摘要
目的观察左旋布比卡因复合复方倍他米松治疗颈型颈椎病的疗效。方法 96例确诊为颈型颈椎病患者随机分为左旋布比卡因复合复方倍他米松组(Ⅰ组),利多卡因复合复方倍他米松组(Ⅱ组),每组48例,行颈脊神经后支关节突关节阻滞术,1次/7d,3次1疗程,观察2组治疗后第1、3、6月视觉模拟(visual analogue scale,VAS)评分。结果全部患者治疗顺利,无不良反应,治疗后第1、3、6月VAS评分Ⅰ组明显低于Ⅱ组(P<0.05)。结论左旋布比卡因复合复方倍他米松治疗颈型颈椎病效果优于利多卡因复合复方倍他米松。
Objective To observe curative effect of levobupivacaine combined with compound betamethasone for cervical - type cervical spondylosis. Methods Ninty - six patients with cervical - type cervical spondylosis were randomly divided into two groups （n = 48, each ）：group Ⅰ was treated with levobupivacaine combined with compound betamethasone and group Ⅱ was treated with lidocaine combined with compound betamethasone, two groups received cervical zygapophysial joint nerve block every seven days, 3 times for a period of treatment, the visual analogue scale （VAS） were observed in 1,3 and 6 months after treatment. Results The treatment was carried on smoothly without complications, the VAS in group I in 1,3,6 months were lower than group II （ P 〈 0.05 ）. Conclusion Levobupivacaine combined with compound betamethasone has better curative effect than lidocaine combined with compound betamethasone for cervical -type cervical spondylosis.
出处
《河北医科大学学报》
CAS
2010年第9期1081-1083,共3页
Journal of Hebei Medical University
关键词
颈椎病
椎关节突关节
自主神经传导阻滞
CERVICAL SPONDYLOSIS
zygapophysial joint
autonomic nerve block
