脉络宁复合液颈椎旁神经阻滞术治疗神经根型颈椎病临床观察

CLINICAL OBSERVATION OF CERVICAL PARAVERTEBRAL NERVE BLOCK WITH MAILUONING FOR CERVICAL SPONDYLOSIS OF NERVE- ROOT TYPE

目的:探讨使用脉络宁复合液治疗神经根型颈椎病的临床疗效。方法:选择神经根型颈椎病患者60例,随机分为脉络宁复合液组与倍他米松组,每组30例。两组分别使用脉络宁复合液及倍他米松行责任椎体旁神经阻滞术。每周治疗1次,疗程4周,6个月后随访。观察综合疗效,统计分析颈椎病疗效评分及视觉模拟评分(visual analogue scale,VAS)。结果:治疗后6个月脉络宁组与倍他米松组临床疗效及疼痛症状较治疗前差异有统计学意义(P<0.01);脉络宁组优于倍他米松组,两组间疗效比较差异有统计学意义(P<0.05)。结论:脉络宁复合液治疗神经根型颈椎病疗效确切,远期疗效稳定,是治疗神经根型颈椎病的有效方法之一。

Objective： To investigate the clinical efficacy of liquid form Mailuoning complex for cervical spondylosis of nerve-root type. Methods： A total of 60 patients were randomly divided into Mailuoning complex liquid group（M group） and betamethasone group（B group）, 30 cases in each group. The two groups were subjected to vertebral nerve block with Mailuoning complex and betamethasone respectively. The therapy was given once a week for 4 weeks. The visual analogue scale（VAS） and integrated curable effect were assessed pre-treatment and 4 weeks and 6 months after the treatment. Results： The VAS scores in group M were decreased greater than group B at the time of 4 weeks and 6 months after the treatment. The integrated curable effect was higher in group M than group B. Conclusion： Cervical paravertebral nerve block with Mailuoning complex is significontly more efficacious than betamethasone in treating cervical spondylosis of nerve-root type.