星状神经节加椎间孔阻滞治疗颈椎病

Stellate ganglion and intervertebral foramen blocks for treating cervical spondylopathy

目的比较星状神经节加椎间孔阻滞与颈部硬膜外阻滞治疗颈椎病的疗效。方法232例颈椎病的患者,年龄30-68岁,分为两组:Ⅰ组(星状神经节加椎间孔阻滞)135例;Ⅱ组(颈部硬膜外阻滞组)97例。治疗效果分为3级:痊愈、显效、无效。结果Ⅰ组治疗后,痊愈率为54.1%,显效率为42.2%,Ⅱ组治疗后痊愈率为39.2%,显效率为52.6%,Ⅰ组痊愈率明显高于Ⅱ组(P<0.01)。1年后随访,Ⅰ组痊愈率为50.4%,显效率为42.2%;Ⅱ组痊愈率为34.0%,显效率为51.5%,两组间痊愈率的差异有统计学意义(P<0.01)。结论星状神经节加椎间孔阻滞治疗颈椎病的近、远期疗效明显优于颈部硬膜外阻滞。

Objective To compare the effect between combination of stellate ganglion with foramen intervertebral block and cervical epidural block for the treatment of cervical spondylopathy. Methods 232 patients with cervical spondylopathy were divided randomly into two groups, in group I,135 patients were treated by cervical ganglion block combined with intervertebral foramen block and in group Ⅱ, 97 patients were treated by cervical epidural block. The effective rates marked excellent, good and inefficacy. Results In group Ⅰ, the excellent and good rates were 54.1% and 42.2% respectively; in group Ⅱ, those rates were 39.2% and 52.6% respectively. The excellent rates was higher in group I than in groupⅡ (P><0.01). After one year follow-up, the excellent rates were 50.4% and 42.2% respectively in group Ⅰ; 34.0% and 51.5% respectively in group Ⅱ(P<0.01). Conclusion Treatment with stellate ganglion block combined by intervertebral foramen block for cervical spondylopathy was superior than by cervical epidural block in short-term and long-term curative effect.