaemotherapy, we measured the routine haemato- chemical parameters and biochemical oxidative stress values at baseline and after 12 months treatment time. RESULTS: The mean baseline best corrected visual acuity in study eyes was 0.36 in the treatment group and 0.38 in the control group (difference not statistically significant). At the primary endpoint, 6 months post-baseline, the mean logMAR change in the treated group improved by 0.1 and the values of the control group at the same time impaired by 0.2 respect to the baseline. Four percent and twenty-five percent of eyes in the group treated with O3-AHT gained 1 or more lines after 6 and 12 months respectively compared to 0% in the eyes which received no treatment (P <0.05 at 12 months). None of the treated patients experienced a loss in visual acuity in their study eye at 6 and 12 months, compared to 16% and 40 % of patients in the control group who lost 2 lines or more at 6 months and 12 months respectively (P <0.05 treated vs control group)). Major ozonated autohemotherapy was shown to be safe and well- tolerated by the patients. Moreover, the haematochemical parameters showed a decrease in the Reactive Oxygen Metabolites (300±10.1 UCARR at 12 months compared to a baseline value of 380±10.4 UCARR, P <0.05) and an increase in Biological Antioxidant Potential plasma values (2100±34.8 micromoles/ C vitamin after 12 months compared to the baseline value of 1610±36.2, P <0.05) in the treated patients when compared to the control group. This data suggests that major ozonated autohaemotherapy may exert a role in reducing oxidative stress by endogenously stimulating the production of antioxidant molecules. CONCLUSION: The results of this study suggests that major ozonated autohaemotherapy could be a safe and effective therapeutic option for high-risk patients with dry AMD, and that a series of such treatments could improve the natural course of AMD.

Oxidative Consumption of Oral Biomolecules by Therapeutically-Relevant Doses of Ozone

In view of its potent microbicidal actions, ozone (O3) offers much potential for application as a therapeutic agent in oral health, e.g. in the treatment of dental caries. This oxidant is extremely reactive towards biomolecules present in the oral environment, and in this study we have employed high-resolution proton (1H) nuclear magnetic resonance (NMR) spectroscopy to determine the nature and extent of the oxidation of biomolecules known to be present in carious dentin, plaque and saliva. Phosphate-buffered (pH 7.00) aqueous solutions containing sodium pyruvate, α-D-glucose, L-cys teine and L-methionine (5.00 mM) were treated with gaseous O3 (4.48 mmol.) delivered by a therapeutic O3 generating device. Attack of O3 on methionine and cysteine generated the corresponding primary oxidation products of these substrates, specifically methionine sulphoxide [98% ± 4% (mean ± SEM) yield] and cystine (95% ± 6% yield) respectively, and treatment of pyruvate with this oxidant produced acetate and CO2 via an oxidative decarboxylation process (93% ± 4% yield). Reaction of O3 with α-D-glucose gave rise to formate as a major product (24% ± 2% yield). In conclusion, multicomponent 1H NMR analysis of appropriate chemical model systems provides valuable molecular information regarding the reactivity of O3 towards biomolecules present in the oral environment, information which is of much relevance to its therapeutic mechanisms of action. Moreover, in view of the much higher concentrations of these O3-scavenging biomolecules in oral fluid and/or soft tissue environments than that of O3 applied, they may also serve to offer protection against putative adverse effects inducible by any of this oxidant which escapes from its site of therapeutic application (e.g., at primary root carious lesions).

The Usage of Laser Doppler Flowmetry for Evaluation of the Efficiency of Ozone-Containing Drugs for External Use

Ozone-containing drugs for external use are the new trend in applying of medical ozone-oxygen mixture. For the last few years the majority of manufacturer countries have produced wide lines of ozone-containing cosmetics, which were presented in various ozone therapeutic congresses. Its properties are used in dermato-cosmetology for correction of the changes associated with aging, promoting regeneration, shortening the recovery period after surgeries or chemical peelings. The article presents the results of LDF （laser Doppler flowmetry） study of skin＇s blood dynamics in response to applying cosmetic gels containing different amounts of active oxygen in the form of ozonides, Comparative analysis of the three-patient groups allowed us to draw a conclusion about the accumulating stimulating effect of the ＂Ozodermis＂ 10% cream on skin＇s microcirculation, which makes it perspective for use as in healthy people for improving one＇s skin condition, as well as in people suffering from diseases, the key roles in pathogenesis of which are disorders in the skin＇s microcirculation （exampli gratia： vasculitis, severe forms of atopic dermatitis）.

Effectiveness of ozonated saline in the treatment of VX2 tumors in rabbits

Objective To investigate the efficacy, safety, and associated mechanisms of injected ozonated saline in the treatment of VX2 tumors. Methods A total of 90 rabbits bearing VX2 tumors on their left hind legs were randomly divided into three groups. The control group(A) received normal saline, while groups B and C received 20 μg/mL and 40 μg/mL O_3/O_2 ozonated saline, respectively. Rabbits were anesthetized and 2 mL of blood was drawn directly from the heart to measure serum concentrations of interleukin(IL-6) and tumor necrosis factor(TNF-α). The skin covering the VX2 tumor was cut in each rabbit and the maximum and vertical diameters of the tumors were measured under direct visualization. Several milliliters of saline, saline pre-treated with 20 μg/mL O_3/O_2, or saline pre-treated with 40 μg/mL O_3/O_2 were directly injected into the tumors of groups A, B, and C, respectively(injection volume(milliliter) =1/2 volume of the tumor, V = 1/2ab^2). On days 4, 8 and 12 following treatment, 10 rabbits were randomly selected from each group for blood sample collection, and serum IL-6 and TNF-α were measured. The tumor growth rate was calculated by measuring the maximum and vertical diameters of the VX2 tumors under direct visualization. All selected rabbits were euthanized and the tumors, livers, and lungs were removed for pathological examination. The tumor necrosis rate was calculated by cutting the tumors into half along the longitudinal axis and measuring the maximum diameters of the intratumoral necrotic regions. Results The average tumor volume in the three groups increased to different degrees at each time point; however, the average tumor growth rates in groups B and C were substantially lower than that in group A, exhibiting a statistically significant difference. The difference in the tumor growth rate between group B and group C was not statistically significant. The serum concentrations of IL-6 and TNF-α increased in the three groups at each time point, with larger increases occurring in groups B and C; however, the greater increases did not reach statistical significance. Although the diameters of the necrotic areas were larger in both groups B and C than that in group A, significant differences in necrotic area diameters were only found when comparing groups A and C on days 4 and 12 following treatment. Conclusion Direct injection of different concentrations of ozonated saline into VX2 tumors significantly increased intratumoral necrosis and reduced the tumor growth rate. The associated mechanism may be partially mediated by IL-6 and TNF-α, as the serum concentrations of these molecules increased after the treatment.

放血疗法联合神经阻滞及臭氧注射治疗老年带状疱疹后遗神经痛患者的临床观察

目的探讨放血疗法联合神经阻滞及臭氧注射对老年带状疱疹后遗神经痛患者疼痛症状、睡眠质量的影响及安全性分析。方法选取2023年6月—2023年12月上海市浦东新区人民医院疼痛门诊收治的80例老年带状疱疹后遗神经痛患者,按照随机数字表法分为2组:观察组(n=40)和对照组(n=40)。对照组接受神经阻滞联合臭氧注射治疗,观察组则在与对照组相同治疗的基础之上加用行放血疗法,2组均连续治疗4周。分别于治疗前及治疗4周后对2组患者进行疼痛VAS评分、匹兹堡睡眠质量指数(PSQI)评分,观察2组临床疗效、治疗不良反应发生情况,对2组上述评估值进行分析与比较。结果治疗后,2组VAS评分、PSQI评分均较同组治疗前显著降低(P<0.05),且观察组VAS评分、PSQI评分显著低于对照组(P<0.05);观察组总有效率高于对照组(P<0.05);2组治疗期间不良反应总发生率差异无统计学意义(P>0.05)。结论放血疗法联合神经阻滞及臭氧注射可能显著改善老年带状疱疹后遗神经痛患者疼痛症状,提高患者的睡眠质量和临床疗效。

拨针疗法联合中药对腰椎间盘突出症患者术后神经根水肿时间、疼痛介质及血清miR-141-3p的影响

目的 观察拨针疗法联合消髓化核汤对腰椎间盘突出症患者臭氧射频消融术后神经根水肿时间、疼痛介质及血清mi R-141-3p的影响。方法 将92例行臭氧联合低温等离子射频消融术的腰椎间盘突出症患者随机分为消髓化核汤组和拨针联合组,每组46例。消髓化核汤组予消髓化核汤治疗,拨针联合组在消髓化核汤组基础上予拨针疗法治疗。观察两组神经根水肿消失时间及治疗前后中医证候积分、疼痛视觉模拟量表(visual analog scale, VAS)评分、炎症指标[微小核糖核酸-141-3p(miRNA-141-3p, miR-141-3p)、可溶性肿瘤坏死因子Ⅰ型受体(soluble tumor necrosis factor receptor typeⅠ, sTNFRⅠ)、白细胞介素-17(interleukin-17,IL-17)、磷脂酶A2(phospholipase A2, PLA2)]和疼痛介质指标[甲硫氨酸脑啡肽(methionine enkephalin,Met-EnK)、缓激肽(bradykinin,BK)、 5-羟色胺(5-hydroxy tryptamine,5-HT)、 6-酮前列腺素E1α(6-keto-prostaglandin E1α, 6-keto-PGE1α)]水平的变化,并比较两组临床疗效。结果 拨针联合组总有效率为97.8%,高于消髓化核汤组的82.6%(P<0.05)。治疗后,两组中医证候积分较治疗前降低(P<0.05),且拨针联合组低于消髓化核汤组(P<0.05)。治疗后,两组VAS评分较治疗前降低(P<0.05),拨针联合组低于消髓化核汤组(P<0.05)。拨针联合组患者神经根水肿消失时间短于消髓化核汤组(P<0.05)。治疗后,两组血清IL-17、PLA2、miR-141-3p含量较治疗前降低(P<0.05),且拨针联合组低于消髓化核汤组(P<0.05);两组血清s TNFRⅠ含量较治疗前升高(P<0.05),且拨针联合组高于消髓化核汤组(P<0.05)。治疗后,两组血清Met-En K含量较治疗前升高(P<0.05),且拨针联合组高于消髓化核汤组(P<0.05);两组血清6-keto-PGE1α、5-HT、BK含量较治疗前降低(P<0.05),且拨针联合组低于消髓化核汤组(P<0.05)。结论 拨针疗法联合消髓化核汤治疗可降低腰椎间盘突出症术后血清IL-17、PLA2、miR-141-3p水平,改善疼痛介质指标,促进神经根水肿消退,提升临床疗效。

Comparison of intraperitoneal and intratesticular ozone therapy for the treatment of testicular ischemia-reperfusion injury in rats

We compare the efficacy of intratesticular ozone therapy with intraperitoneal ozone therapy in an experimental rat model. For this purpose, 24 rats were divided into four groups including sham-operated, torsion/detorsion, torsion/detorsion plus intraperitoneal ozone （O-IP）, and torsion/detorsion plus intratesticular ozone （O-IT）. The O-IP ozone group received a 4 mg kg-1 intraperitoneal injection of ozone, and the O-IT group received the same injection epididymally. At 4 h after detorsion, the rats were sacrificed and orchiectomy materials were assessed histopathologically. Spermatogenesis in the seminiferous tubules and damage to the Sertoli cells were histopathologically evaluated in the testes using the Johnsen scoring system, i-NOS and e-NOS activities in the testis tissue were also evaluated. Torsion-detorsion caused a decreased Johnsen score and increased apoptosis of spermatogonial and Sertoli cells. Ozone injection prevented increases in Johnsen score and i-NOS level, e-NOS level of the O-IP group was significantly lower than that of the O-IP group, and i-NOS level of the O-IT group was significantly lower than that of the O-IP group. Local ozone therapy is more effective than systemic ozone therapy at improving IRI-related testicular torsion. Our study is the first to show that the efficacy of intratesticular implementation of ozone therapy is higher than that of intraperitoneal ozone therapy.

微导丝贯穿法联合臭氧介入治疗输卵管阻塞性不孕症

目的观察微导丝贯穿法联合臭氧介入治疗输卵管阻塞性不孕症效果。方法回顾性分析149例输卵管阻塞性不孕症患者资料,其中A组(n=44)接受常规输卵管再通术(FTR),B组(n=51)接受微导丝贯穿法FTR,C组(n=54)接受微导丝贯穿法联合臭氧FTR治疗;比较治疗后1个月各组输卵管复通率及1年内自然妊娠率。结果治疗后1个月,A、B、C组输卵管复通率分别为63.38%(45/71)、80.22%(73/91)及92.78%(90/97),各组依次升高(P均<0.05);1年内A、B、C组自然妊娠率分别为20.45%(9/44)、27.45%(14/51)及48.15%(26/54),C组高于A、B组(P均<0.05),且A、B组差异无统计学意义(P=0.427)。结论 微导丝贯穿法联合臭氧介入治疗输卵管阻塞性不孕症效果优于常规FTR及单独微导丝贯穿法FTR。

自体富血小板血浆联合臭氧治疗军事训练所致踝关节创伤性关节炎的效果及对骨代谢指标的影响

目的探讨自体富血小板血浆(PRP)联合臭氧治疗军事训练所致踝关节创伤性关节炎的效果及对骨代谢指标的影响。方法选取2019年3月至2022年4月收治的92例踝关节创伤性关节炎患者为研究对象,按照随机数字表法将其分为对照组与观察组,各46例。对照组采用臭氧治疗,观察组在对照组基础上增加PRP治疗。比较两组的治疗效果。结果治疗后,观察组的美国骨科医师学会(AAOS)足踝量表、美国骨科足踝外协会(AOFAS)踝-后足评分均高于对照组,视觉模拟评分(VAS)评分低于对照组(P<0.05)。治疗后,观察组的骨钙素(BGP)水平高于对照组,总Ⅰ型胶原氨基端延长肽(TPⅠNP)、抗酒石酸盐酸性磷酸酶(TRAP)水平低于对照组(P<0.05)。治疗后,观察组的白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、基质金属蛋白酶-3(MMP-3)水平低于对照组(P<0.05)。结论PRP联合臭氧治疗军事训练所致踝关节创伤性关节炎的效果显著,可调节骨代谢指标,抑制炎症反应。

医用臭氧自体血回输在肝癌患者介入治疗中的应用效果

目的:探讨医用臭氧自体血回输在肝癌患者介入治疗中的应用效果.方法:选取2022年4月—2023年11月于江门市中心医院行介入治疗的肝癌患者120例作为观察对象,以随机数字表法分为对照组(接受常规护理)和观察组(在对照组基础上给予医用臭氧自体血回输干预),各60例.比较两组疼痛评分与疼痛控制情况、术后恢复指标、自我护理能力.结果:干预后,两组Prince-Henry评分均下降,观察组低于对照组,差异有统计学意义(P<0.05);观察组疼痛控制率高于对照组,差异有统计学意义(P=0.0281).观察组首次下床活动时间、首次排气时间、首次排便时间、首次进食时间早于对照组,总住院时间短于对照组,差异有统计学意义(P<0.0001).干预后,两组自我护理能力测定量表评分均升高,观察组高于对照组,差异有统计学意义(P<0.05).结论:针对肝癌介入治疗患者,联合医用臭氧自体血回输干预,能够有效减轻术后疼痛程度,提高疼痛控制效果,促进患者术后康复,提高自我护理能力.

全程引领式健康宣教联合臭氧干预在腰椎间盘突出症患者中的应用

目的探讨全程引领式健康宣教联合臭氧干预在腰椎间盘突出症患者中的应用。方法选取2019年3月至2022年3月在河南省中西结合医院确诊的68例腰椎间盘突出症患者,采用简单随机分组将患者分为联合组和常规干预组,各34例。两组患者均采用臭氧干预,常规干预组患者采用基础护理干预,联合组采用全程引领式健康宣教进行干预,均持续干预3个月。在干预前、干预1个月后和干预3个月后,比较两组患者视觉模拟评分(VAS)。在干预前后,比较两组患者疾病认知度和心理韧性评价量表(CD-RISC)评分;比较两组患者直腿抬高角度、腰背伸高度和腰椎功能评分(JOA)。结果干预后,两组认知度评分均有所提高,且联合组高于常规干预组,差异有统计学意义(P<0.05);干预前,两组患者VAS评分比较,差异无统计学意义(P>0.05);干预1个月后、干预3个月后,联合组VAS评分低于常规干预组,差异有统计学意义(P<0.05)。干预后,两组患者CD-RISC评分均有所升高,且联合组高于常规干预组,差异有统计学意义(P<0.05);干预后,两组患者JOA评分、直腿抬高角度和腰背伸高度均有所提升,且联合组高于常规干预组,差异有统计学意义(P<0.05)。结论全程引领式健康宣教联合臭氧干预能提高腰椎疾病患者的腰椎功能。

臭氧疗法治疗腰椎间盘突出症的疗效与安全性:一项基于随机对照的Meta分析和系统综述

目的 系统评价臭氧注射治疗腰椎间盘突出症(LDH)的疗效与安全性。方法 检索Embase、PubMed、Cochrane library、Web of science数据库中有关臭氧疗法治疗LDH的随机对照研究(RCT)文献,检索日期为建库至2023年2月。由两位研究者独立进行文献检索、筛选、数据提取,采用Cochrane偏倚风险评价工具评估纳入文献的质量,应用Stata 17.0软件进行Meta分析。结果 最终纳入9项RCTs,涉及702例患者。Meta分析结果显示与单纯选择射频热凝、经皮旋切等治疗LDH相比,联合臭氧注射治疗能显著提高Macnab疗效评价的有效率(RR=1.097,95%CI:1.038~1.159,P=0.001)和优良率(RR=1.185,95%CI:1.074~1.309,P=0.001),降低视觉模拟疼痛评分(VAS)(WMD=-0.810~95%CI:-1.205,-0.414,P=0.000)差异具有统计学意义。结论 相较于单纯使用射频热凝、经皮旋切等治疗LDH,联合使用臭氧疗法能显著提高Macnab疗效评价的有效率和优良率,降低VAS评分,安全性高。因受限于纳入原始研究的数量和质量,上述结论有待多中心、大样本、高质量研究进一步予以验证。

射频消融与臭氧注射联合针刺治疗对神经根型腰椎病患者疼痛和脊柱功能的影响

目的:探讨射频消融术与臭氧注射联合针刺治疗对神经根型腰椎病患者疼痛及脊柱功能的影响。方法:回顾性分析2022年3月-2023年6月济宁骨伤医院收治的80例神经根型腰椎病患者的临床资料,根据治疗方法的不同将其分为对照组与研究组,各40例。对照组采用射频消融治疗,研究组采用射频消融与臭氧注射联合针刺治疗。比较两组的临床疗效、疼痛程度及脊柱功能恢复情况。结果:研究组治疗总有效率为97.50%,高于对照组的75.00%,差异有统计学意义(P<0.05)。治疗后,两组疼痛数字评分法评分、腰椎功能障碍指数评分均低于治疗前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。结论:射频消融术与臭氧注射联合针刺治疗神经根型腰椎病患者,有助于提高治疗效果,缓解患者的疼痛程度,促进患者脊柱功能的恢复。

CT导向下臭氧消融术治疗腰椎间盘突出

目的探讨CT导向下臭氧消融术治疗腰椎间盘突出的价值。方法150例腰椎间盘突出于CT导向下行臭氧消融治疗。突出物为旁中央型者经神经根与硬膜囊之间穿刺突出物达盘内,突出物为外侧型者经神经根外侧、小关节突内缘穿刺突出物达盘内,分别于盘内及突出物中央注射浓度为60μg/ml臭氧5～15ml。结果注射臭氧后CT扫描显示臭氧在间盘内呈裂隙状、髓核腔内积聚状、弥散分布状。臭氧注射后神经根轮廓全部显露、“淹没征”消失者占29%;神经根大部分显露、“淹没征”部分消失者占50%;神经根显露不明显者占21%。治疗后3个月随访显效、有效和无效分别占82%、13%和5%。结论CT导向下臭氧消融术穿刺准确,可监测臭氧分布及注射后改变,疗效满意。