Analysis Of The Efficacy Of Lumbar Sympathetic Nerve Radiofrequency Disruption Combined With Drugs In The Treatment Of Diabetic Peripheral Neuropathy

Objective: By discuss and analyze the clinical efficacy of combining lumbar sympathetic nerve destruction with drug therapy,the clinical efficacy of pulsed radiofrequency combined with drugs in the treatment of diabetic peripheral neuropathy is explored,providing a new treatment idea as well as a clinical basis for diabetic peripheral neuropathy.Methods: Eighty patients diagnosed with type 2 diabetic peripheral neuropathy who met the inclusion criteria were divided into two groups of 40 patients each.The patients in the control group were treated with oral medication alone,while the patients in the observation group received minimally invasive X-ray guided lumbar sympathetic nerve pulse radiofrequency treatment on top of the control group.The VAS scores,Pittsburgh sleep quality scores before and after treatment,skin temperature and Macnab efficacy of the lower limbs of patients in both groups before admission,one month after surgery,three months after surgery and six months after surgery were analyzed by SPSS26.0.Results: 1.Comparison of VAS scores: The patients in both groups had significantly lower VAS scores after treatment compared to before treatment.2.Comparison of Pittsburgh sleep quality scores: The PSQI scores in both groups were significantly lower after treatment compared to before treatment.3.Comparison of lower limb skin temperatures: The patients in both groups had significantly higher lower limb skin temperatures after treatment compared to before treatment.4.Macnab efficacy assessment: The treatment efficacy rate at 6 months of discharge was 100% in the observation group and 95% in the control group.The efficacy rate of Macnab was 100%in the observation group and 95% in the control group at 6 months after discharge.Conclusion: Lumbar sympathetic nerve radiofrequency disruption combined with pharmacological treatment can improve sleep therapy and pain symptoms in patients with diabetic peripheral neuropathy,enhance blood circulation in the patient’s lower limbs and improve skin temperature in the patient’s lower limbs.