康复训练联合超短波治疗坐骨神经损伤的效果观察

于敏　车世钦　李承鑫

【摘要】 目的：觀察康复训练联合超短波治疗腰椎间盘突出症致坐骨神经损伤后疼痛患者的临床效果。方法：选择2019年4月-2020年5月在本院诊治的100例腰椎间盘突出症坐骨神经痛患者为研究对象。将患者根据入院顺序进行编号并分为观察组和对照组，每组50例。对照组进行康复训练治疗，观察组在对照组治疗基础上联合应用超短波治疗。比较两组治疗前后的视觉模拟评分（VAS）、日本骨科学会改良下腰痛评分（JOA）、血清神经生长因子（NGF）、P物质（SP）水平变化情况，观察两组的临床疗效。结果：治疗后，两组VAS评分均低于治疗前，且观察组低于对照组，差异均有统计学意义（P<0.05）。治疗后，两组JOA评分均明显高于治疗前，且观察组高于对照组，差异均有统计学意义（P<0.05）。观察组治疗总有效率为96.00%，高于对照组的80.00%，差异有统计学意义（P<0.05）。治疗后，两组的血清NGF水平均明显高于治疗前，且观察组高于对照组，差异均有统计学意义（P<0.05）。治疗后，两组的血清SP水平均明显低于治疗前，且观察组明显低于对照组，差异均有统计学意义（P<0.05）。结论：康复训练联合超短波治疗腰椎间盘突出症致坐骨神经损伤后疼痛效果显著，值得推广。

【关键词】 康复训练 超短波治疗 血清神经生长因子 P物质 坐骨神经损伤后疼痛

[Abstract] Objective： To observe the clinical effect of rehabilitation training combined with ultrashort wave in the treatment of pain after sciatic nerve injury caused by lumbar disc herniation. Method： A total of 100 patients with sciatica with lumbar disc herniation treated in our hospital from April 2019 to May 2020 were selected as the research subjects. Patients were numbered according to the order of admission and divided into observation group and control group， 50 cases in each group. The control group received rehabilitation training treatment， and the observation group was combined with ultrashort wave treatment on the basis of the control group treatment. Visual analogue score （VAS）， Japanese Orthopaedic Society modified low back pain score （JOA）， serum nerve growth factor （NGF） and substance P （SP） levels were compared between the two groups before and after treatment. The clinical efficacy of the two groups was observed. Result： After treatment， VAS scores in both groups were lower than those of before treatment， and observation group was lower than control group， the differences were statistically significant （P<0.05）. After treatment， JOA scores in both groups were significantly higher than those of before treatment， and observation group was higher than control group， the differences were statistically significant （P<0.05）. The total effective rate of observation group was 96.00%， which was higher than 80.00% of control group， the difference was statistically significant （P<0.05）. After treatment， serum NGF levels in both groups were significantly higher than those of before treatment， and observation group was higher than control group， the differences were statistically significant （P<0.05）. After treatment， the serum SP level in both groups were significantly lower than those of before treatment， and the observation group was significantly lower than the control group， the differences were statistically significant （P<0.05）. Conclusion： The effect of rehabilitation training combined with ultrashort wave on sciatic nerve injury caused by lumbar disc herniation is remarkable and worth popularizing.

[Key words] Rehabilitation training Ultrashort wave therapy Serum nerve growth factor Substance P Pain after sciatic nerve injury

First-author’s address： Affiliated Zhongshan Hospital of Dalian University， Dalian 116001， China

doi：10.3969/j.issn.1674-4985.2021.19.041

腰椎间盘突出症为临床常见疾病，以一系列临床症候群为主要表现，其发病原因为腰椎间盘发生退行性改變，进一步撕裂纤维环，并在外力作用下导致椎间隙压力突然升高，引起髓核向外突出对脊髓产生压迫作用[1]。……