Abstract：Objective To explore effect of point injection combined with nerve plexus block of interscalene in the treatment of cervical spondylotic radiculopathy (CSR). Methods A total of 72 patients with CSR admitted to the Department of Pain, Guang’anmen Hospital, China Academy of Chinese Medical Sciences from March 2019 to January 2020 were selected and they were divided into treatment group and control group according to random number table method, with 36 cases in each group. The treatment group was treated with injection of cervical points of jiaji, fēngchí, and jiānjǐng combined with nerve plexus block of interscalene, while the control group was only treated with nerve plexus block of interscalene. Both groups were treated once every seven days, seven days as a course of treatment, a total of four courses of treatment. The visual analogue scale (VAS) after 1, 2, 3 and 4 weeks of treatment and the excellent and good rate of clinical effect after four weeks of treatment in both groups were observed. Results After four courses of treatment, overall analysis showed that there were statistically significant differences of VAS in groups, time point comparison and interaction between the two groups (P ＜ 0.05). Further pairwise comparison was conducted, and intra-group comparison showed that there were statistically significant differences in intra-group VAS at each time point in two groups (all P ＜ 0.05). Comparison between groups showed that there was no statistically significant difference in VAS between the two groups before treatment (P ＞ 0.05), and the VAS of the treatment group was lower than that of the control group at all time points after one to four weeks of treatment, with statistically significant differences (all P ＜ 0.05). The excellent and good rate of clinical efficacy in treatment group was higher than that in control group (P ＜ 0.05). Conclusion The analgesic effect and clinical efficacy of point injection combined with nerve plexus block of interscalene in the treatment of CSR are better than those of nerve plexus block of interscalene alone.
岳红红 高寅秋. 穴位注射联合肌间沟神经丛阻滞治疗神经根型颈椎病的效果[J]. 中国医药导报, 2021, 18(10): 113-116.
YUE Honghong GAO Yinqiu. Effect of point injection combined with nerve plexus block of interscalene in the treatment of cervical spondylotic radiculopathy. 中国医药导报, 2021, 18(10): 113-116.
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