腰交感神经节射频联合酒精治疗早中期非创伤性股骨头坏死疼痛的疗效观察

摘要:

目的 观察腰交感神经节损毁治疗早中期非创伤性股骨头坏死疼痛的疗效。方法:早中期非创伤性股骨头坏死患者46例,根据入院时间分为观察组、对照组,每组23例。观察组应用腰交感神经节射频联合酒精治疗,对照组应用腰交感神经节射频联合亚甲蓝治疗,观察2组治疗后1周、3个月及6个月时的VAS评分、临床疗效及不良反应。结果: 与治疗前比较,治疗后2组患者VAS评分均降低,差异有统计学意义(P＜0.05),其中观察组VAS低于对照组(P＜0.05),观察组总有效率(95.7%,22/23例)高于对照组(60.9%,14/23例),差异有统计学意义(P＜0.05))。两组患者均未发现严重不良反应。结论: 腰交感神经节射频联合酒精治疗早中期非创伤性股骨头坏死临床疗效更好,无严重不良反应发生。

Abstract:

Objective To observe the efficacy of lumbar sympathetic ganglion combiner with alcohol in the treatment of pain of early-to-Middle stage of non-traumatic osteonecrosis of the femoral head.methods Forty-six patients with early-to-Middle stage of non-traumatic osteonecrosis of the femoral were randomly divided into observation group and control group.(n=23 for each group).The observation group was treated with lumbar sympathetic ganglion combiner with alcohol therapy. The control group was treated with lumbar sympathetic ganglion combiner with methylene therapy. The VAS score,the effects and side effects were recorded at one week,3 months and 6 months after the treatment. Results Compared with pretreatment,VAS was decreased significantly after the treatment in two groups(P＜0.05),and VAS in observation group was much lower than that in control group(P＜0.05),Compared with observation group and control group,the total effective rate in observation groupn(95.7%,22/23 cases)was higher higher than control group (60.9%,14/23 cases) ,Serious adverse reactions were not found.Conclusion Lumbar sympathetic ganglion combiner with alcohol is an effective and safe way in the treatment of pain of early-to-Middle stage of non-traumatic osteonecrosis of the femoral head with no serious adverse reactions.