观察颈夹脊穴注射复方当归注射液联合颈神经根阻滞治疗神经根型颈椎病的临床疗效

Clinical effect of neck clip ridge acupuncture point injection of compound angelica injection combined with cervical nerve root block in treatment of cervical spondylosis of nerve root type

目的观察神经根型颈椎病患者接受颈夹脊穴注射复方当归注射液联合颈神经根阻滞治疗的临床疗效。方法选择2014年6月-2015年9月我院收治的神经根型颈椎病患者90例,随机分为观察组和对照组,各有45例。对照组患者接受颈神经根阻滞治疗,观察组患者在对照组的基础上加用复方当归注射液穴位注射治疗,治疗结束后分析临床疗效。结果两组患者在治疗前及治疗后1周、3周、3个月的VAS评分逐渐下降;观察组的VAS评分的下降程度均低于对照组。观察组患者治疗的总有效率（95.6%）高于对照组患者（82.2%）。两组患者治疗后3个月的CGRP水平明显低于治疗前;观察组患者治疗后3个月的CGRP水平显著少于对照组。以上比较差异均具有统计学意义（P〈0.05）。结论采用颈夹脊穴注射复方当归注射液联合颈神经根阻滞治疗神经根型颈椎病比单纯的颈神经根阻滞治疗效果好,能有效缓解患者疼痛感,提高治疗效果,值得在临床应用推广。

Objective To observe the clinical effect of neck clip ridge acupuncture point injection of compound angelica injection combined with cervical nerve root block in treatment of cervical spondylosis of nerve root type. Methods 90 cases of patients with cervical spondylotic myelopathy cured in our hospital from June 2014 to September 2015 were randomly divided into observation group and control group, with 45 cases in each. Patients in the control group were received cervical nerve root block treatment, and patients in the observation group were treated with compound danggui injection that on the base of treatment in the control group. After treatment, the clinical efficacy of two groups were tested. Results The VAS score of patients in two groups were gradually decreased before treatment and after treatment for 1 weeks, 3 weeks, 3 months. The VAS score of the observation group was lower than that of the control group. The total effective rate of the observation group（95.6%） was higher than that of the control group（82.2%）. The CGRP level of patients in two groups after treatment of 3 months was significantly lower than before treatment. The CGRP level in the observation group was significantly less than that in the control group after 3 months. The above differences were statistically significant（P〈0.05）. Conclusion The treatment of cervical spondylotic myelopathy with compound angelica injectioncombined with cervical nerve root block for cervical spondylosis of nerve root type is better han the simple treatment of cervical nerve root block. It can effectively alleviate the pain of patients, and improve the therapeutic effect. It is worthy of promotion in clinical application.