Analysis of curative effect of percutaneous foraminoscopy combined with perioperative hyperbaric oxygen therapy in patients with lumbar disc herniation
Analysis of curative effect of percutaneous foraminoscopy combined with perioperative hyperbaric oxygen therapy in patients with lumbar disc herniation
;Objective To investigate the efficacy of percutaneous endoscopic lumbar discectomy combined with perioperative hy-perbaric oxygen therapy in patients with lumbar disc herniation.Methods From January 2020 to January 2022,60 patients with lum-bar disc herniation scheduled for percutaneous endoscopic lumbar discectomy in our department were randomly divided into two groups using a random number table:30 patients in the control group underwent percutaneous endoscopic lumbar discectomy alone,while 30 patients in the experimental group began hyperbaric oxygen therapy immediately after hospitalization.The perioperative treatment course was 10 days,with once-daily hyperbaric oxygen therapy.The visual analog scale(VAS)for pain and the Oswestry disability index(ODI)were measured and recorded for both groups of patients before surgery,3 days after surgery,7 days after surgery,and 2 weeks after surgery.At 2 weeks after surgery,the modified Macnab criteria were used to assess whether patients had symptoms of nerve root edema.Results All 60 patients successfully completed the surgery.Both the VAS scores and ODI indices were significantly improved in both groups compared with preoperative levels(P＜0.05).The VAS scores and ODI in the experimental group were significantly improved compared with the control group at 3 days,7 days,and 2 weeks after surgery(P＜0.05).The excellent and good rate of the modified Macnab criteria was 83.33％in the experimental group and 63.33％in the control group at 2 weeks after surgery,with a sta-tistically significant difference between the groups(P＜0.05).Conclusion Perioperative hyperbaric oxygen therapy can effectively reduce postoperative residual symptoms and the incidence of nerve root edema,playing a positive role in the treatment of lumbar disc herniation.
维普
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