交感型颈椎病的麻醉科介入治疗研究

The research of anesthesiology therapy in sympathetic cervical spondylosis

目的本研究旨在探讨交感型颈椎病的治疗方法及临床效果。方法回顾性总结分析2008年~2014年6年间确诊为颈性眩晕的患者210例,其中120例确诊为交感型颈椎病,60例行高位硬膜外阻滞术,60例行枕颌带牵引治疗。结果 60例行硬膜外阻滞的患者,症状均有不同程度改善,其中优24例,良30例,差6例,优良率为90%,平均显效时间(2.2±1.6)小时,60例行颈椎枕颌带牵引的患者,症状改善者10例,良18例,差24例,优良率为46.7%,平均显效时间(7.7±3.0)天,无效8例,硬膜外阻滞组明显优于枕颌带牵引组;硬膜外阻滞组显效时间明显低于枕颌带牵引组。结论高位硬膜外阻滞是一种见效快,疗效确切的治疗交感型颈椎病的方法。

Objective The study was designed to discover the treatment method and clinical result of patients with sympathetic cervical vertebrasickness. Methods This study retrospectively summarizes and analyzes diagnoses of 210 cervical vertigo cases from 2008 to 2014, including 120 cases diagnosed as sympathetic cervical vertebrasickness, of which 60 patients were treated with routine epidural anesthesia, and 60 patients with occipito-mandibular traction. Results Symptoms of 60 patients with routine epidural anesthesia were improved in varying degrees, of which 24 cases were excellent, 30 cases were good, 6 were poor,the fine rate being 90% and the average onset time being(2.2 ±1.6) hours. Of the 60 patientspatients whose symptoms were relieved by occipito-mandibular traction, 10 were excellent results, 18 good, 24 poor, 8 invalid the fine rate 46.7%, the average effectual time(7.7±3.0) days. The epidural anesthesia group was significantly better than the traction group. The effectual time of the epidural anesthesia group was significantly lower than the traction group. Conclusion Epidural anesthesia is a quick, effective treatment for sympathetic cervical spondylosis.