针刀疗法联合棘间神经阻滞治疗慢性颈型颈椎病的效果

Efficacy of acupotomy combined with interspinai nerve block in the treatment of patients with chronic neck type of cervical spondylopathy

目的探讨针刀疗法联合神经阻滞治疗慢性颈型颈椎病的临床疗效。方法慢性颈型颈椎病患者80例，随机分为联合组和阻滞组，每组40例。联合组先行棘间神经阻滞，再行针刀治疗；阻滞组单纯行神经阻滞治疗。分别于治疗前，治疗后1、3、7、14、30d记录VAS评分。结果与治疗前比较，两组治疗后各时点VAS均下降（P〈0．05）；与阻滞组比较，治疗后14、30d时联合组VAS较低（P〈0．05）。结论针刀疗法联合棘间神经阻滞治疗慢性颈型颈椎病疗效显著，且优于单纯神经阻滞治疗。

Objective To explore the clinical efficacy of acupotomy combined with nerve block for the treatment of patients with chronic neck type of cervical spondylopathy. Methods Eighty patients with chronic neck type of cervical spondylopathy were randomly divided into combined group and block group, each group with 40 cases. Patients in the combined group were treated with acupotomy first, then with interspinal nerve block; the block group only received nerve block. VAS was recorded before and at 1, 3, 7, 14, 30 d after the treatment. Results VAS was decreased after the treatment than that before treatment in both groups（P〈0.05）. Compared with the block group, VAS was significantly decreased at 14, 30 d after the treatment in the combined group （P〈0.05）. Conclusion Acupotomy combined with interspinal nerve block is effective in the treatment of patients with chronic neck type of cervical spondylopathy, and the efficacy is superior to only interspinal nerve block.