超声引导下颈神经阻滞联合银质针导热疗法在颈型颈椎病治疗中的疗效观察

EFFECT OF ULTRASOUND-GUIDED CERVICAL NERVE BLOCK COMBINED WITH SILVER NEEDLE HEAT CONDUCTION THERAPY ON CERVICAL VERTEBRA DISEASE

摘要:

目的：评价超声引导下颈神经阻滞联合银质针导热疗法治疗颈型颈椎病患者的临床疗效。方法：86例颈型颈椎病诊断标准的患者随机分到对照组和试验组。对照组（C组）43例，接受银质针导热疗法治疗；试验组（T组）43例，接受超声引导下颈神经阻滞联合银质针导热疗法治疗。两组患者每周一次接受治疗，共两次。分别在治疗前及治疗后1 周、2周、4 周、8 周、及12 周应用数字评价量表(Numerical rating scale NRS)及颈痛量表(Northwick park neck pain questionnaire NPQ)评分。结果：两组患者在治疗后疼痛明显得到了改善，治疗早期（1、2、4周），试验组疼痛缓解优于对照组（P < 0.05），但在治疗后期（8 、12周）两组患者疼痛缓解的效果相同（P > 0.05）。结论：两种方法都能够缓解颈椎病患者的疼痛症状，在治疗后短期内，超声引导下颈神经阻滞联合银质针导热疗法镇痛效果优于单纯银质针导热疗法，但在治疗后远期，两组患者的疼痛缓解程度基本相同。

Abstract:

Objective: To evaluate the clinical effect of ultrasound-guided cervical nerve block combined with silver needle heat conduction therapy in the treatment of cervical vertebra disease. Methods: 86 patients with conforms to the diagnostic criteria of cervical vertebra disease, random assigned into control and trail groups. Control group (C group) received silver needle heat therapy; Trail group (T group) received Ultrasound-guided cervical nerve block combined with silver needle heat therapy. All patients received the assigned treatment once per week for 2 weeks. The scores of digital evaluation scale (Numerical rating scale NRS) and neck pain scale (Northwick park neck pain questionnaire NPQ) were used before and after treatment at 1,2,4,8 and 12 weeks. Results: The pain of the two groups was obviously improved after treatment. Conclusions: In the short term after treatment, the analgesic effect of ultrasound guided cervical nerve block combined with silver needle heat conduction therapy was better than that of silver needle heat conduction therapy alone. But in the long term after treatment, the pain relief degree of the two groups was basically the same.