摘要
目的探究肩胛上神经联合肩胛背神经阻滞对颈肩部疼痛综合征患者临床疗效、VAS评分及关节活动度的影响。方法回顾性分析于2017年2月—2020年2月在该院接受治疗的121例颈肩部疼痛综合征患者的临床资料,根据治疗方案的不同,分为对照组(局部痛点封闭,n=59)和研究组(肩胛上神经联合肩胛背神经阻滞n=62)。比较二组临床疗效、疼痛情况[疼痛视觉模拟评分(VAS)及疼痛分级指数总分(PRIT)]、关节活动度、颈椎功能障碍及颈椎关节活动情况[采用颈椎功能障碍指数(NDI)评估颈椎功能障碍情况,采用颈椎关节活动度(CROM)评估颈椎关节活动情况]、不良反应。结果对照组治疗后总有效率为74.58%,研究组治疗后总有效率为91.94%,研究组明显高于对照组(P<0.05);与治疗前相比,二组治疗后VAS评分及PRI-T评分均逐渐降低,且研究组降低更为显著(P<0.05);与治疗前相比,二组治疗后关节活动度改善率明显增加,以研究组最显著(P<0.05);与治疗前相比,二组治疗后关节活动度改善率明显增加,研究组明显高于对照组(P<0.05),以上差异均有统计学意义;二组不良反应发生情况比较差异无统计学意义(P>0.05)。结论将肩胛上神经联合肩胛背神经阻滞应用治疗颈肩部疼痛综合征疗效确切,可有效改善患者的VAS评分、PRI-T评分和关节活动度,加快患者恢复。
Objective To explore the effect of suprascapular nerve combined with dorsal scapular nerve blockon the clinical efficacy, VAS score and joint range of motion in patients with neck and shoulder pain syndrome.Methods The clinical data of one hundred and twenty-one patients with neck and shoulder pain syndrome who were treated in Dujiangyan People′s Hospital from February 2017 to February 2020 were retrospectively collected.According to different treatment options, they were divided into a control group(local pain point closure, n=59) and a study group(suprascapular nerve combined with dorsal scapular nerve block, n=62).The clinical efficacy, pain condition[Visual analogue scale(VAS) and pain rating index sensor total(PRI-T)],joint range of motion, cervical spine dysfunction and cervical spine joint activity[the neck disability index(NDI) was used to evaluate the cervical spine dysfunction, and the cervical range of motion(CROM) was used to evaluate the cervical spine joint activity]and adverse reactions between the two groups were compared.Results The total effective rate after treatment in the control group was 74.58%,and the total effective rate in the study group was 91.94% after treatment, which was significantly higher than that in the control group(P<0.05).Compared with those before treatment, the VAS score and PRI-T score of the two groups gradually decreased after treatment, and the decreasing in the study group was more significant(P<0.05).Compared with those before treatment, the improvement rate of joint mobility in the two groups increased significantly after treatment, and the study group was the most significant(P<0.05).Compared with those before treatment, the improvement rate of joint range of motion in the two groups increased significantly after treatment, and the improvement rate in the study group was significantly higher than that in the control group(P<0.05),the above differences were statistically significant.There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The suprascapular nerve combined with dorsal scapular nerve block has a definite effect in the treatment of neck and shoulder pain syndrome.It can effectively improve the patient′s VAS score, PRI-T score and joint mobility, speed up the patient′s recovery.
作者
刘婷婷
LIU Tingting(Department of Pain,Dujiangyan Peopled Hospital,Dujiangyan 611830,China)
出处
《中国煤炭工业医学杂志》
2021年第6期579-583,共5页
Chinese Journal of Coal Industry Medicine
基金
四川省卫生和计划委员会科研课题(编号:1702512)。
