颈椎横突后结节间沟神经阻滞麻醉治疗颈椎间盘突出的效果

The effect of cervical transverse process posterior intertubercular groove nerve block anesthesia on cervical disc herniation

目的研究颈椎横突后结节间沟神经阻滞麻醉治疗颈椎间盘突出的效果。方法60例颈椎间盘突出患者,根据随机分配法将其分为实验组和参照组,每组30例。参照组患者在基础检查后实施颈椎后根神经阻滞麻醉治疗,实验组患者在基础检查以后实施颈椎横突后结节间沟神经阻滞麻醉治疗。比较两组患者治疗后日本骨科协会评估治疗分数(JOA)评分、复发及不良反应发生情况、治疗效果。结果治疗后,实验组患者临床症状、临床检查以及日常生活评分分别为(24.38±5.19)、(25.01±4.39)、(26.34±2.94)分,均高于参照组的(13.29±5.37)、(15.34±5.49)、(15.97±4.13)分,差异均具有统计学意义(P<0.05)。实验组复发率3.33%、不良反应发生率6.67%均低于参照组的20.00%、26.67%,差异具有统计学意义(χ^(2)=4.043、4.320,P=0.044、0.038<0.05)。实验组优良率93.33%高于参照组的73.33%,差异具有统计学意义(χ^(2)=4.320,P=0.038<0.05)。结论在颈椎间盘突出治疗中,实施颈椎横突后结节间沟神经阻滞麻醉治疗可以明显改善患者的临床症状,具有很高的临床应用价值。

Objective To study the effect of cervical transverse process posterior intertubercular groove nerve block anesthesia on cervical disc herniation.Methods A total of 60 patients with cervical disc herniation were divided into experimental group and reference group according to the random allocation method,with 30 cases in each group.Patients in the reference group were treated with cervical posterior root nerve block anesthesia after the basic examination,and patients in the experimental group were treated with cervical transverse process posterior intertubercular groove nerve block anesthesia after the basic examination.The Japanese Orthopaedic Association(JOA)score,recurrence,occurrence of adverse reactions,and therapeutic effect were compared between the two groups.Results After treatment,the clinical symptoms,clinical examination and daily life scores of the experimental group were(24.38±5.19),(25.01±4.39),and(26.34±2.94)points,which were higher than(13.29±5.37)and(15.34±5.49),and(15.97±4.13)points of the reference group,and the difference was statistically significant(P<0.05).The recurrence rate 3.33%and incidence of adverse reactions 6.67%of the experimental group were lower than 20.00%and 26.67%of the reference group,and the difference was statistically significant(χ^(2)=4.043,4.320;P=0.044,0.038<0.05).The excellent and good rate 93.33%of the experimental group was higher than 73.33%of the reference group,and the difference was statistically significant(χ^(2)=4.320,P=0.038<0.05).Conclusion In the treatment of cervical disc herniation,cervical transverse process posterior intertubercular groove nerve block anesthesia can obviously improve the clinical symptoms of patients,and contains high clinical application value.