腰椎旁神经阻滞联合超短波对腰椎间盘突出症患者疼痛及腰背肌生物力学性能的影响

被引：23

作者：

江帆 ^{[1
]}

龙耀斌 ^{[2
]}

许建文 ^{[2
]}

陈莹 ^{[2
]}

李敏 ^{[2
]}

罗锡保 ^{[2
]}

机构：

[1] 广西医科大学第一附属医院康复医学科

[2] 广西壮族自治区江滨医院康复科

来源：

现代生物医学进展 | 2017年 / 17卷 / 27期

关键词：

腰椎间盘突出症; 腰椎旁神经阻滞; 超短波; 疼痛; 腰背肌生物力学性能;

D O I：

10.13241/j.cnki.pmb.2017.27.024

中图分类号：

R681.53 [];

学科分类号：

摘要：

目的:探讨腰椎旁神经阻滞联合超短波对腰椎间盘突出症疼痛及腰背肌生物力学性能的影响。方法:选择我院2014年2月2016年8月收治的98例腰椎间盘突出症患者,按抽签法分组对照组与研究组。对照组采用腰椎旁神经阻滞治疗,研究组基于对照组加用超短波治疗。观察两组的临床疗效、治疗前后视觉模拟评分（VAS）、60°/s角速、120°/s角速平均功率（AP）、峰力矩（PT）、腰背屈/伸比值（F/E）、血清P物质（SP）、β-内啡肽（β-EP）、白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）水平的变化及不良反应的发生情况。结果:研究组总有效率为95.91%,显著高于对照组,差异有统计学意义（P<0.05）。治疗后,两组F/E值、血清SP、IL-6、TNF-α水平均较治疗前显著降低,且研究组以上指标均明显低于对照组,两组AP、PT、血清β-EP水平均较治疗前明显上升,且研究组以上指标显著高于对照组,差异均有统计学意义（P<0.05）。两组不良反应的发生率比较差异无统计学意义（P>0.05）。结论:腰椎旁神经阻滞联合超短波治疗腰椎间盘突出症的效果明显优于单用腰椎旁神经阻滞治疗,其可有效缓解疼痛及改善腰背肌生物力学性能,并减轻炎症反应。

引用

页码：5298 / 5301+5326 +5326

页数：5

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