妙纳治疗胸廓出口综合征的临床观察

摘要

Objective　To compare the result of Mynal and local block in treatment of thoracic outlet syndrome.Methods　177 patients with thoracic outlet syndrome were randomly divided into 3 groups. Group A was treated by Mynal, group B by cervical local block, and group C by both. Postoperative follow - up ranged from 3 weeks to half a year. The recovery of pinprick, muscle power, sleeping and subjective feeling were assessed. Results　Recovery of pinprick in group B and C was superior to that in group A one week after the therapy. After 3 weeks, there was no difference among the three groups. The best improvement of subjective symptoms was obtained in group C, with recovery rate of 90.72 %.Conclusions　The short - term treatment outcome in three groups was satisfactory, with the combination of Mynal and local block being the best. The long - term results of the three groups were comparable to each other.%目的　比较口服妙纳与颈部痛点局部封闭治疗胸廓出口综合征的疗效。方法　对177例胸廓出口综合征患者,按就诊先后顺序随机分成3组进行治疗。A组单独服用妙纳，B组采用颈部痛点局封（曲安奈德2 ml），C组口服妙纳及颈部痛点局封联合应用。术后随访3周 ～ 半年，观察患肢感觉、肌力、睡眠、自我感觉四项的恢复情况。结果　治疗后1周刺痛觉的恢复率C、B组优于A组（χ2=6.10、11.18，P < 0.01），术后3周3组刺痛觉恢复程度无差异。自觉症状改善以C组为最佳，恢复率可达到90.72 %。结论　3组的近期疗效均较好，以联合应用的疗效最佳。远期疗效3组基本相同。