在老年椎间盘退行症患者中干扰电流疗效的比较,有或没有肉症:一个回顾性研究
Hui Yuan1, Lini Dong2, Ou Zhang3
1Department of Spinal Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan Province, 410001, P.R. China.
BMC musculoskeletal disorders
|March 14, 2024
概括
在椎间盘退化中,肉类是普遍存在的,患者经历了更糟糕的疼痛和移动性. 干扰电流治疗有效地改善了这两种情况的症状.
科学领域:
- 老年学是指老年学的学科.
- 整形外科 整形外科 整形外科
- 神经学 神经学
背景情况:
- 椎间盘退化 (IDD) 和肉是与年龄相关的疾病,缺乏有效的治疗方法.
- 在IDD和肉症之间的并发症可能会对患者的预后产生负面影响.
- 需要进一步研究IDD和肉症同时发生的相互作用和治疗策略.
研究的目的:
- 为了确定患有椎间盘退行症的患者中肉类的患病率.
- 为了比较IDD患者的临床和放射性特征,有和没有sarcopenia.
- 评估干扰电流治疗在患有IDD和同时存在的肉症的患者中的疗效.
主要方法:
- 在120名IDD患者的队列中,使用2019年亚洲麻症工作组的标准评估了麻症.
- 评估的参数包括视觉模拟尺度 (VAS),奥斯威斯特残疾指数 (ODI),SARC-F,骨肌肉指数 (SMI),步行速度 (GS),握力,Pfirrmann分级,标准横截面积 (SCSA),脂肪透度 (DFF) 和神经传导速度 (NCV).
- 在干扰电流处理之前和之后进行了评估.
主要成果:
- 在IDD患者中,肉类的患病率为28.3%.
- 在治疗前,在VAS,ODI,Pfirrmann分级,SCSA,DFF和NCV中观察到群体之间的显著差异,SCSA和DFF与IDD严重程度相关.
- 无论是患有和没有皮症的IDD群体,在SMI,GS,握力,VAS,SARC-F和ODI治疗后显著改善. 值得注意的是,手握强度,GS,ODI和SARC-F的改善在患有肉症的IDD组中更大.
结论:
- 软骨症在IDD中很常见,甲脊椎肌肉退化与磁盘退化的严重程度有关.
- 与没有sarcopenia的患者相比,IDD患者表现出更严重的疼痛,运动能力下降和神经功能较差的神经功能.
- 干扰电流疗法在改善IDD和肉症患者的治疗结果方面表现出有效性.
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