超声引导下颈神经根阻滞治疗神经根型颈椎病的疗效
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摘要
目的探讨超声引导下颈神经根阻滞治疗神经根型颈椎病的临床疗效。方法选择2017年1月～2018年9月我院收治的神经根型颈椎病患者56例,随机分为观察组和对照组,每组28例。对照组采用传统解剖定位法行颈椎旁神经根阻滞,观察组在超声引导下进行颈神经根阻滞治疗,比较两组阻滞前和阻滞后1周的视觉模拟评分(VAS)、阻滞后2周的临床疗效及不良反应发生率。结果阻滞前两组VAS疼痛评分比较,差异无统计学意义(P>0.05);阻滞后1周,观察组VAS评分低于对照组[(1.46±1.15)分vs(3.12±0.76)分],差异有统计学意义(P<0.05)。观察组优良率为89.29%,高于对照组的64.29%,差异有统计学意义(P<0.05)。观察组不良反应发生率为0,低于对照组的7.14%,但差异无统计学意义(P>0.05)。结论超声引导下颈神经根阻滞治疗神经根型颈椎病具有较好的临床疗效,安全性高。
Objective To investigate the clinical efficacy of ultrasound-guided cervical nerve root block in the treatment of cervical spondylotic radiculopathy. Methods A total of 56 patients with cervical spondylotic radiculopathy admitted to our hospital from January 2017 to September 2018 were randomly divided into observation group and control group, 28 cases in each group. The control group underwent cervical vertebral nerve root block with traditional anatomical localization. The observation group underwent ultrasound-guided cervical nerve root block. The visual analogue scale(VAS) and resistance of the two groups were compared before and 1 week. Clinical efficacy and incidence of adverse reactions after 2 weeks of lag.Results There was no significant difference in the VAS pain scores between the two groups(P>0.05). The resistance was 1 week, and the VAS score of the observation group was lower than that of the control group [(1.46±1.15) points vs.(3.12±0.76) points ], the difference was statistically significant(P<0.05). The excellent and good rate of the observation group was 89.29%, which was higher than that of the control group 64.29%,the difference was statistically significant(P<0.05). The incidence of adverse reactions in the observation group was 0, which was lower than 7.14% in the control group,but the difference was not statistically significant(P>0.05).Conclusion Ultrasound-guided cervical nerve root block has a good clinical effect and high safety in the treatment of cervical spondylotic radiculopathy.
Objective To investigate the clinical efficacy of ultrasound-guided cervical nerve root block in the treatment of cervical spondylotic radiculopathy. Methods A total of 56 patients with cervical spondylotic radiculopathy admitted to our hospital from January 2017 to September 2018 were randomly divided into observation group and control group, 28 cases in each group. The control group underwent cervical vertebral nerve root block with traditional anatomical localization. The observation group underwent ultrasound-guided cervical nerve root block. The visual analogue scale(VAS) and resistance of the two groups were compared before and 1 week. Clinical efficacy and incidence of adverse reactions after 2 weeks of lag.Results There was no significant difference in the VAS pain scores between the two groups(P>0.05). The resistance was 1 week, and the VAS score of the observation group was lower than that of the control group [(1.46±1.15) points vs.(3.12±0.76) points ], the difference was statistically significant(P<0.05). The excellent and good rate of the observation group was 89.29%, which was higher than that of the control group 64.29%,the difference was statistically significant(P<0.05). The incidence of adverse reactions in the observation group was 0, which was lower than 7.14% in the control group,but the difference was not statistically significant(P>0.05).Conclusion Ultrasound-guided cervical nerve root block has a good clinical effect and high safety in the treatment of cervical spondylotic radiculopathy.
引文
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[7]宋庆迎,王碧,杜诚,等.B超引导下神经根阻滞治疗神经根型颈椎病的安全性[J].中西医结合心血管病杂志,2017,5(32):77.
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[9]牛青松.经椎间孔选择性神经根阻滞术治疗神经根型颈椎病的疗效[J].中国实用神经疾病杂志,2017,20(11):115-117.
[2]Yan HX,Su Y,Zhou GH,et al.Research progress of non-operative treatment for cervical spondylosis of nerve root type[J].Chin Community Doct,2015,31(36):5-6.
[3]姜国莉.颈椎康复操治疗神经根型颈椎病临床效果[J].中外医学研究,2016,14(26):126-128.
[4]解淑灿,何亮亮,翁浩.超声引导下神经根阻滞对低位神经根型颈椎病患者的疗效观察[J].中国疼痛医学杂志2013,19(11):648-651
[4]周艳,姜钦勇,彭娟,等.超声引导联合神经刺激仪定位选择性颈神经根阻滞术治疗神经根型颈椎病的观察[J].中华临床医师杂志(电子版),2016(6):302.
[5]李加平,雷震,龙劲松,等.超声引导下臂丛神经根射频热凝联合阻滞的临床应用[J].中华医学超声杂志(电子版),2015,12(6):493-496.
[6]顾丽丽,曹新添,廖云华,等.超声引导下选择性颈神经根阻滞治疗神经根型颈椎病的临床观察[J].中国疼痛医学杂志,2018,24(4):311-313.
[7]宋庆迎,王碧,杜诚,等.B超引导下神经根阻滞治疗神经根型颈椎病的安全性[J].中西医结合心血管病杂志,2017,5(32):77.
[8]祝建斌,祝末名.颈椎前入路神经根阻滞治疗神经根型颈椎病临床观察[J].中国疼痛医学杂志,2011(17):509.
[9]牛青松.经椎间孔选择性神经根阻滞术治疗神经根型颈椎病的疗效[J].中国实用神经疾病杂志,2017,20(11):115-117.