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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:

期数:

2024年01期

页码:

33-38

栏目:

康复

出版日期:

2024-02-05

文章信息/Info

Title:

Effect of plasma radiofrequency therapy on cervical motion and inflammatory factors in patients with cervicogenic headache

作者:

刘祖耀1; 纪秀波2; 杨等1

100144 北京，首都医科大学附属北京康复医院劳模健康管理中心1 ；102600 北京，中国中医科学院广安门医院南区麻醉科2

Author(s):

Liu Zuyao1;  Ji Xiubo2;  Yang Deng1

1Model Worker Health Management Center of Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing 100144, China; 2South Anesthesiology Department, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102600, China

关键词:

等离子射频;  颈源性头痛;  颈椎活动度;  炎性因子

Keywords:

Plasma radiofrequency therapy;  Cervical headache;  Cervical spine range of motion;  Inflammatory factor

DOI:

DOI：10.3877/cma.j.issn.2096-0263.2024.01.006

文献标志码:

A

摘要:

目的 探讨等离子射频治疗对颈源性头痛患者颈椎活动度和炎性因子水平的影响。方法 选择我院于2021年1月至2022年6月颈源性头痛患者83例，依据随机数字表法分为观察组42例与对照组41例。对照组口服布洛芬缓释胶囊和盐酸氟桂利嗪胶囊，观察组在对照组基础上采用等离子射频治疗。两组均于治疗4周评价。比较2组治疗疗效，治疗前后简明麦吉尔疼痛量表评分、颈椎活动度、炎性因子和基地动脉血流动力变化。结果 观察组颈源性头痛患者总有效率（90.48%）高于对照组（73.17%）（P＜0.05）。观察组治疗后颈源性头痛患者PPI（1.26±0.32）分、VAS（2.46±0.56）分和PRI（2.27±0.46）分低于对照组（2.07±0.51）分、（3.71±0.69）分和（3.18±0.57）分（P＜0.05）。观察组治疗后颈源性头痛患者颈部前屈（37.86±4.61）°、后伸（39.74±4.58）°、左旋转（50.92±6.89）°和右旋转（51.27±5.58）°高于对照组（31.06±5.45）°、（30.68±5.46）°、（41.34±7.74）°和（42.08±6.47）°（P＜0.05）。观察组治疗后颈源性头痛患者血清IL-1β（0.25±0.08）pg/ml、IL-6（43.24±9.87）pg/ml和TNF-α（10.83±3.46）ng/ml低于对照组（0.57±0.17）pg/ml、（67.48±14.35）pg/ml和（18.98±5.14）ng/ml（P<0.05）。观察组治疗后颈源性头痛患者Vd（29.48±3.46）cm/s、Vm（32.76±3.46）cm/s和Vp（59.84±5.78）cm/s低于对照组（33.05±2.58）cm/s、（37.48±4.05）cm/s和（64.52±5.16）cm/s（P＜0.05）。结论 等离子射频治疗对颈源性头痛患者疗效良好，可改善患者颈椎活动度，减轻患者炎性反应。

Abstract:

Objective To investigate the effect of plasma radiofrequency therapy on cervical motion and inflammatory factors in patients with cervicogenic headache. Methods 83 patients with cervicogenic headache in our hospital from January 2021 to June 2022 divided into observation group (42 cases) and control group (41 cases). The control group took ibuprofen sustained-release capsule and flunarizine hydrochloride capsule orally, and the observation group took plasma radiofrequency therapy basis control group. Two groups were evaluated after 4 weeks of treatment. The therapeutic effects of the two groups were compared, and the scores of the concise McGill pain scale, the range of cervical motion, inflammatory factors and the changes of vertebral artery hemodynamics before and after treatment were compared. Results The observation group total effective rate of patients with cervical headache (90.48%) was higher than control group (73.17%) (P<0.05). After treatment, the observation group PPI (1.26±0.32), VAS (2.46±0.56), and PRI (2.27±0.46) scores of patients with cervical headache were lower than control group (2.07±0.51), (3.71±0.69), and (3.18±0.57) (P<0.05). After treatment, the observation group neck flexion (37.86±4.61)°, extension (39.74±4.58)°, left rotation (50.92±6.89)°, and right rotation (51.27±5.58)° were higher than control group (31.06±5.45)°, (30.68±5.46)°, (41.34±7.74)°, and (42.08±6.47)°(P<0.05). After treatment, the observation group serum IL-1β (0.25±0.08) pg/ml, IL-6 (43.24±9.87) pg/ml, and TNF-α (10.83±3.46) ng/ml of patients with cervical headache was lower than control group (0.57±0.17) pg/ml, (67.48±14.35) pg/ml, and (18.98±5.14) ng/ml (P<0.05). After treatment, the observation group Vd (29.48±3.46) cm/s, Vm (32.76±3.46) cm/s, and Vp (59.84±5.78) cm/s of patients with cervical headache were lower than control group (33.05±2.58) cm/s, (37.48±4.05) cm/s, and (64.52±5.16) cm/s (P<0.05). Conclusions Plasma radiofrequency therapy has a good effect on patients with cervicogenic headache. It can improve the range of motion of cervical vertebra and reduce the inflammatory reaction of patients.

备注/Memo

备注/Memo:

基金项目：2019-2021年首都医科大学附属北京康复医院科技发展专项（2019-010）

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更新日期/Last Update: 2024-08-01