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目的 ：评价硬膜外自控镇痛对低温等离子射频治疗颈椎间盘突出症疗效的影响。方法 ：选取2019年1月—2023年6月南通市老年康复医院疼痛科收治的颈椎间盘突出症患者80例，采用随机数字表法将其分为低温等离子射频消融术组(A组)和低温等离子射频消融术联合硬膜外自控镇痛组(B组)，每组40例。记录术前，术后3、7 d及1、3和6个月VAS及术后7 d颈椎功能障碍指数(neck disability index, NDI)。结果：B组术后各时间点VAS评分及术后7 d NDI评分均明显低于A组(均P<0.05)。改良Macnab疗效比较，术后1、6个月B组的优良率明显优于A组(P<0.05)。两组均未发生严重并发症。结论：硬膜外自控镇痛可优化低温等离子射频消融治疗颈椎间盘突出症的疗效。
Abstract：Objective: To evaluate the effect of patient-controlled epidural analgesia on the low-temperature plasma radiofrequency ablation in the treatment of cervical disc herniation. Methods: A total of 80 patients with cervical disc herniation admitted to the Department of Painology at Nantong Geriatric Rehabilitation Hospital between January 2019 and June 2023 were selected. Using a random number table method, they were divided into the low-temperature plasma radiofrequency ablation group(Group A) and the low-temperature plasma radiofrequency ablation combined with patient-controlled epidural analgesia group(Group B), with 40 patients in each group. VAS scores were recorded preoperatively, and at 3, 7 days, 1, 3 and 6 months postoperatively. The neck disability index(NDI) was recorded at 1 week postoperatively. Results: The VAS scores at all postoperative time points were significantly lower in Group B compared with Group A(P<0.05). According to the modified Macnab criteria, the excellent and good rate was significantly higher in Group B than in Group A at 1 month and 6 months postoperatively(P<0.05). No serious complications occurred in two groups. Conclusion: Patient-controlled epidural analgesia can optimize the efficacy of low-temperature plasma radiofrequency ablation in the treatment of cervical disc herniation.
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基本信息:
DOI：10.16424/j.cnki.cn32-1807/r.2025.06.008
中图分类号:R681.53
引用信息:
[1]任严渗,钱力,陈建伟,等.硬膜外自控镇痛对低温等离子射频治疗颈椎间盘突出症患者效果的影响[J].南通大学学报(医学版),2025,45(06):549-552.DOI:10.16424/j.cnki.cn32-1807/r.2025.06.008.
基金信息:
南通市卫生健康委员会基金资助项目(MA2019015)