The Ultrasonic Electrical Stimulation Treating Recent Pain after Minimally Invasive Intervention with Disc Degenerative Diseases

Fang Xie
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Abstract

Objective:To explore the analgesic effect of ultrasonic electrical stimulation for recent pain after minimally invasive interventional therapy for intervertebral disc degenerative diseases (DDD). Methods:From January to August 2019, 130 patients with DDD who were treated by minimally invasive intervention of intervertebral disc, and then were randomly divided into electrical stimulation group and conservative treatment group. After minimally invasive intervention, the electrical stimulation group was treated by ultrasonic electrical stimulation once a day for 7 days. The conservative treatment group was treated with conventional acupuncture and massage once a day for 3 days.The pain degree of before treatment and 3 days, 7 days and 1 month(m) after treatment were evaluated by pain numberical rating scale (NRS), the curative effect of 1 m post-cure was evaluated by NRS weighting method. Results:There was no significant difference of NRS score between the two groups before treatment (P > 0.05). NRS of electrical stimulation group were significant lower than those in conservative treatment group, which was evaluated at several time point for 3 days, 7 days and one month after treatment (P < 0.001). The curative effect of electrical stimulation group on one month after interventional treatment was significantly higher than that of conservative treatment group (P < 0.001). Conclusion:The therapeutic effect of ultrasonic electrical stimulation is better than that of traditional acupuncture and massage for recent pain after minimally invasive interventional therapy with DDD, it is worthy to popularize in clinical treatment. Key words: After interventional therapy with DDD; The recent pain; ultrasonic electrical stimulation
超声电刺激治疗椎间盘退行性疾病微创治疗后近期疼痛
目的:探讨超声电刺激对椎间盘退行性疾病微创介入治疗后近期疼痛的镇痛效果。方法:2019年1 - 8月,选取经微创椎间盘介入治疗的DDD患者130例,随机分为电刺激组和保守治疗组。微创干预后,电刺激组采用超声电刺激治疗,每天1次,连用7天。保守治疗组采用常规针刺加推拿治疗,每日1次,连用3天。采用疼痛数字评定量表(NRS)评定治疗前及治疗后3天、7天、1个月(m)的疼痛程度,采用NRS加权法评定治疗后1 m的疗效。结果:两组患者治疗前NRS评分比较,差异无统计学意义(P < 0.05)。电刺激组在治疗后3 d、7 d、1个月的多个时间点的NRS评分均显著低于保守治疗组(P < 0.001)。电刺激组介入治疗1个月后的疗效显著高于保守治疗组(P < 0.001)。结论:超声电刺激对DDD微创介入治疗后近期疼痛的治疗效果优于传统针刺和按摩,值得在临床推广应用。关键词:DDD介入治疗后;最近的痛苦;超声波电刺激
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