颈椎旁神经阻滞治疗神经根型颈椎病45例疗效观察  

Clinical observation of paracervical nerve block in the treatment of 45 cases of cervical spondylotic radiculopathy

作　　者：唐瑞辉 蒋东生[1] 袁慧萍[1] 侯鹏飞 任青青 TANG Ruihui;JIANG Dongsheng;YUAN Huiping;HOU Pengfei;REN Qingqing(Department of Rehabilitation Medicine,Fuyang People’s Hospital,Fuyang,Anhui 236000,China)

机构地区：[1]阜阳市人民医院康复医学科,安徽阜阳236000

出　　处：《安徽医药》2020年第9期1795-1797,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察颈椎旁神经阻滞治疗对神经根型颈椎病治疗效果。方法收集阜阳市人民医院本部及纺织厂分院2016年6月至2019年6月收住入院的神经根型颈椎病病人90例,根据随机数字表法分为两组,每组45例,对照组进行常规康复治疗,观察组在此基础上加用颈椎旁神经阻滞治疗,每周1次,共连续2~3次。两组疗程为2~3周。治疗前后对病人住院时间长短和有效率进行对比。结果观察组住院时间[(9.84±2.72)d]较对照组住院时间[(17.78±4.16)d]明显缩短(t=10.701,P<0.001);观察组有效率(97.78%)明显高于对照组(71.11%)(χ^2=12.181,P<0.001)。结论在常规康复治疗基础上加用颈椎旁神经阻滞治疗神经根型颈椎病,可明显缩短病人住院时间,并提高病人治疗有效率。Objective To observe of the therapeutic effect of paracervical nerve block on cervical spondylotic radiculopathy.Meth⁃ods 90 patients with cervical spondylotic radiculopathy admitted to the general institute and textile mill branch of Fuyang People’s Hospital from June 2016 to June 2019 were selected and randomly divided into two groups each with 45 cases,according to the random number table method.The control group was treated with routine rehabilitation.On this basis,the observation group was treat⁃ed with paracervical nerve block once a week,for 2⁃3 consecutive times.The course of treatment for the two groups was 2 to 3 weeks.The length of stay and effective rate of the patient’s hospital stay were compared before and after treatment.Results The av⁃erage length of stay in the observation group[(9.84±2.72)d]was significantly shorter than that of the control group[(17.78±4.16)d](t=10.701,P<0.001);the effective rate of the observation group(97.78%)was significantly higher than that of the con⁃trol group(71.11%)(χ^2=12.181,P<0.001).Conclusion Adding cervical spondylosis with paracervical nerve block on the basis of routine treatment,can significantly shorten the length of hospital stay and improve the efficiency of treatment.

关 键 词：颈椎病 脊柱疾病 自主神经传导阻滞 利多卡因 住院时间 

分 类 号：R681.55[医药卫生—骨科学]