【 文献重点摘要 】

Acute low back pain (LBP) is the fifth most common reason for physician visits and about nine out of ten adults experience back pain at some point in their life. In a large number of patients LBP is associated with disc herniation (DH). Recently, oxygen-ozone (O2O3) therapy has been used successfully in the treatment of LBP, reducing pain after the failure of other conservative treatments. The aim of this study was to assess the effects of O2O3 therapy in back pain rehabilitation, comparing three groups of patients suffering from chronic back pain associated with DH submitted to three different treatments: intramuscular O2O3 infiltrations, global postural An observational retrospective/horizontal study to compare oxygen-ozone therapy and/or global postural re-education in complicated chronic low back pain re-education (GPR), or a combination of the two (O2O3+GPR). The data show that pain severity before treatment was significantly lower in the patients treated with GPR alone (VAS score 7.4) than in the O2O3+GPR patients (VAS score 8.5) and the O2O3 patients (VAS score 8.6). At the end of treatment, pain severity was lower in the O2O3 patients than in the GPR-alone patients. After some years of follow-up only the difference between O2O3+GPR and GPR-alone remained significant.

KEYWORDS

chronic back pain, combined treatment (O2O3+GPR), global postural re-education, intramuscular oxygen-ozone infiltrations, lumbar disc herniation, sciatica

急性下腰痛(LBP)是就诊的第五大常见原因，大约十分之九的成年人在一生中的某个时候经历过背部疼痛。在大量患者中，LBP与椎间盘突出症(DH)有关。近年来，氧-臭氧(O2O3)疗法已成功应用于LBP的治疗，减轻了其他保守治疗失败后的疼痛。本研究旨在评价臭氧疗法在腰背痛康复中的作用，比较三组慢性腰痛合并腰背痛患者接受三种不同治疗方法：肌肉内氧渗透疗法、全身体位疗法和/或全身体位再教育疗法在复杂性慢性下腰痛再教育(GPR)或两者结合(O2O3+GPR)中的应用效果，以评价O2O3疗法在腰背痛康复中的作用，并对3组接受不同治疗方法的慢性腰痛患者进行对比研究，以探讨氧臭氧疗法和/或全身体位再教育在复杂性慢性下腰痛再教育(GPR)中的疗效和/或综合疗法(O2O3+GPR)。结果显示，单纯GPR组治疗前疼痛严重程度(VAS评分7.4分)明显低于O2O3+GPR组(VAS评分8.5分)和O2O3组(VAS评分8.6分)。在治疗结束时，O2O3患者的疼痛严重程度低于单独使用GPR的患者。经过几年的随访，只有O2O3+GPR和单独GPR之间的差异仍然显着。

关键词

慢性腰痛，综合治疗(O2O3+GPR)，全局体位再教育，肌内氧-臭氧浸润，腰椎间盘突出症，坐骨神经痛