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腰椎多靶点射频联合银质针疗法对老年腰椎椎管狭窄症的临床疗效

Clinical effect of lumbar multitarget radiofrequencycombined with silver acupuncture therapy of elderly with lumbar spinal stenosis

    摘要
  • 摘要:
      目的  分析腰椎多靶点射频联合银质针疗法治疗老年退行性腰椎椎管狭窄症的临床效果。
      方法  选取48例老年腰椎椎管狭窄症患者，按照治疗方法的不同分为射频组22例和联合组26例。比较2组患者术后1、3、6、12个月视觉模拟评分法（VAS）评分和临床治疗有效率。记录2组不良反应和并发症发生情况。
      结果  2组术后1、3、6、12个月VAS评分均低于术前，且联合组VAS评分低于射频组，差异有统计学意义（P < 0.05或P < 0.01）。术后1、3、6、12个月，联合组临床治疗有效率高于射频组，差异有统计学意义（P < 0.01）。2组均无不良反应和并发症发生。
      结论  腰椎多靶点射频联合银质针治疗老年腰椎椎管狭窄症的近期及中期疗效较好，且风险低。

     

    Abstract:
      Objective  To analyze the clinical effect of lumbar multitarget radiofrequency combined with silver acupuncture therapy in treatment of elderly with degenerative lumbar spinal stenosis.
      Methods  A total of 48 elderly patients with lumbar spinal stenosis were selected, and divided into radiofrequency group (n=22) and combination group (n=26) according to different treatment methods.Visual Analogue Scale (VAS) and clinical response rate were compared between two groups at 1month, 3, 6 and 12 months after surgery.Adverse reactions and complications were recorded in the two groups.
      Results  The VAS scores of the two groups at 1month, 3, 6 and 12 months after surgery were significantly lower than those before surgery, and the VAS scores of the combination group were significantly lower than those of the radiofrequency group (P < 0.05 or P < 0.01). At 1month, 3, 6 and 12 months after operation, the effective rate of the combination group was significantly higher than that of the radiofrequency group (P < 0.01).No adverse reactions and complications occurred in both groups.
      Conclusion  The short-term and medium-term efficacy of lumbar multitarget radiofrequency combined with silver acupuncture therapy in treatment of elderly lumbar spinal stenosis is good, and they have lower risk.

     

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