DSA引导下颈神经根阻滞治疗神经根型颈椎病的临床疗效

Clinical Curative Effect of DSA-guided Cervical Nerve Root Block in Treatment of Cervical Nerve Root Spondylopathy

目的探讨应用DSA引导下颈神经根阻滞对神经根型颈椎病患者的治疗效果。方法随机选取从2010年1月—2016年1月在南通市第三人民医院疼痛科接受治疗的神经根型颈椎病患者共有60例,按照随机数字列表法分为对照组(门诊30例)与研究组(住院30例)。研究组收住入院应用数字减影血管造影(DSA)引导下颈神经根阻滞治疗。对照组的患者在门诊应用颈椎旁神经阻滞治疗,比较两组患者在治疗前和治疗后各时间的疼痛程度、穿刺的准确性与治疗效果。结果研究组患者在治疗后0.5 h(83.33%)、1周(86.67%)、2周(96.67%)与4周(96.67%)时的VAS评分<4分的比例均比对照组(53.33%,56.67%,76.67%,80.00%)的明显增加(P<0.05),研究组患者的穿刺准确率(96.67%)比对照组的(70.00%)明显增加,差异有统计学意义(P<0.05);治疗后6个月研究组患者的疗效评分[(27.74±2.08)分]比对照组的[(20.80±1.97)分]明显增加,差异有统计学意义(P<0.05)。结论应用DSA引导下颈神经根阻滞对神经根型颈椎病患者的治疗效果优异,能提高穿刺的准确性和安全性,快速地减轻患者的疼痛。

Objective To study the curative effect of DSA-guided cervical nerve root block?in treatment of cervical nerve root spondylopathy. Methods 60 cases of patients with cervical nerve root spondylopathy treated in our hospital from January 2010 to January 2016 were selected and randomly divided into two groups with 30 cases in each, the research group(inpatients) were treated with DSA-guided cervical nerve root block, while the control group(outpatients) were treated with cervical nerve root block, and pain degrees at each time, accuracy of puncture and treatment effect before and after treatment were compared between the two groups. Results The ratios of patients whose VAS score<4 marks at 0.5 h, 1 week, 2 weeks and 4 weeks after treatment in the research group obviously increased compared with those in the control group,(83.33%, 86.67%, 96.67%, 96.67% vs 53.33%, 56.67, 76.67%, 80.00%),The differient was statistically significant(P<0.05),and the accuracy of puncture in the research group obviously increased compared with that in the control group(96.67%vs70.00%),The differient was statistically significant(P<0.05), after six months of treatment, the curative effect score in the research group obviously increased compared with that in the control group [(27.74±2.08)marks vs(20.80±1.97)marks],The differient was statistically significant(P<0.05). Conclusion The effect of DSA-guided cervical nerve root block?in treatment of cervical nerve root spondylopathy can improve the accuracy and safety of puncture and rapidly relieve the pains of patients.