早期针刀在腰椎间盘突出症患者行神经阻滞联合臭氧消融术后的干预效果研究OA

Objective To evaluate the effect of early needle knife intervention following nerve block and ozone ablation in patients with lumbar disc herniation(LDH).Methods 196 LDH patients were equally allocated to either the observation group or control group.Both groups underwent nerve block combined with ozone ablation.The observation group received additional needle knife therapy 3-7 days postoperatively,whereas the control group received conventional rehabilitation only.Outcomes including JOA,VAS,ODI,modified Macnab criteria,ESR,WBC,SIRI,and SII were assessed at baseline and 3 days,2 weeks,1 month,and 6 months post-treatment.Results The observation group demonstrated significantly better JOA,VAS,and ODI scores at all postoperative time points(P＜0.05),along with higher effectiveness rates at 1 and 6 months(P＜0.05).No significant intergroup differences were observed in ESR,WBC,SIRI,or SII levels at 3 days post-treatment(P＞0.05).Conclusion Early needle knife intervention enhances the efficacy of nerve block and ozone ablation,providing additional benefits in pain relief,functional recovery,and long-term outcomes in LDH patients.