- 期刊
Options for Treatment of Chronic Intractable Low Back Pain: A Controlled Randomized Clinical Trial between Pulsed Radiofrequency Stimulation and Topical Steroid Injection of the L2 Intervertebral Foramen Nerve Root
頑固性下背痛的治療選擇：第二腰神經根脈衝式高頻熱凝刺激與局部類固醇治療的隨機臨床試驗分析
摘要
對於頑固性下背痛的病人，利用脈衝式高頻熱凝刺激第二腰神經根的治療方式，一直缺乏實證。我們的研究計劃針對下背痛超過三個月的病人，隨機分組成治療組及對照組，治療組給予第二腰神經根脈衝式高頻熱凝刺激，對照組給予第二腰神經根局部類固醇治療。總共收錄二十五位病人，其中二十四位完成分組及治療，二十二位完成六個月的問卷追蹤，包括歐氏下背痛失能程度量表、疼痛指數評估、羅蘭－摩理斯生活障礙問卷，及SF-36生活品質問卷。研究結果顯示在歐氏下背痛失能程度量表及羅蘭－摩理斯生活障礙問卷，兩組在治療後六個月都有顯著改善，但兩組間沒有差異。我們的結論是針對頑固性下背痛的病人，利用脈衝式高頻熱凝刺激第二腰神經根與第二腰神經根局部類固醇治療的效果相似。
關鍵字
無資料並列摘要
Objective: A comparison of the effects of pulsed radiofrequency stimulation and topical steroid injection of the L2 intervertebral foramen nerve root for chronic intractable low back pain was made in a prospective, randomized, double blind controlled trial. Methods: Twenty-five screened out of 81 patients entered the study. One was excluded just before the intervention and 2 were lost to follow-up. In one group of patients (N=11, group Ⅰ) pulsed radiofrequency was used and in the other group (N=11, group Ⅱ) only a topical steroid was given. The visual analog scale (VAS), Oswestry disability index (ODI), Roland-Morris disability questionnaire (RMDQ), and Short-Form 36 (SF-36) questionnaire were used to measure the treatment effects. Results: Six months after treatment a significant reduction in ODI and RMDQ scores was demonstrated in both groups, but there was no significant difference between the two groups. The quality of life scales showed a positive trend in both groups in the SF-36 domain physical functioning, bodily pain, role emotional and mental health, but significance was reached only in the domain bodily pain at 6 months in group I. Conclusions: This study suggests that for chronic intractable low back pain, treatment with PRF stimulation of the L2 intervertebral foramen nerve root is equally effective in comparison with treatment of intervertebral foramen nerve root steroid injection.
延伸閱讀
- Lin, Y. C. (2021). 遠外側入路的經椎間孔硬脊膜上類固醇注射在椎間盤突出併腰椎神經根壓迫的病人之功效—迴溯性分析 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU202103937
- Chen, E. T., Huang, Y. H., Hsieh, L. F., & Wang, T. J. (2017). 探討肌筋膜激痛點治療及肩峰下類固醇注射對肩峰下夾擠症候群患者之療效. 物理治療, 42(2), 146-147. https://doi.org/10.6215/FJPT.2017.73.O19
- 李帛晏、陳治中、黃智偉、李言貞、陳智光（2018）。【論文摘要】表面電剌激對慢性下背痛鎮痛療效的系統性回顧和統合分析。物理治療，43(2)，130-131。https://doi.org/10.6215/FJPT.2018.75.O14
- 黃美涓、陳嘉玲、雷大雅、黃維彬、蔡幸蓉、鄧復旦（1997）。以選擇性背側神經根切除術及肌內酚劑神經阻斷術治療腦性麻痺病童痙攣之成效比較：初步報告。中華民國復健醫學會雜誌，25(2)，129-138。https://www.airitilibrary.com/Article/Detail?DocID=10253009-199712-25-2-129-138-a
- 謝美琪、楊輝宏、甯智航（2018）。【論文摘要】系統性回顧文獻：疼痛神經生理學衛教合併運動治療對於慢性下背痛的疼痛與生活功能影響。物理治療，43(2)，174-174。https://doi.org/10.6215/FJPT.2018.75.P43