颈丛阻滞配合颈椎牵引治疗神经根型颈椎病疗效观察

Effect evaluation of combined cervical plexus block with cervical vertibra drawing for cervical spondylotic radiculopathy

目的：观察颈丛阻滞配合颈椎牵引治疗神经根型颈椎病的临床疗效。方法将纳入观察的60例神经根型颈椎病患者用抛硬币法随机分为两组，甲组（n＝32）行颈丛阻滞配合颈椎牵引治疗，乙组（n＝28）采用单纯颈椎牵引治疗，根据疼痛程度评分对比分析两组的治疗效果。结果甲组治疗后10 d、20 d、30 d、90 d疼痛程度评分分别为（4．61＆#177;0．70）分、（3．71＆#177;0．57）分、（3．30＆#177;0．65）分、（4．44＆#177;1．04）分，乙组分别为（5．88＆#177;1．47）分、（5．61＆#177;1．35）分、（4．83＆#177;0．86）分、（5．50＆#177;0．87）分，组间比较差异均有统计学意义（t＝5.85、1．06、1．30、7．51，均P＜0．01）。结论颈丛阻滞配合颈椎牵引治疗神经根型颈椎病的疗效优于单纯颈椎牵引，适于在基层医疗单位推广。

Objective To observe the effect of cervical plexus block combined with cervical vertebra traction treatment of cervical spondylosis of nerve root type .Methods 60 cases of nerve root type cervical spondylosis were divided into two groups by coin tossing：group A（n=32） cervical plexus block combined with cervical traction thera-py, group B（ n=28） treated by cervical traction therapy ,according to the severity of pain compared two groups of treatment effect.Results after treatment,20d group 10d,30d,90d pain scores were （4.61 ＆#177;0.70）%,（3.71 ＆#177; 0.57）%,（3.30 ＆#177;0.65）%,（4.44 ＆#177;1.04）%,group B respectively （5.88 ＆#177;1.47）%,（5.61 ＆#177;1.35）%,（4.83 ＆#177; 0.86）%,（5.50 ＆#177;0.87）%,the difference between two groups was statistically significant （t=5.85,1.06,1.30, 7.51,all P＆lt;0.01）.Conclusion The cervical plexus block combined with cervical traction for treatment of nerve root type of cervical spondylosis is better than the routine treatment of cervical traction ,which is suitable for promotion of primary health care units .