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临床试验/NCT05749185
NCT05749185已完成不适用

Comparison Between the Effectiveness of Ultrasound-Guided High Voltage Pulsed Radiofrequency Versus Standard Voltage Pulsed Radiofrequency for Cervical Nerve Roots in Patients With Refractory Chronic Unilateral Cervical Radicular Pain

Minia University2 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2023年2月22日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
100
试验地点
2
主要终点
visual analogue score

研究概览

简要总结

The goal of this interventional study is to compare efficacy of either standard versus supra-voltage radiofrequency cervical epidural injection in pain alleviation in population with chronic cervical radiculopathy.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
20 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age between 20 and 70 years, both genders.
  • American Society of Anesthesiologists (ASA) physical status grades I or II.
  • Unilateral cervical radicular pain secondary to cervical disc prolapse affecting single nerve root which was refractory to conventional conservative and physiotherapy measures for 12 weeks or more.
  • All candidates received 1 millilitre of 2% lidocaine via an ultrasound-guided diagnostic nerve block and informed at least 50% momentary reduction of their pain.
  • Diagnosis was confirmed by cervical MRI and nerve conduction tests.

排除标准

  • Refusal to participate.
  • Cervical radiculopathy pain recurrence after surgery.
  • Previous attempt of radiofrequency ablation.
  • Concomitant coagulopathic state ( decompensated liver disease, clopidogrel use) .
  • Metastatic lesion in the cervical vertebral column.

结局指标

主要结局

visual analogue score

时间窗: pre-treatment, 1,3, and 6 month after intervention

Number of patients with successful pain relief at 6 months post-intervention which is defined as more than or equal 50% reduction in VAS from pre-interventional level Vas score ranges from 0 to ten . 0= NO pain.... 1-3= mild pain .... 4-6 = moderate pain ... 6-10= severe untearable pain

次要结局

  • Incidence of procedure related adverse events(6 hours after the procedure)
  • Neck disability index(pre-treatment, 1,3 and 6 months after intervention)

研究者

发起方
Minia University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Mina Maher

lecturer of anesthesia and pain medicine

Minia University

研究点 (2)

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