超声导向的副脊椎臭氧-氧气注射与用于慢性光盘性腰痛的纯氧:双盲随机对照试验
1Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Journal of back and musculoskeletal rehabilitation
|September 23, 2025
概括
与纯氧相比,副脊椎臭氧-氧气注射显著改善了慢性盘膜性腰痛患者的疼痛和功能. 这种微侵袭性治疗对治疗持续性背痛有很大的前景.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 最少侵入性手术的方法
背景情况:
- 慢性磁盘性腰部疼痛 (LBP) 是一种广泛的肌肉骨疾病.
- 由于先前的研究方法的局限性,对LBP的副脊柱臭氧疗法的疗效仍然不确定.
研究的目的:
- 为了比较副脊椎臭氧-氧混合物注射与慢性光盘性LBP的纯氧注射的有效性.
- 评估干预后的疼痛强度和功能状态.
主要方法:
- 一项双盲随机受控试验 (RCT) 涉及30名患有MRI确认的慢性磁盘性LBP的患者.
- 患者每周接受三次超声导向的脊内注射20微克/毫升臭氧氧混合物或纯氧,并与运动相结合.
- 疼痛 (视觉模拟尺度,VAS) 和功能状态 (奥斯韦斯特里残疾指数,ODI) 在基线,一个月和三个月被评估.
主要成果:
- 这两组在VAS和ODI得分方面都出现了改善.
- 与纯氧组 (P < 0.001) 相比,臭氧氧组在VAS (5.6比2.4) 和ODI (19.07比7.8) 中显著减少.
结论:
- 副脊椎臭氧-氧气注射显著比纯氧更有效地缓解慢性光盘性LBP的疼痛和改善功能.
- 臭氧疗法为慢性光盘性腰部疼痛提供了一个潜在的有效的,最少侵入性的治疗选择,需要进一步研究更大的样本大小.
关键词:
背部疼痛 < B 背部疼痛 < B 背部疼痛干预性止痛药 < I 干预性止痛药 < I低背部疼痛 < L 低背部疼痛肌肉骨系统 < M物理医学和康复< P P脊柱 < S 脊柱 < S 脊柱超声波学 超声波学 超声波学更多相关视频
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