颈椎横突后结节间沟神经阻滞麻醉治疗效果

Effect of Anesthesia for Nerve Block of Intertubercular Groove in Posterior Transverse Process of Cervical Vertebra

目的研究分析对颈椎间盘突出症患者采用颈椎横突后结节间沟神经阻滞麻醉治疗的临床效果。方法选取我院2016年5月—2017年5月收治的64例颈椎间盘突出症患者作为研究对象,采用单盲随机法将患者分为对照组与研究组,各32例;研究组采用颈椎横突后结节间沟神经阻滞麻醉,对照组采用颈椎后根神经阻滞麻醉,对比收集两组患者治疗前后症状、体征评分的改变情况,并评估治疗效果。结果治疗后,患者的临床症状与体征在一定程度上得到了改善,研究组JOA评分中临床症状、临床检查和日常生活分数分别为(25.78±6.28)分、(25.49±5.64)分、(26.21±3.75)分,明显优于对照组的(14.49±6.24)分、(15.43±5.37)分、(16.24±3.51)分,P<0.05;研究组中治疗效果为优的例数是18,明显高于对照组的10例,P<0.05;此外研究组和对照组间出现不良反应的例数分别是1例与2例,复发现象的例数分别为2例与3例,数据差异无统计学意义,P>0.05。结论针对颈椎间盘突出症的临床治疗中,采用颈椎横突后结节间沟神经阻滞麻醉,能有效的改善患者的临床症状,提高生活质量,促进治疗效果与预后情况,具有较高的临床价值。

Objective To study and analyze the clinical effect of cervical intertubercular groove nerve block in patients with cervical disc herniation.Methods A total of 64 patients with cervical disc herniation admitted to our hospital from May 2016 to May 2017 were selected as the study objects.In the study group,the nerve block in the intertubercular groove behind the transverse process of cervical vertebra was used,and in the control group,the nerve block in the posterior root of cervical vertebra was used[1].The changes of symptom and sign scores before and after treatment were compared between the two groups,and the therapeutic effect was evaluated.Results After treatment,the clinical symptoms and signs of the patients were improved to a certain extent.The JOA scores of the study group were(25.78±6.28),(25.49±5.64),(26.21±3.75),respectively,significantly better than those of the control group(14.49±6.24),(15.43±5.37),(16.24±3.51),P<0.05.In the study group,18 cases were cured,significantly higher than 10 cases in the control group(P<0.05).In addition,the number of adverse reactions and recurrence between the two groups was 2 and 3,respectively,with no statistically significant difference(P>0.05).Conclusion In the clinical treatment of cervical disc herniation,the use of cervical intertubercular groove nerve block anesthesia can effectively improve the clinical symptoms of patients,improve the quality of life,promote the treatment effect and prognosis,with high clinical value.