摘要: |
[摘要] 目的 探讨超声引导下经颈侧方入路行颈神经根阻滞治疗神经根型颈椎病的临床疗效。方法 选择2016-02~2019-06该院收治的108例神经根型颈椎病患者作为研究对象,按照治疗方法的不同将其分为观察组(55例)和对照组(53例)。对照组采用根据体表解剖定位经颈前方入路行颈神经根阻滞治疗,观察组应用超声引导下经颈侧方入路行颈神经根阻滞治疗,比较两组穿刺时间及穿刺成功率,以及两组治疗后疼痛视觉模拟评分量表(VAS)评分、颈椎功能障碍指数(NDI)评分、健康状况评分、治疗有效率及并发症发生率。结果 观察组穿刺成功率高于对照组,穿刺所用时间短于对照组,差异有统计学意义(P<0.05)。治疗前,两组VAS评分、NDI评分、生理健康(PH)评分和精神健康(MH)评分比较差异均无统计学意义(P>0.05)。在治疗后第1、3、6个月,两组的VAS评分均显著低于治疗前(P<0.05),且观察组VAS评分显著低于对照组(P<0.05);治疗后第1、3、6个月,两组的NDI评分低于治疗前,PH评分和MH评分高于治疗前,差异有统计学意义(P<0.05),且在治疗后第3、6个月,观察组NDI评分低于对照组,PH评分和MH评分高于对照组,差异有统计学意义(P<0.05)。观察组治疗有效率为94.55%,对照组治疗有效率为79.25%,差异有统计学意义(P<0.05)。结论 超声引导下经颈侧方入路行颈神经根阻滞治疗神经根型颈椎病效果理想,穿刺成功率高,具有广阔的临床应用前景。 |
关键词: 超声引导 侧方入路 颈神经根阻滞 神经根型颈椎病 |
DOI:10.3969/j.issn.1674-3806.2020.06.07 |
分类号:R 459.9 |
基金项目:江苏省重点研发计划项目(社会发展)(编号:BE2015626);江苏省镇江市重点研发计划(社会发展)项目(编号:SH2018035) |
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Analysis on the effect of ultrasonic-guided lateral cervical nerve root block on treatment of cervical spondylotic radiculopathy |
LIU Wu, SUN Yong, ZHANG Wei, et al.
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Department of Pain Treatment, Affiliated People′s Hospital of Jiangsu University, Zhenjiang 212000, China
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Abstract: |
[Abstract] Objective To explore the clinical effect of cervical nerve root block by lateral approach under the guidance of ultrasound on treatment of cervical spondylotic radiculopathy. Methods One hundred and eight patients with cervical spondylotic radiculopathy treated in our hospital from February 2016 to June 2019 were selected as the research subjects. They were divided into observation group(55 cases) and control group(53 cases) according to different treatment methods. The control group was treated with anterior cervical approach for cervical nerve root block according to the anatomical location of the body surface, and the observation group was treated with ultrasound-guided cervical nerve root block through the lateral approach. The puncture time and puncture success rate were compared between the two groups, as well as the Visual Analogue Scale(VAS) score, Cervical Dysfunction Index(NDI) score, health status score, effective rate and complication rate after treatment. Results The puncture success rate in the observation group was higher than that in the control group, and the puncture time in the observation group was shorter than that in the control group, and the differences were statistically significant(P<0.05). Before treatment, there were no significant differences in the VAS scores, NDI scores, Physical Health(PH) scores and Mental Health(MH) scores between the two groups(P>0.05). Compared with those before treatment, the VAS scores were significantly lower in the two groups 1, 3 and 6 months after treatment(P<0.05), and the VAS scores of the observation group were significantly lower than those of the control group(P<0.05). Compared with those before treatment, the NDI scores were significantly lower, and the PH scores and MH scores were significantly higher in the two groups 1, 3, and 6 months after treatment(P<0.05). The NDI scores in the observation group were significantly lower than those in the control group, and the PH scores and MH scores in the observation group were significantly higher than those in the control group 3 and 6 months after treatment(P<0. 05). The effective rate was 94.55% in the observation group and 79.25% in the control group, and the difference was statistically significant between the two groups(P<0.05). Conclusion Under the guidance of ultrasound, the lateral approach of cervical nerve root block is effective in treatment of cervical spondylosis radiculopathy, with a high success rate of puncture, and has a broader clinical application prospect. |
Key words: Ultrasound guidance Lateral approach Cervical nerve root block Cervical spondylotic radiculopathy |