|
|
Effect of point injection combined with nerve plexus block of interscalene in the treatment of cervical spondylotic radiculopathy |
YUE Honghong GAO Yinqiu |
Department of Anesthesia, Guang’anmen Hospital, China Academy of Chinese Medical Science, Beijing 100053, China |
|
|
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.
|
|
|
|
|
[1] Zhu LG,Yu J. Research progress of non-operative treatment for cervical spondylotic radiculopathy [J]. Chin J Trad Med Traum Orthop,2011,19(4):66-69.
[2] 张琳,李滋平.岭南针药相须流派李滋平对颈椎病颈痛的治疗经验[J].中国医药导报,2019,16(4):112-116.
[3] 唐仲.针灸联合桂枝葛根汤治疗神经根型颈椎病临床评价[J].中医临床研究,2020,12(6):93-95.
[4] 郑竑,林绪超,林东秀,等.神经根型颈椎病ACDF术后患者抑郁及焦虑情绪改善对预后的影响[J].中国骨与关节损伤杂志,2019,34(9):941-942.
[5] 邱鹏远,潘略韬,陈国,等.超声引导下神经根阻滞术治疗神经根型颈椎病的效果观察[J].临床医学工程,2019, 26(1):13-14.
[6] 张弘,柳霞.针刀配合神经阻滞治疗神经根型颈椎病的临床研究[J].中医学报,2012,27(11):1533-1534.
[7] 李洪图,魏铭.中西医结合治疗颈椎病的临床疗效观察[J].临床医学,2014,34(10):114-115.
[8] 周中元,周亦玮,牛彦杰,等.穴位注射治疗急性偏头痛疗效分析[J].湖北中医药大学学报,2020,22(4):88-90.
[9] 殷岳杉,赵吉平,阮安民,等.电针联合穴位注射治疗神经根型颈椎病疗效观察[J].世界中医药,2020,15(6):915-919.
[10] 储浩然,胡进,孙奎,等.针灸治疗神经根型颈椎病临床实践指南[J].世界针灸杂志:英文版,2017,27(1):3-11.
[11] 陈文杰,曹跃强,王瑷珉,等.针刺运动疗法结合中药热敷治疗急性腰扭伤的临床研究[J].中国医药导报,2019, 16(22):131-134.
[12] 解淑灿,何亮亮,翁浩,等.超声引导下神经根阻滞对低位神经根型颈椎病患者的疗效观察[J].中国疼痛医学杂志,2013,19(11):648-651.
[13] 张长杰.肌肉骨骼康复学[M].北京:人民卫生出版社,2015:235-237.
[14] 刘先明.激痛点针刺法配合龙氏正骨手法治疗神经根型颈椎病的效果研究[J].中国实用医药,2020,15(7):187-188.
[15] 牛青松.经椎间孔选择性神经根阻滞术治疗神经根型颈椎病的疗效[J].中国实用神经疾病杂志,2017,20(11):115-117.
[16] 陈俊绵,郭冬霞,阳初夏.小针刀联合曲安奈德治疗狭窄性腱鞘炎疗效观察[J].黑龙江中医药,2020,49(4):1-2.
[17] 陈清法,黄华垚,陈振强.α-硫辛酸联合弥可保治疗糖尿病周围神经病变的临床观察[J].海峡药学,2018,30(6):125-127.
[18] 张珍.弥可保治疗急性前庭神经炎的疗效分析[J].现代诊断与治疗,2018,29(13):2149-2150.
[19] 邵红,孙亚东,韩艳,等.弥可保治疗糖尿病周围神经病变的临床观察[J].吉林医学,2007,28(15):1640.
[20] 王冬梅.丹参注射液穴位注射治疗糖尿病周围神经病变的疗效观察[J].黑龙江医药科学,2019,42(5):34-35.
[21] 周中元,周亦玮,牛彦杰,等.穴位注射治疗急性偏头痛疗效分析[J].湖北中医药大学学报,2020,22(4):88-90.
[22] 汤剑,王晓东,杨卫明.穴位注射用腺苷钴胺联合电针治疗腰椎间盘突出症临床疗效观察[J].中国医药科学,2020,10(17):99-101,134.
[23] 高寅秋,金利荣.星状神经节阻滞联合穴位注射治疗颈源性头痛[J].中国中西医结合外科杂志,2017,23(5):514-517.
[24] 邵越峰,马守战,贾思明.天麻注射液穴位注射治疗腰三横突综合征的疗效观察[J].世界中医药,2018,13(5):1246-1249.
[25] 亚妮,宗姝琪,李之恺,等.风池穴不同刺法对椎动脉型颈椎病的临床疗效评价[J].针灸临床杂志,2020,36(2):38-42.
[26] 朱仙芬,王志敏,金崇敏,等.两种不同角度针刺风池穴治疗颈型颈椎病效果比较[J].中国乡村医药,2020,27(3):11-12.
[27] 李思斌,李正祥,李秀彬,等.远近配穴针刺联合脊柱微调手法治疗神经根型颈椎病临床疗效观察[J].中国现代医生,2020,58(20):131-134,139.
[28] 王晓丹.电针肩井穴为主治疗颈肩综合征34例[J].中国民间疗法,2018,26(13):20-21.
[29] 李真鹏,汤国敏.循经取穴联合整脊手法治疗神经根型颈椎病的临床效果观察[J].中国医药科学,2020,10(23):97-99.
[30] 许家锋.温针灸夹脊穴对神经根型颈椎病疼痛的改善作用[J].中医临床研究,2017,9(32):89-90.
[31] 孙文善,王偲婧,蔡元坤,等.超声引导下颈部夹脊穴PGLA埋植治疗神经根型颈椎病临床观察[J].中国中医药现代远程教育,2018,16(8):117-119. |
|
|
|