首页|臭氧注射在神经根型颈椎病患者颈神经阻滞后的应用及对患者炎性疼痛的影响

臭氧注射在神经根型颈椎病患者颈神经阻滞后的应用及对患者炎性疼痛的影响

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目的 研究分析臭氧注射在神经根型颈椎病患者颈神经阻滞后的应用及对炎性疼痛的影响.方法 便利选取2021年5月—2023年5月解放军联勤保障部队第九〇七医院收治的84例神经根型颈椎病患者为研究对象,依据随机数表法分为两组,各42例.对照组行颈神经阻滞治疗,观察组在对照组的基础上接受臭氧注射治疗,比较两组临床疗效、颈肩疼痛程度、颈椎功能以及血清炎性指标.结果 观察组总有效率(97.62%)高于对照组(80.95%),差异有统计学意义(χ2=4.480,P=0.034).观察组治疗后1、12周视觉模拟评估法(Vi-sual Analog Scale,VAS)得分、颈椎功能障碍指数(Neck Dysfunction Index,NDI)得分低于对照组,差异有统计学意义(t=3.017、5.645、2.275、3.360,P均<0.05).治疗后观察组超敏C反应蛋白(High Sensitivity C-reactive Protein,hs-CRP)、白细胞介素-6(Interleukin-6,IL-6)、白细胞介素-8(Interleukin-8,IL-8)水平低于对照组,差异有统计学意义(t=4.936、2.545、2.879,P均<0.05).结论 臭氧注射在神经根型颈椎病患者颈神经阻滞后的应用效果显著,利于减轻炎性疼痛症状,加快颈椎功能恢复.
Application of Ozone Injection in Cervical Nerve Block in Patients with Radiculotic Cervical Spondylosis and Its Effect on Inflammatory Pain
Objective To study and analyze the effect of ozone injection on inflammatory pain after cervical nerve block in patients with radiculotic cervical spondylosis.Methods A total of 84 patients with radiculotic cervical spondy-losis admitted to the 907 Hospital of PLA Joint Logistic Support Force from May 2021 to May 2023 were conveniently selected as the study objects and were divided into two groups with 42 patients in each group according to random number table method.The control group received cervical nerve block treatment alone,and the observation group re-ceived ozone injection treatment based on the treatment of control group.The clinical efficacy,degree of neck and shoulder pain,cervical function and serum inflammatory indexes were compared between the two groups.Results The total effective rate of the observation group(97.62%)was higher than that of the control group(80.95%),the difference was statistically significant(χ2=4.480,P=0.034).Visual Analogue Scale(VAS)scores and Neck Dysfunction Index(NDI)scores in the observation group were lower than those in the control group 1,12 weeks after treatment,the dif-ferences were statistically significant(t=3.017,5.645,2.275,3.360,all P<0.05).After treatment,the levels of High Sensitivity C-reactive Protein(hs-CRP),Interleukin-6(IL-6)and Interleukin-8(IL-8)in the observation group were lower than those in the control group,the differences were statistically significant(t=4.936,2.545,2.879,all P<0.05).Conclusion Ozone injection has a remarkable effect on cervical nerve block in patients with radiculotic cervical spondylosis,which is beneficial to alleviate inflammatory pain symptoms and accelerate cervical function recovery.

Radiculotic cervical spondylosisOzone injectionCervical nerve blockInflammatory pain

张伟

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解放军联勤保障部队第九〇七医院骨科,福建南平 353000

神经根型颈椎病 臭氧注射 颈神经阻滞 炎性疼痛

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(8)
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