[1]吴思,王平,王志旭,等.脉冲射频治疗腰椎间盘突出症对足底温度的即刻影响及意义[J].中国中医骨伤科杂志,2023,31(06):29-35.[doi:10.20085/j.cnki.issn1005-0205.230605]
　WU Si,WANG Ping,WANG Zhixu,et al.Immediate Efficacy and Significance of Pulse Radiofrequency Therapy for Lumbar Disc Herniation on Plantar Temperature[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(06):29-35.[doi:10.20085/j.cnki.issn1005-0205.230605]
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脉冲射频治疗腰椎间盘突出症对足底温度的即刻影响及意义()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年06期
页码:
29-35
栏目:
临床研究
出版日期:
2023-06-15

文章信息/Info

Title:
Immediate Efficacy and Significance of Pulse Radiofrequency Therapy for Lumbar Disc Herniation on Plantar Temperature
文章编号:
1005-0205(2023)06-0029-07
作者:
吴思1; 2; 王平1; 2; 王志旭3; 李庆1; 2; 张小青1; 2; 王为民1; 2; 谢海波1; 2△
1天津中医药大学第一附属医院(天津,300381)
2国家中医针灸临床医学研究中心
3天津中医药大学
Author(s):
WU Si1; 2; WANG Ping1; 2; WANG Zhixu3; LI Qing1; 2; ZHANG Xiaoqing1; 2; WANG Weimin1; 2; XIE Haibo1; 2△
1First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;
2National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;
3Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China.
关键词:
脉冲射频;  腰椎间盘突出症;  温度;  即刻效应
Keywords:
pulse radiofrequency;  lumbar disc herniation;  temperature;  immediate efficacy
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230605
文献标志码:
A
摘要:
目的:观察脉冲射频治疗过程中对腰椎间盘突出症患者足底温度即刻的影响及近期临床疗效。方法:选择符合诊断及纳入标准的L5S1椎间盘突出症患者,行L5S1椎间孔脉冲射频治疗,射频治疗前后用便携式红外热成像仪,于不同时间节点上记录患者双侧足底的温度。记录患者治疗前后的疼痛视觉模拟量表(VAS)评分、症状复制情况及日本骨科协会(JOA)评分。结果:共采集58例患者术中的足底温度,32例患者随脉冲射频治疗温度升高,足底温度升高,治疗结束后健侧、患侧足底温度高于治疗前、治疗后7 d及治疗后14 d,差异有统计学意义(P<0.05); 26例患者随脉冲射频治疗温度升高,足底温度降低,治疗结束后健侧、患侧足底温度低于治疗前、治疗后7 d及治疗后14 d,差异有统计学意义(P<0.05)。健侧、患侧足底温度在各治疗观察时间节点组间对比差异无统计学意义(P>0.05)。温度升高组患者在治疗结束后即刻的VAS评分优于温度降低组,症状复制人数上优于温度降低组,差异有统计学意义(P<0.05); 两组患者JOA评分,治疗前、治疗后7 d及治疗后14 d组间对比差异无统计学意义(P>0.05),治疗后7 d和治疗后14 d较治疗前均改善,差异有统计学意义(P<0.05)。结论:脉冲射频治疗腰椎间盘突出症对足底温度形成升高和降低两种即刻的影响,足底温度升高组在即刻疼痛评分的改善及症状复制出现的人数上优于降低组,近期临床疗效两组无差别。
Abstract:
Objective:To observe the immediate efficacy of pulsed radiofrequency therapy on the plantar temperature of patients with lumbar disc herniation and its short-term clinical efficacy.Methods:Patients with L5S1 disc herniation who met the criteria for diagnosis,inclusion and exclusion were selected for L5S1 foraminal pulse radiofrequency.During radiofrequency treatment,portable infrared thermal imager was used to record the temperature of both feet at different time nodes.Visual analogue scale(VAS)score,symptom replication and Japanese orthopaedic association(JOA)score were recorded before and after treatment.Results:A total of 58 patients were collected during the study,and 32 patients' plantar temperature increased with the increase of pulse radiofrequency treatment temperature.The plantar temperature of healthy and affected side after the treatment was higher than that before treatment,7 d after treatment and 14 d after treatment,with statistical difference(P<0.05).With the increase of pulse radiofrequency treatment temperature,the plantar temperature of 26 patients decreased,and the plantar temperature of healthy and affected side after treatment was lower than that before treatment,7 d after treatment and 14 d after treatment,with statistical difference(P<0.05).There was no significant difference in the bottom temperature between the healthy side and the affected side(P>0.05).The VAS score of patients in the increased temperature group was better than that in the decreased temperature group immediately after treatment,and the number of symptom replicates was higher than that in the decreased temperature group,with statistical difference(P<0.05).There was no significant difference in the JOA score between the two groups before treatment,7 d after treatment and 14 d after treatment(P>0.05),but the JOA score was improved on 7 d after treatment and 14 d after treatment compared with that before treatment,with statistical difference(P<0.05).Conclusion:Pulsed radiofrequency therapy for lumbar disc herniation has two kinds of immediate efficacy of increasing and decreasing plantar temperature formation.Improvement of immediate pain score and the number of symptoms replicated in the increased plantar temperature group is better than that of the reduced group.There is no difference in short-term clinical efficacy between the two groups.

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备注/Memo

备注/Memo:
基金项目:天津市科技计划项目(21JCQNJC01690)
国家中医药管理局中医药循证能力建设项目(2019XZZX-GK005)
天津中医药大学第一附属医院“拓新工程”基金科研课题(院201711,院201919)
△通信作者 E-mail:xie883399@sina.com
更新日期/Last Update: 2023-06-10