神经阻滞治疗颈椎病效果分析

Analysis of the effect of nerve block therapy on cervical spondylosiS

目的 观察神经阻滞治疗颈椎病的临床效果,为提升颈椎病临床治疗效果提供参考。方法 选取2022年1—12月天津市天穆镇社区卫生服务中心收治的颈椎病患者60例为研究对象,以随机数字表法分为对照组和观察组各30例。对照组患者给予牵引推拿治疗,观察组患者给予神经阻滞治疗。比较两组治疗总有效率、颈椎活动功能与疼痛评分。结果观察组治疗总有效率为96.67%,高于对照组的76.67%,差异有统计学意义(χ^(2)=5.192,P<0.05)。治疗前,两组患者的疼痛评分与颈椎前屈活动度比较,差异无统计学意义(P>0.05);治疗后,观察组疼痛评分为(2.39±0.68)分,低于对照组的(4.45±0.71)分,颈椎前屈活动度为(69.26±4.16)°,高于对照组的(64.63±4.47)°,差异均有统计学意义(P<0.05)。结论 神经阻滞治疗颈椎病患者,能够促进颈椎功能康复,明显降低患者的不适感与疼痛感,促进肢体功能康复,值得临床推广应用。

Objective To observe the clinical efficacy of nerve block therapy on cervical spondylosis and to provide reference for improving clinical treatment effect of cervical spondylosis.Methods A total of 60 patients with cervical spondylosis admitted to Tianjin Tianmu Town Community Health Service Center from January to December 2022 were selected as the research subjects.They were divided into control group and observation group,with 30 patients in each group,using the random number table method.The control group patients received traction and massage treatment,while the observation group patients received nerve block treatment.The total effective rate,cervical spine movement function and pain score between two groups were compared.Results The total effective rate of the observation group was 96.67%,which was higher than that of the control group with 76.67%,and the difference was statistically significant(χ^(2)=5.192,P<0.05).Before treatment,there were no statistically significant differences in pain scores and cervical flexion range of motion between the two groups of patients(P>0.05);after treatment,the pain score of the observation group was(2.39±0.68)points,which was lower than that of the control group with(4.45±0.71)points,and the cervical flexion range of motion was(69.26±4.16)°,which was higher than that of the control group with(64.63±4.47)°,and the differences were statistically significant(P<0.05).Conclusion Neural block therapy for cervical spondylosis patients could promote cervical functional recovery,significantly reduce discomfort and pain,and promote limb functional recovery,which was worthy of clinical promotion and application.