Clinical Study of Radiofrequency Targeted Thermocoagulation and Volume Expansion Method Combined with Strengthening the Waist and Strengthening the Supervisors Tang in the Treatment of Lumbar Spinal Stenosis with Defi-ciency of Kidney Qi
Objective:To investigate the efficacy and safety of radiofrequency-targeted thermocoagulation and dilatation method combined with Strengthening the Waist and Strengthening the Vertebrae Soup in the treatment of lumbar spinal stenosis(LSS)of the kidney-qi deficiency type,and to observe the effect on the level of inflammatory response of the patients'organism.Methods:92 patients with LSS of the kidney qi deficiency type were collected and randomly divided into a test group and a con-trol group.The 46 patients who applied conventional conservative treatment measures were the control group,and the 46 patients who were given the combined treatment of radiofrequency targeted thermocoagulation and volume expansion method with Strong Waist and Strong Governor Soup were the experimental group.The clinical efficacy of the two groups was evaluated by evaluating the pain visual analog scale method(VAS),Chinese medicine symptom score and Japanese Orthopaedic Association Assessment of Treatment Score(JOA score)before treatment,after 4 weeks of treatment and after 12 weeks of treatment.Changes in the levels of serum interleukin-1α(IL-1α)and tumor necrosis factor-α(TNF-α)were detected by enzyme-linked immunosorbent assay before and 12 weeks after treatment,and the safety of treatment was evaluated.Results:The total effective rate of the test group was sig-nificantly higher than that of the control group,and the difference was statistically significant(χ2=4.841,P＜0.05).After treatment,VAS scores decreased in both groups,and the difference was statistically significant(t=4.287,7.162,P＜0.05).After treatment,JOA scores increased in both groups,and the difference was statistically significant(t=11.121,11.630,P＜0.05).After treatment,the TCM symptom scores of patients in both groups were reduced,and the difference was statistically significant(t=9.036,18.826,P＜0.05).After treatment,the levels of serum IL-1α and TNF-α were reduced in both groups,and the difference was statistically significant(t=2.885,0.033,P＜0.05).There was no statistically significant difference in the treatment safety between the two groups(χ2=0.548,P＞0.05).Conclusion:The efficacy of radiofrequency targeted thermocoagulation and expansion method com-bined with Strengthening the Waist and Strengthening the Vertebrae Soup in the treatment of patients with kidney qi deficien-cy-type LSS is remarkable,which is conducive to the improvement of the clinical symptoms of the patients,the reduction of the de-gree of pain of the patients,the improvement of lumbar vertebral function,and the significant reduction of inflammatory response of the patients'organisms with a high degree of safety.
Radiofrequency targeted thermo-coagulation and volume expansion methodStrengthening the waist and strengthening the governor soupLumbar spinal stenosis
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