颈椎硬膜外腔大剂量注射药物治疗椎动脉型颈椎病180例临床观察

Injection High-dose Medicine in Epidural Space for the Treatment of Vertebral Artery Type of Cervical Spondylosis 180

目的:探讨颈椎硬膜外腔大剂量注射药物治疗椎动脉型颈椎病的效果。方法:180例患者被随机分为治疗组(90例)和对照组(90例),对照组采用静脉滴注药物、颈椎牵引、推拿的方法治疗,治疗组在对照组治疗基础上加用颈椎硬膜外腔大剂量注射药物的方法治疗,疗程均为2周。结果:治疗组总有效率为96.67%;对照组总有效率为86.67%。治疗组总有效率明显优于对照组,具有统计学意义(P<0.05)。结论:颈椎硬膜外腔大剂量注射药物,使药物直接到达病变部位,降低交感神经兴奋性,改善局部血液循环,从而有效地治疗椎动脉型颈椎病。

Objective To research the effect of injection high-dose medicine in epidural space for the treatment of vertebral artery type of cervical spondylosis. Methods 180 patients are distributed randomly into treatment group （90） and control group （90）. Control group is treated by intravenous drip,and treatment group is treated by injection high-dose medicine in epidural space based on the treatment of control group. The course is 2 weeks. Results The effective rate of treatment group is 96.67%,and the control group is 86.67%.The effective rate of treatment group is superior to control group, and there is statistical significance （P〈0.05）. Conclusion It＇s effective treatment for vertebral artery type of cervical spondylosis by injection high-dose medicine in epidural space which can make medicine arrive to diseased region directly ,depress the excitability of sympathetic nerve and improve local blood circulation.