硬膜外注药联合韩式神经刺激疗法治疗神经根型颈椎病疗效观察

Efficacy of epidural injection combined with HANS therapy for cervical spondylosis radiculopathy

目的观察颈椎硬膜外置管药物注射联合韩式（HANS）穴位神经刺激疗法治疗神经根型颈椎病的疗效。方法选取神经根型颈椎病患者109例，采用颈椎硬膜外置管药物注射（2d给药1次，3次为1个疗程）联合HANS疗法（每日2次，5d为1个疗程）治疗，于治疗后1个月、6个月时评估视觉模拟疼痛评分（VAS）和改良MacNab治疗效果。结果治疗后1、6个月时的总有效率分别为89．4％（93／104例）、86．0％（80／93例）。所有患者均未见严重并发症。结论颈椎硬膜外置管药物注射联合HANs疗法是治疗神经根型颈椎病的一种有效、安全的方法。

Objective To evaluate the efficacy of injection with medical ozone and drugs through cervical epidural catheterization combined with HANS therapy for the treatment of cervical spondylotic radiculopathy. Methods One hundred and nine patients with cervical spondylotic radicu- lopathy were treated by epidural medical ozone and drugs injection （one time per two days, three times for a course of treatment） combined with HANS therapy （two times per day, five days for a course of treatment）. Therapeutic outcome was assessed by a modified MacNab＇s method and visual analogue scale（VAS） at the 1st and 6th month after the treatment. Results At the 1st and 6th month after the treatment, VAS was significantly decreased （P〈0.05）, the total effective rates were 89.4%（93/104 cases） and 86.0% （80/93 cases） respectively. No severe complication was found throughout this study. Conclusion The method of drugs injection through cervical epidural catheterization combined with HANS therapy is an effective and safe method for the treatment of cer- vical spondylotic radiculopathy.