综合医疗服务对退行性腰椎脊柱狭窄症患者的影响:一项随机对照研究
Sang Bong Ko1, Sang Gyu Kwak2, Hee Chan Kim3
1Department of Orthopaedic Surgery, School of Medicine, Daegu Catholic University, Daegu Catholic University Hospital, Daegu 42472, Republic of Korea.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
综合整合医疗服务 (CIMS) 与选择性神经根阻断 (SNRB) 结合,显著减少了退行性腰椎脊柱狭窄症 (DLSS) 患者的疼痛. 这种多式联络方法提供了一种安全有效的辅助治疗选择.
科学领域:
- 疼痛管理 疼痛管理
- 综合医学是一个整体的医学.
- 神经外科 神经外科
背景情况:
- 退行性腰椎脊柱狭窄症 (DLSS) 通常导致下腿辐射疼痛 (LLRP).
- 选择性神经根阻塞 (SNRB) 是DLSS相关的LLRP的标准治疗方法.
- 综合整合医疗服务 (CIMS),一种多式疗法,越来越多地使用,但缺乏强有力的证据.
研究的目的:
- 在接受SNRB的DLSS患者中评估辅助CIMS的疗效和安全性.
- 为了比较标准护理和CIMS加标准护理之间的疼痛减轻和生活质量.
主要方法:
- 一个单一中心的随机对照试验,包括77名成人DLSS患者.
- 参与者接受了SNRB加上药物治疗;实验组也接受了CIMS (针,,手动治疗) 超过4周.
- 主要结局:在基线和4,8,12周评估的疼痛强度 (VAS). 二次结果:SF-36,ODI,RMDQ. 这些是二次结果.
主要成果:
- 显著的时间 × 组相互作用 (p=0.040) 表明在12周内,CIMS组的疼痛减少更大.
- 平均VAS得分显示,在实验组治疗后,下部疼痛的趋势一致.
- 在SF-36域中没有发现显著差异;CIMS的坚持率很高,没有不良事件.
结论:
- 辅助CIMS显著提高了接受SNRB和药物治疗的DLSS患者的疼痛减轻.
- 作为DLSS的附加疗法,CIMS显示出良好的安全性概况.
- 这些发现支持CIMS用于管理DLSS相关的神经病痛的临床整合.
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