两种方法缓解神经根型颈椎病急性疼痛的疗效比较

摘要

Objective To explore the more suitable for the treatment of acute pain relief of nerve root type of cervical spondylosis by the comparison of two different therapeutic methods for acute pain of nerve root type cervical spondylosis.Methods 61 cases were selected in 2009.12 ～2010.4 in our department for treatment of acute pain of nerve root type of cervical spondylosis, male 25 cases, female 36 cases, age 27～52 years old, average 40.6 years old, were accorded with the inclusive criteria. The patients were randomly divided into 2 groups, A group: patients were given 0.9% sodium chloride injection of methylprednisolone sodium succinate for injection of 100ml + 40mg, intravenous drip, 2 times / day, 3 days for a course; B group: patients were given 20% 125ml of mannitol intravenous drip, 2 times / day, 3 days for a course. On the visual analog scale ( VAS ) assessment of pain patients before and after treatment, curative effect comparison of two kinds of therapeutic methods for acute pain of nerve root type of cervical spondylosis.Results Two treatment method can effectively reduce the nerve root type cervical spondylosis symptoms integral, and the two group of significant efficiency, efficiency, inefficiency, there were no significant differences (P> 0.05 ). Conclusion Most patients symptoms significantly reduced by two treatment method, and which can be clinically applied to alleviate the acute pain of cervical spondylosis of nerve root type.%目的 通过比较两种不同治疗方法对神经根型颈椎病急性疼痛的疗效,探讨更适合缓解神经根型颈椎病急性疼痛的治疗方法.方法 选取2009年12月～2010年4月在我科治疗神经根型颈椎病急性疼痛的患者61例.将患者随机分为2组,A组:给予患者0.9%氯化钠注射液100 mL+注射用甲泼尼龙琥珀酸钠40 mg,静滴,2次/d,疗程为3 d;B组:给予患者20%甘露醇125 mL静滴,2次/d,疗程为3 d.以疼痛视觉模拟评分法(VAS)评估患者用药前后的疼痛变化,比较两种治疗方法对神经根型颈椎病急性疼痛的疗效.结果 两种治疗方法都能有效降低神经根型颈椎病患者的症状积分,且两组的显著有效率、有效率、无效率、总有效率比较差异无统计学意义(P＞0.05).结论 两种治疗方法均可迅速使大部分患者症状明显减轻,均可应用于临床来缓解神经根型颈椎病急性疼痛.