颈椎硬膜外腔阻滞对椎动脉型颈椎病的治疗效果  

Effect of Cervical Epidural Block on the Patients with Cervical Spondylosis of Vertebral Artery Type

作　　者：李娟娟[1] 王晓英[1] 王玲[1] 高秀先[1] 余达[1] LI Juanjuan;WANG Xiaoying;WANG Ling(The First People’s Hospital of Jiujiang,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2018年第29期104-107,共4页Medical Innovation of China

基　　金：江西省卫生计生委科技计划项目(20167091)

摘　　要：目的:观察颈椎硬膜外腔阻滞对椎动脉型颈椎病(CSA)患者的治疗效果。方法:选取本院收治的CSA患者60例。按照随机数字表法将其分为A组和B组,各30例。A组采用颈椎硬膜外腔阻滞治疗,B组采用SGB治疗。比较两组治疗前后的疼痛情况(VAS评分)、疗效及并发症。结果:A组总有效率为96.67%,高于B组的73.33%,比较差异有统计学意义(P<0.05);治疗后,两组VAS评分均低于治疗前,且A组低于B组,比较差异均有统计学意义(P<0.05);两组并发症发生率比较差异无统计学意义(P>0.05)。结论:相对于SGB治疗,颈椎硬膜外腔阻滞能更有效地缓解CSA患者的疼痛症状,疗效确切。Objective:To observe the effect of cervical epidural block in treatment of cervical spondylosis of vertebral artery type(CSA).Method:A total of 60 patients with CSA in our hospital were selected.According to the random number table method,they were divided into group A and group B,30 cases in each group.Group A was treated with cervical epidural block and group B was treated with SGB.The pain condition(VAS score)before and after treatment,curative effect and complications between two groups were compared.Result:The total effective rate of group A was 96.67%,which was higher than 73.33%of group B,the difference was statistically significant(P<0.05).After treatment,the VAS scores of two groups were all lower than those of before treatment,and group A was lower than that of group B,the differences were statistically significant(P<0.05).The incidence of complications in two groups was compared,the difference was not statistically significant(P>0.05).Conclusion:Compared with SGB treatment,cervical epidural block can relieve pain symptoms of CSA patients more effectively,and the curative effect is definite.

关 键 词：颈椎硬膜外腔阻滞 椎动脉型颈椎病 星状神经节阻滞 

分 类 号：R681.5[医药卫生—骨科学]