年齡對脈衝射頻治療神經根性疼痛療效的影響

Influence of age on efficacy of pulsed radiofrequency treatment on radicular pain

10.12408/J.issn2223-4462.2024.01.004

黃鍇亮(WONG Kai Leong)；吳朝興(NG Chio Heng)；錢曉暉(CHIN Hiu Fai)

年齡 ； 神經根性疼痛 ； 脈衝射頻 ； Age ； Radicularpain ； Pulsed radiofrequency

鏡湖醫學

24卷1期（2024 / 06 / 01）

14 - 16+84

繁體中文;英文

目的：觀察年齡對腰脊神經根射頻療效的影響。方法：回顧性分析本院2020年1月～2022年12月期間，採用脊神經脈衝射頻治療的68例下肢神經根性疼痛患者的臨床資料，年齡介於42歲～92歲（中位數69.5歲），按年齡中位數分為年輕組與年老組，兩組各34例，分析兩組患者術前、術後1週、術後1個月、術後2個月、術後3個月的視覺模擬評分（VAS）及改良MacNab療效評定標準評價術後3個月療效優良率。結果：兩組患者術後各時間點的VAS評分均較術前降低，差異有統計學意義（P<0.01）；兩組患者比較，術前VAS評分差異無統計學意義（P>0.05）；術後1週療效相當，VAS評分差異無統計學意義（P>0.05）；術後1個月、術後2個月、術後3個月年老組VAS評分低於年輕組，差異有統計學意義（P<0.05）；術後3個月MacNab評定療效優良率年老組為85.2%，顯著高於年輕組的50%（P<0.05）。結論：腰脊神經脈衝射頻可有效治療下肢神經根性疼痛，尤其是高齡患者療效確切，持續時間較長，可顯著減輕疼痛、改善生活質量、減少手術風險，具有臨床應用價值。

Objective: To observe the Influence of age on efficacy of lumbar spinal root radiofrequency. Methods: The clincal data of 68 patients who suffered from lower limb radicular pain and had been treated with spinal root pulsed radiofrequencyin our hospital from January 2020 to December 2022 were retrospectively analyzed. Between 42-92 years of age (median 69.5years), 34 patients ages 42-69 were allocated into younger group, and 34 patients ages 70-92 were allocated into elder group. Data of visual analogue scale (VAS) was recorded before treatment, and at1 week, 1 month, 2 months, 3 months after treatment to analyze and evaluate the efficacy with modified MacNab criteria at 3 months after treatment. Results: The VAS scores at1 week, 1 month, 2 months, and 3 months after treatment had significantly decreased in the two groups compared with those before treatment (P < 0.001). The VAS scores has no significant different between the two groups before treatment (P >0.05). During the follow-up period after treatment, the VAS scores at 1 week were no significant different between the two groups (P >0.05). The elder group patients showed significant relief of lower limb radicular pain VAS scores as compared with the patients in younger group at 1 month, 2months, and 3 months after treatment (P <0.05). The percentage of excellent and good recovery according to the modified MacNab criteria at 3 months after treatment has significant different between the two groups, the elder group 85.2%, and younger group 50% (P <0.05). Conclusion: Pulsed radiofrequency is effective for treatment of lower limb radicular pain and can produce good short-term effects of pain relief and decrease the rate of back surgery in elder patients. It can improve the patients life quality and have clinical utility.