腰神经后支脉冲射频术联合神经阻滞术治疗老年腰椎骨质疏松性椎体压缩骨折疼痛的疗效分析

The clinical effect of pulse radiofrequency via posterior branch of lumbar nerve combined with nerve block in the treatment of senile lumbar osteoporotic compression fracture pain

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摘要目的探讨腰神经后支脉冲射频术联合神经阻滞术治疗老年腰椎骨质疏松性椎体压缩骨折疼痛的有效性.方法共76例老年腰椎骨质疏松性椎体压缩骨折疼痛患者,分别采用腰神经后支阻滞术(37例)和腰神经后支脉冲射频术联合神经阻滞术(39例),采用视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)和12条简明健康状况调查表(SF-12)评价手术疗效.结果与治疗前相比,腰神经后支阻滞术组和腰神经后支脉冲射频术联合神经阻滞术组患者治疗后VAS和ODI评分降低(均P=0.000),SF-12量表8个维度(躯体功能、躯体角色、疼痛、健康状况、活力、社会功能、情绪、心理卫生)评分和总评分升高(均P=0.000);与腰神经后支阻滞术组相比,腰神经后支脉冲射频术联合神经阻滞术组患者治疗后VAS和ODI评分降低(P=0.044,0.027),SF-12量表8个维度(躯体功能、躯体角色、疼痛、健康状况、活力、社会功能、情绪、心理卫生)评分和总评分升高(P=0.032,0.037,0.028,0.024,0.035,0.047,0.038,0.026,0.029).结论与腰神经后支阻滞术相比,腰神经后支脉冲射频术联合神经阻滞术治疗老年腰椎骨质疏松性椎体压缩骨折疼痛的临床疗效更显著,值得临床推广应用.