Dorsal root ganglion-pulsed neuromodulation radiofrequency treatment has significant clinical efficacy in chronic spinal-origin pain, bringing noticeable improvement in symptoms and sleep quality for patients.

IF 1.7 4区 医学 Q4 NEUROSCIENCES
International Journal of Neuroscience Pub Date : 2025-05-01 Epub Date: 2024-03-18 DOI:10.1080/00207454.2024.2312985
Peiguo Zhang, Xifang Wei, Jianzhang Jia
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引用次数: 0

Abstract

Background: Chronic spinal-origin pain poses a substantial clinical challenge, prompting the investigation of novel treatment modalities. This study aims to evaluate the potential application of spinal nerve dorsal root ganglion (DRG) radiofrequency treatment in addressing chronic spinal-origin pain.

Methods: The study encompassed patients undergoing treatment for chronic spinal-origin pain, with a particular focus on those experiencing pain localized in specific regions. Inclusion criteria comprised patients with conditions such as a herniated intervertebral disc or foraminal stenosis leading to compression of descending or exiting nerve roots, accompanied by reported radicular pain in the lower limb.

Results: There was no significant difference in comparability between the two groups (p > 0.05). The clinical effective rate in the study group was significantly higher than that in the control group (p < 0.05). The VAS scores of the study group at 2 weeks and 1 month after treatment were significantly lower than those of the control group (p < 0.05). The PSQI index of the study group after treatment was significantly lower than that of the control group (p < 0.05). There was no significant difference in the incidence of complications between the two groups (p > 0.05).

Conclusion: Spinal nerve DRG radiofrequency treatment has significant clinical efficacy in chronic spinal-origin pain, bringing noticeable improvement in symptoms and sleep quality for patients. The occurrence of complications is relatively low, and it can be reduced through strict operational standards and preoperative and postoperative management. However, caution should be exercised in its widespread application, but it is worthy of broad clinical use.

背根神经节脉冲神经调控射频治疗对慢性脊柱源性疼痛有显著的临床疗效,能明显改善患者的症状和睡眠质量。
背景:慢性脊柱源性疼痛是一项巨大的临床挑战,促使人们研究新的治疗方法。本研究旨在评估脊神经背根神经节射频治疗在解决慢性脊柱源性疼痛方面的潜在应用:研究对象包括正在接受治疗的慢性脊柱源性疼痛患者,尤其关注那些疼痛集中在特定区域的患者。纳入标准包括患有椎间盘突出或椎间孔狭窄导致下行或外行神经根受压,并伴有下肢根性疼痛的患者:两组比较无明显差异(P>0.05)。研究组的临床有效率明显高于对照组(P 0.05):结论:脊神经背根神经节射频治疗对慢性脊柱源性疼痛有显著的临床疗效,能明显改善患者的症状和睡眠质量。并发症的发生率相对较低,通过严格的操作规范和术前术后管理可以减少并发症的发生。但在广泛应用时仍需谨慎,但值得临床广泛使用。
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来源期刊
CiteScore
5.10
自引率
0.00%
发文量
132
审稿时长
2 months
期刊介绍: The International Journal of Neuroscience publishes original research articles, reviews, brief scientific reports, case studies, letters to the editor and book reviews concerned with problems of the nervous system and related clinical studies, epidemiology, neuropathology, medical and surgical treatment options and outcomes, neuropsychology and other topics related to the research and care of persons with neurologic disorders.  The focus of the journal is clinical and transitional research. Topics covered include but are not limited to: ALS, ataxia, autism, brain tumors, child neurology, demyelinating diseases, epilepsy, genetics, headache, lysosomal storage disease, mitochondrial dysfunction, movement disorders, multiple sclerosis, myopathy, neurodegenerative diseases, neuromuscular disorders, neuropharmacology, neuropsychiatry, neuropsychology, pain, sleep disorders, stroke, and other areas related to the neurosciences.
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