Effect of targeted radiofrequency thermocoagulation combined with core muscle training for patients with lumbar disc herniation
Objective To explore the effect of targeted radiofrequency thermocoagulation combined with core muscle training in the treatment of patients with lumbar disc herniation.Methods A total of 92 patients with lumbar disc herniation admitted to Department of Orthopedics and Traumatology of Traditional Chinese Medicine,Xuzhou First People's Hospital from January 2021 to January 2023 were selected for the randomized controlled trial,and were divided into an observation group and a control group,with 46 cases in each group.There were 25 males and 21 females in the observation group;they were(42.23±10.57)years old;their disease course was(36.24±11.71)months.There were 28 males and 18 females in the control group;they were(43.37±9.82)years old;their disease course was(38.58±12.39)months.The control group took targeted radiofrequency thermocoagulation,and the observation group took targeted radiofrequency thermocoagulation and did core muscle training.The pain degrees[Visual Analog Scale(VAS)],lumbar function,therapeutic effects,and incidences of complications were compared between the two groups.The enumeration data were analyzed by the x2 test;the measurement data conforming to normal distribution were analyzed by repeated measurement ANOVA and SNK-q test.Results There were statistical differences in the scores of VAS and lumbar function between the two groups(Fbetween groups=5.236,Ftime=6.025,Finteraction=5.842;Fbetween groups=12.364,Ftime=11.482,Finteraction=14.217;all P＜0.05).Seven days and 1,3,and 6 months after the treatment,the scores of VAS and lumbar function in the observation group were lower than those in the control group[(4.02±1.46)vs.(4.76±1.78),(3.22±1.34)vs.(3.85±1.55),(2.21±1.11)vs.(2.74±1.37),and(1.03±0.42)vs.(1.65±0.69);(25.21±7.31)vs.(28.34±7.65),(15.37±6.85)vs.(18.35±7.42),(10.05± 5.32)vs.(12.65±6.51),and(5.53±3.64)vs.(7.45±3.87)],with statistical differences(all P＜0.05).The scores of VAS and lumber function were lower 7 d and 1,3,and 6 months after than before the treatment in both groups(all P＜0.05).The excellent and good rates 1,3 and 6 months after the treatment in the observation group were higher than those in the control group[69.57％(32/46)vs.45.65％(21/46),82.61％(38/46)vs.63.04％(29/46),and 93.48％(43/46)vs.73.91％(34/46)],with statistical differences(x2=5.386,4.449,and 6.452;all P＜0.05).After the treatment,the incidence of complications in the observation group was lower than that in the control group[6.52％(3/46)vs.21.74％(10/46)],with a statistical difference(x2=4.389;P=0.036).Conclusion Targeted radiofrequency thermocoagulation combined with core muscle training for patients with lumbar disc herniation can relieve their pain,improve their lumbar function,and reduce the occurrence of complications,with significant therapeutic effect.
万方数据
维普
