超声引导下星状神经节连续脉冲射频治疗神经型颈椎病的临床效果探究

Clinical study of ultrasound guided stellate ganglion continuous pulsed radiofrequency in the treatment of neurotype cervical spondylosis

目的 探析超声引导下星状神经节连续脉冲射频治疗神经型颈椎病的临床效果。方法 回顾性分析2018年5月至2020年5月期间于济源市人民医院接受治疗的70例神经根型颈椎病患者临床资料,以治疗方案的不同作为分组依据,即通过利多卡因、曲安奈德实施形状神经阻滞的35例患者设为参照组,而通过利多卡因实施阻滞后在超声引导下进行形状神经节连续脉冲视频治疗的35例患者设为研究组。观察两组椎动脉血流指标水平与交感神经症状评分变化情况。结果两组治疗后,动脉收缩期血流峰值流速(PS)、动脉血管内径(D)、动脉舒张末期血液流速(ED)、每分钟血流量(FV)水平均已升高,比较发现研究组高于参照组(P <0.05)。两组治疗后,交感神经症状评分已降低,比较发现研究组低于参照组(P <0.05)。结论 神经根型颈椎病患者在超声引导下行星状神经节连续脉冲射频治疗,可改善患者椎动脉血流指标,并减轻其交感神经症状。

Objective To explore the clinical effect of ultrasound guided stellate ganglion continuous pulsed radiofrequency in the treatment of neurotype cervical spondylosis. Methods a retrospective analysis in May 2018 to May 2020 in jiyuan city people’s hospital clinical data of 70 patients with cervical spondylosis of nerve root type, to the different treatment as a group, by lidocaine, triamcinolone acetonide shape nerve block of 35 patients were set as control group, and implementation by lidocaine block shape under the ultrasound guided ganglion after continuous pulse video treatment of 35 patients were set to the team. Vertebral artery blood flow index and sympathetic symptom score were observed in two groups. Results After treatment, the peak flow velocity(PS), inner diameter(D), end diastolic flow velocity(ED)and blood flow per minute(FV)of the two groups were increased, and the comparison showed that the study group was higher than the control group(P < 0.05). Sympathetic symptom scores were decreased in both groups after treatment, and comparison showed that the study group was lower than the control group(P < 0.05). Conclusion Ultrasonic-guided continuous pulsed radiofrequency treatment of planetary ganglion can improve the blood flow index of vertebral artery and alleviate the sympathetic symptoms of patients with cervical spondylopathy of radiculopathy.