臂丛神经鞘内给药联合颈椎牵引治疗神经根型颈椎病的疗效观察.doc
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1、臂丛神经鞘内给药联合颈椎牵引治疗神经根型颈椎病的疗效观察231300 安徽省六安市舒城县人民医院麻醉科 付代伏电话:13034036149 E-mail: 【摘要】 目的 观察臂丛神经鞘内给药联合颈椎牵引治疗神经根型颈椎病临床疗效。方法 将确诊神经根型颈椎病患者90例,随机分为对照组和治疗组,每组45例。对照组行臂丛神经鞘内给药治疗,治疗组在臂丛神经鞘内给药后采用坐位枕颌带颈椎牵引治疗,3个月后对两组患者进行疗效判定。结果 治疗组的痊62.2% (28/45例)和总有效率97.8%(44/45例)均优于对照组痊愈率51.1%(23/45例)和总有效率93.3%(42/45例),差异有统计学意义
2、(P0.05)。结论 臂丛神经鞘内给药联合颈椎牵引是一种疗效好、操作相对简单、安全性高的治疗神经根型颈椎病方法。 【关键词】臂丛 牵引术 颈椎病 神经根病Efficacy of neural intrathecal injection of Brachial plexus combined with vertebrae cervicales traction therapy for cervical spondylosis radiculopathy FU Dai-fu Anesthesia Department of People,s Hospital of Shucheng county.
3、 Anhui province China 231300【Abstract】 Objective To evaluate the efficacy of neural intrathecal injection of Brachial plexus combined with vertebrae cervicales traction therapy for cervical spondylosis radiculopathy.Methods Ninety patients with cervical spondylosis radiculopathy were randomly divide
4、d into treatment group and control group.Forty-five cases each group.The control group was injectded analgesic mixture into brachial plexus sheath.the treatment group was neural intrathecal injection of Brachial plexus combined with vertebrae cervicales traction,and pillow jaw belts were used,At the
5、 first month after treatment ,the clinical efficacy was evaluated.Results The cure rate and the total efficiency of the treatment group were 62.2%(28/45cases) and 97.8%(44/45cases)respectively, and that of the control group were 51.1%(23/45cases) and 93.3)(42/45cases),the difference between the two
6、groups has statistical significance.conclusion The method of neural intrathecal injection of Brachial plexus with vertebrae cervicales traction is effective and safe for the treatment of cervical spondylosis radiculopathy.【Key words】Brachial plexus;Traction;Cervical spondylosis;Radiculopathy神经根型颈椎病在
7、颈椎病中发病率最高,约占到50%60%。主要表现为颈肩上肢反复发作疼痛、麻木等一系列临床症状。治疗方法多以口服药物、推拿按摩、牵引、理疗、神经阻滞及手术等,但疗效都不尽人意。笔者针对颈椎解剖及病理生理变化等特点,于2008年3月至2011年3月采用臂丛神经鞘内给药联合颈椎牵引治疗神经根型颈椎病并进行了疗效观察,现报告如下。治疗方法 对照组患者去枕仰卧位,头偏向健侧,手臂紧贴体旁,充分暴露患者胸锁乳突肌锁骨头,在锁骨头后缘可触及一条小肌肉即前斜角肌,其外缘还可触及一条大小相同肌肉即中斜角肌。位于前、中斜角肌之间的凹陷即肌间沟。在环状软骨水平与该斜角肌相交处作穿刺点,常规皮肤消毒,右手持7号注射针
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- 关 键 词:
- 神经 联合 颈椎 牵引 治疗 颈椎病 疗效 观察
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